361 Neuropsychological Performance in Patients with Alcohol Dependence (original) (raw)

Factors Associated with Readiness to Stop Smoking among Patients in Treatment for Alcohol Use Disorder

American Journal on Addictions, 2004

The Timing of Alcohol and Smoking Cessation (TASC) Study is a randomized controlled trial that examines the optimal timing of intervention for nicotine dependence in patients with alcohol use disorders. A crosssectional analysis of baseline characteristics of study participants was used to identify characteristics associated with readiness of patients in intensive treatment for alcohol abuse or dependence to quit smoking. Baseline characteristics of 499 subjects enrolled in the TASC trial were analyzed. Readiness to quit was assessed by two self-rated measures: being in the preparation=action stages of change and scoring at least an 8 on the Contemplation Ladder. Univariate analyses showed a higher prevalence of African-Americans and other minorities than Caucasian, among participants planning to quit in the next month (p ¼ 0.005). There were no other differences between groups. Participants in the preparation=action action stages of change experienced significantly lower rates of current (p ¼ 0.011) and past (p ¼ 0.014) major depressive disorder and displayed significantly less current depressive symptoms on the Beck Depression Inventory (p ¼ 0.008). Patients with Contemplation Ladder ratings between 8 and 10 showed similar results. Logistic regression models consistently confirmed that the degree of depression was negatively associated with the intention to quit, but different models suggested that increasing age, shorter duration of smoking history, race other than white, and a greater number of past quit attempts were positively associated with readiness to

Setting the stage to quit smoking in Bipolar Disorder patients: brief advice in clinical practice

Adicciones, 2018

Tobacco consumption is the main preventable factor of mortality in smokers with bipolar disorder (BD), and any possible solutions are often blocked by prejudices over desire, and the possibilities and risks for these patients in giving up tobacco consumption. Adults with BD were recruited at 8 Mental Health Centres. Smokers were evaluated before and after a brief intervention based on the 3 A's and classified into a 'Stage of Change' (SOC) and their 'Readiness to Change' (RTC). A multiple linear regression was used to analyze the progression in their RTC and the independent effect of different variables (pharmacological treatment, history of psychotic symptoms, current anxiety symptoms, willingness, self-perceived capacity to quit smoking and subjective perception of cognitive functioning). Of 212 stable patients diagnosed with BD, current smokers (n=101; 47.6%) were included in the intervention phase, and 80.2% completed it. At baseline, 75.2% were considering t...

Cognitive barriers to readiness to change in alcohol-dependent patients

Background: Patients' personal investment and readiness to change have proved to be a prerequisite for the successful treatment of alcohol addiction. The aim of this study was to determine the contribution of cognitive functions to the motivation process to abandon maladjusted behavior in favor of a healthier lifestyle.

Predictive value of readiness, importance, and confidence in ability to change drinking and smoking

BMC Public Health, 2012

Background: Visual analog scales (VAS) are sometimes used to assess change constructs that are often considered critical for change. Aims of Study: 1.) To determine the association of readiness to change, importance of changing and confidence in ability to change alcohol and tobacco use at baseline with the risk for drinking (more than 21 drinks per week/6 drinks or more on a single occasion more than once per month) and smoking (one or more cigarettes per day) six months later. 2.) To determine the association of readiness, importance and confidence with alcohol (number of drinks/week, number of binge drinking episodes/month) and tobacco (number of cigarettes/ day) use at six months.

Readiness for mental health treatment and for changing alcohol use in patients with comorbid psychiatric and alcohol disorders: Are they congruent?

Addictive Behaviors, 2005

Patients with comorbid psychiatric and alcohol disorders may be ready to change one problem but not the other. This study compared 132 dually diagnosed patients' readiness for mental health treatment to their readiness to change alcohol use. The patients completed a measure of readiness to change alcohol use [the University of Rhode Island Change Assessment Scale-Alcohol (URICA-A)] and the new Readiness for Mental Health Treatment measure. Confirmatory factor analysis (CFA) reveals that the measures have similar factor structures, but correlation and cluster analyses suggest that separate levels of patient motivation exist for mental health treatment and changing alcohol use. The newly developed mental health treatment measure will help clinicians tailor interventions to their patients' needs. D

Correlates of motivation to quit smoking among alcohol dependent patients in residential treatment

Drug and Alcohol Dependence, 2006

Substance use and smoking co-occur at high rates and substance abusers smoke more and have greater difficulty quitting smoking compared to the general population. Methods of increasing smoking cessation among alcoholics are needed to improve their health. This study investigated predictors of motivation to quit smoking among patients early in residential treatment for substance abuse. The 198 alcohol dependent patients were participating is a larger smoking study at an inner-city residential substance abuse treatment program. Motivation was measured by the Contemplation Ladder. A hierarchical multiple regression was conducted to assess whether perceived barriers to smoking cessation and self-efficacy about quitting were associated with motivation to quit smoking independent of the influence of degree of tobacco involvement, substance use, and comorbid depressive symptoms. Motivation was higher with longer previous smoking abstinence, fewer barriers to quitting, and greater self-efficacy but was not influenced by smoking rate, dependence, or gender. While the combination of alcohol and drug use, alcohol and drug problem severity, and depressive symptoms predicted motivation, no one of these variables was significant. Since barriers to change and self-efficacy are potentially modifiable in treatment, these could be salient targets for intervention efforts. This could be integrated into treatment by assessing barriers and providing corrective information about consequences and methods of overcoming barriers and by providing coping skills to increase confidence in one's ability to quit smoking.

A study to eveluate the outcome of psychosocial intervention on motivation and readiness to change among individuals with alcohol use disorder at Dharwad institute of mental health and neurosciences (DIMHANS) Dharwad

International Journal of Advanced Psychiatric Nursing

Background of the study and objectives: The aim of the study was to evaluate the outcome of psychosocial intervention on Motivation and Readiness to change among individuals with Alcohol use disorder at DIMHANS, Dharwad. The study was conducted with following objectives: (1) To assess the motivation and readiness to change among individuals with Alcohol Use Disorder. (2) To evaluate the effectiveness of psychosocial intervention by comparing post-intervention motivation and readiness to change scores of experimental and control group subjects. (3) To find out the correlation between motivation and readiness to change (4) To find out association between motivation and readiness to change with selected demographic and clinical characteristics of individuals with alcohol use disorder. Research methodology: For the present study, quasi experimental non-equivalent control group pretest post-test design was adopted. The independent variable was psychosocial intervention and dependent variable was Motivation and Readiness to change scores of alcohol use disorder patients. By using convenient sampling technique 60 alcohol use disorder patients were selected from psychiatric wards of DIMHANS Dharwad, based on the convenience first 30 subjects were taken to control group and next 30 subjects were taken to experimental group. The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) and University of Rhode Island Change Assessment Scale-URICA was used to collect the data on assessing Motivation and Readiness to change among individuals with alcohol use disorder. The pre-test was conducted for both experimental and control group subjects. Psychosocial intervention was administered to experimental group subjects in 4 sessions for 10 days. Post-test was conducted on 11 th day after the intervention for both the groups. Results: Majority (70%) were in the age group 18-40yrs. 60% of the subjects were having secondary education. 28.33% of the subjects were farmers and private workers. 81.67% of the subjects were married. Largest proportions of participants were residing in rural area. In terms of clinical characteristics, 93.33% of the subjects were having the family history of substance abuse, 63.33% of the subjects were started to consume alcohol above the age of 18 years, among them 80% of the subjects were having peer pressure. Subjects in experimental group improved in motivation and readiness to change scores compared to control group subjects at post-tests level. There was a significant positive correlation between motivation and readiness to change scores among alcohol subjects. Interpretation and conclusion: The present study implies that nurse should involve in conducting psycho social intervention programme to improve the Motivation and readiness to change behaviour of alcohol dependents and help them to have a balanced lifestyle.