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Alcohol and Alcoholism Vol. 38, No. 3, pp. 263-269, 2003
© 2003 Medical Council on Alcohol

MOTIVATIONAL INTERVENTION: AN INDIVIDUAL COUNSELLING VS A GROUP TREATMENT APPROACH FOR ALCOHOL-DEPENDENT IN-PATIENTS

U. John*, C. Veltrup1, M. Driessen2, T. Wetterling3 and H. Dilling4

Institute of Epidemiology and Social Medicine, University of Greifswald,
1 Hospital Parber,
2 Hospital Gilead,
3 Department of Psychiatry and Psychotherapy, University of Frankfurt and
4 Department of Psychiatry and Psychotherapy, University of Luebeck, Germany

Received 7 May 2002; first review notified 10 December 2002; accepted 3 January 2003

Aims: The present study aimed to evaluate whether individual counselling for alcohol-dependent patients in three sessions is as effective as a 2-week group treatment programme as part of an in-patient stay in a psychiatric hospital which was to foster motivation to seek further help and to strengthen the motivation to stay sober. Of particular importance was the external validity of the results, i.e. a ‘normal’ intake load of in-patients in detoxification and a wide variety of motivation to stop drinking were to be investigated. Methods: Subjects eligible for the study were all patients with alcohol problems admitted to a psychiatric hospital, but without psychosis, as the main diagnosis, and with a maximum of 10 detoxification treatments in the past. A randomized-controlled trial was conducted with 161 alcohol-dependent in-patients who received three individual counselling sessions on their ward in addition to detoxification treatment and 161 in-patients who received 2 weeks of in-patient treatment and four out-patient group sessions in addition to detoxification. Both interventions followed the principles and strategies of motivational interviewing. Results: Six months after intervention, group-treatment patients showed a higher rate of participation in self-help groups; however, this difference had disappeared 12 months after treatment. The abstinence rate among the former patients did not differ between the two intervention groups. Conclusion: Group treatment may lead to a higher rate of participation in self-help groups, but does not increase the abstinence rate 6 months after treatment.


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