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Title: Temperamental predictors of variability in action control in people addicted to alcohol in the course of treatment
Abstract:
Patients with an alcohol dependence diagnosis represent a diverse group with regard to factors affecting the development of alcohol dependence, the course of the disease including the prevalence of relapses and response to psychotherapeutic and pharmacological treatment. The search for factors and mechanisms that increase the impact on treatment effectiveness, including those conditioning sustained abstinence or a significant reduction in alcohol consumption, remains a major challenge for researchers. The main aims of the study were to examine the temperamental determinants of action control and its changes in the course of alcohol dependence treatment, and to identify factors which contribute to one-year alcohol abstinence. In the presented longitudinal research a quasi-experimental procedure was applied. The research model indicates the impact of temperamental and volitional factors (action control) on the sustaining of one-year abstinence, with consideration of sociodemographic variables and an indicator of personality disorders. The study group consisted of 1095 patients diagnosed with alcohol dependence who received treatment in 12 various addiction treatment facilities in Poland. The first survey was conducted at the beginning of the treatment and the second after one year, at each stage in a group of 194 people selected at random from 1095 participants. Respondents, b ; oth in the first and second measurement, completed a questionnaire that considered sociodemographic variables: Temperament and Character Inventory (TCI) questionnaire by C.R. Cloninger and ACS-90 Action Control Scale by J. Kuhl. The questionnaires were subjected to an internal credibility analysis. In the study 4 TCI scales assessing the main temperamental factors and their components were used and, in order to reinforce the outcome reliability, two measurements were taken and the results were averaged. In addition, surveys conducted after one year allowed data on the persistence of annual abstinence from alcohol to be obtained. Results Temperamental factors affect the orientation to action in situations of failure, decision-making and when performing activities, both at the beginning of treatment and after a year. Furthermore, the temperamental factors also influence a change in orientation to action in decision-making situations and when performing activities between measurements. Although, temperament is not a direct predictor of alcohol abstinence for patients in one-year treatment, it indirectly affects the treatment results after one year by action control, with regard to personality disorder indicators and sociodemographic factors such as gender or size of the place of residence. Conclusions The presented study confirmed the directions of dependence in the adopted th ; eoretical model. All main temperamental factors and their components were found to be significant predictors for individual components of action control. Temperament - through action control and its alteration - affects the annual abstinence. The results obtained have a direct impact on the diagnostic and therapeutic process for people with alcohol dependence. They emphasise the significance of temperamental determinants in the process of behavioural change related to the development of action control conducive to the achievement of therapeutic aims.
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Rada Dyscypliny Nauki o zdrowiu
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Last modified:
Sep 6, 2024
In our library since:
Feb 6, 2024
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5
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http://dl.cm-uj.krakow.pl:8080/publication/5032
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| Edition name | Date |
|---|---|
| ZB-137695 | Sep 6, 2024 |
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