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Alcohol and Alcoholism Advance Access published online on September 26, 2005
Alcohol and Alcoholism, doi:10.1093/alcalc/agh195
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© The Author 2005. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
Received March 2, 2005
Accepted July 18, 2005

Article

READINESS FOR CHANGE AND READINESS FOR HELP-SEEKING: A COMPOSITE ASSESSMENT OF CLIENT MOTIVATION

JENNIS FREYER 1*, J. SCOTT TONIGAN 2, STEFAN KELLER 3, HANS-JÜRGEN RUMPF 4, ULRICH JOHN 1, and ULFERT HAPKE 1

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
4 Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany

* To whom correspondence should be addressed.
JENNIS FREYER, E-mail: freyer{at}uni-greifswald.de


  Abstract

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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