Alcohol and Alcoholism Advance Access originally published online on September 26, 2005
Alcohol and Alcoholism 2005 40(6):540-544; doi:10.1093/alcalc/agh195
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READINESS FOR CHANGE AND READINESS FOR HELP-SEEKING: A COMPOSITE ASSESSMENT OF CLIENT MOTIVATION
1 Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University of Greifswald, Walther-Rathenau-Strasse 48, 17487 Greifswald, Germany, 2 University of New Mexico, Clinical Research Branch, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale SE, Albuquerque, NM 87106, USA, 3 Department of Medical Psychology, Philipps University of Marburg, Bunsenstrasse 3, 35037 Marburg, Germany and 4 Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany
* Author to whom correspondence should be addressed at: Tel.: +49 3834/867724; Fax: +49 3834/867701; E-mail: freyer{at}uni-greifswald.de
(Received 2 March 2005; first review notified 31 May 2005; accepted in final revised form 18 July 2005)
Aims: To investigate the correspondence between readiness for behaviour change in general and readiness for alcohol related help-seeking in particular. A related aim was to examine how, if at all, measures of dependence severity, use, and consequences were related to a composite measure depicting agreements and disagreements between general change readiness and help-seeking readiness. Methods: Non-treatment seeking alcohol-dependent patients, numbering 549, from general hospitals in Germany were interviewed. Results: When taking into account both dimensions of motivation, findings indicate 42% of the subjects were characterized by different motivation levels regarding readiness for change and readiness for help-seeking. Higher help-seeking readiness was associated with higher alcohol problem severity. Readiness to change was not affected by alcohol problem severity. Conclusions: Findings underscore the need to evaluate both motivational constructs in determining clients' need and receptivity to formal help.
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