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Changes in Motivation for Treatment in Precontemplating Dually Diagnosed Patients Receiving Assertive Community Treatment.
MedLine Citation:
PMID:  23288491     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
In a population of dually diagnosed patients receiving assertive community treatment we used the theoretical framework of the transtheoretical model to establish (a) the proportions and characteristics of patients who were not motivated for treatment for psychiatric symptoms and substance use, (b) the proportion of patients who moved towards behavioral change after about 1 year, and examine how this change was related with clinical outcome; and (c) the sequence of change processes. Chi square tests and T tests were used to compare the patient characteristics and outcomes of patients who remained in precontemplation with those who progressed. During follow-up, 47 % of the patients came out of the precontemplation phase for treatment of psychiatric symptoms and 38 % for substance use behavior. Those who remained in precontemplation benefited less from treatment. Of those who did move forward, most appeared to become motivated for psychiatric treatment before becoming motivated to reduce substance use.
Authors:
H E Kortrijk; C L Mulder; D van Vliet; C van Leeuwen; E Jochems; A B P Staring
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-4
Journal Detail:
Title:  Community mental health journal     Volume:  -     ISSN:  1573-2789     ISO Abbreviation:  Community Ment Health J     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0005735     Medline TA:  Community Ment Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Bavo-Europoort Psychiatric Institute, Prins Constantijnweg 48-54, 3066 TA, Rotterdam, The Netherlands, H.Kortrijk@Parnassiabavogroep.nl.
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