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Readiness to change, insight and motivation in hospitalized alcohol-dependent patients in three countries

Published online by Cambridge University Press:  23 March 2020

M. Slepecky ,
V. Stanislav ,
A. Kotianova ,
M. Kotian ,
J. Ryniak ,
B. Betkovka Korpala ,
M. Zatkova ,
M. Popelkova ,
J. Prasko  and
K. Latalova
M. Slepecky
Affiliation:
Constantine the Philosopher University in Nitra, Psychology, Liptovsky Mikulas, Slovak Republic
V. Stanislav
Affiliation:
OLUP n.o. Predna Hora, Psychiatry, Predna Hora, Muranska Huta, Slovak Republic
A. Kotianova
Affiliation:
Constantine the Philosopher University in Nitra, Psychology, Liptovsky Mikulas, Slovak Republic
M. Kotian
Affiliation:
Psychagogia s.r.o., Psychology, Liptovsky Mikulas, Slovak Republic
J. Ryniak
Affiliation:
Hospital Dr. Josef Babinski Krakow, Psychiatry, Krakow, Poland
B. Betkovka Korpala
Affiliation:
Katedra Psychiatrii, Uniwersytet Jegiellonski, Collegium Medicum, Psychiatry, Krakow, Poland
M. Zatkova
Affiliation:
Constantine the Philosopher University in Nitra, Psychology, NItra, Slovak Republic
M. Popelkova
Affiliation:
Constantine the Philosopher University in Nitra, Psychology, NItra, Slovak Republic
J. Prasko
Affiliation:
Constantine the Philosopher University in Nitra, Psychology, NItra, Slovak Republic
K. Latalova
Affiliation:
Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Psychiatry, Olomouc, Czech Republic

Abstract

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Introduction

Alcohol dependence is a serious problem in Central Europe and the treatment effect depends on level of patient's motivation. The theory of change assumes that therapeutic approaches should be adapted to the motivation stage.

Objectives

To examine the state of readiness to change at the beginning and the end of inpatient 6-week and 12-week therapeutic program in Slovakia, Poland, and Czechia.

Aim

To compare readiness to change with insight and motivation. To find out, whether patients change during the therapeutic program and how this change leads to advances in treatment.

Methods

A total of 380 inpatients were examined using Alcohol Use Disorders Identification Test (AUDIT), the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), Readiness to Change Questionnaire (RCQ), and Demographic Questionnaire.

Results

Measured by AUDIT, single patients declared higher severity of alcohol dependence than married or divorced patients. A majority of patients were at the stage of action (68.5%) or preparation (26.3%) according to RCQ at the beginning of the treatment. Readiness to change was higher at the end of both programs in terms of taking steps in married patients and in terms of Decreasing of Ambivalence in single patients. The results of the 6-week program appear to be slightly better than 12-week treatment.

Conclusions

The intention and motivation to treatment changed during therapy. Marital status may increase the active component for readiness to change, while passive component (decreasing the ambivalence) is observed in single patients. Duration of the program does not seem to be crucial for readiness to change.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Substance related and addictive disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. s878 - s879
Copyright
Copyright © European Psychiatric Association 2017
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