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The Importance of Therapy Motivation for Patients With Substance Use Disorders

机译：物质使用障碍患者治疗动机的重要性

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The present study aimed to examine whether patients' pretherapy motivation was related to other patient characteristics and whether it predicted retention in psychotherapy. Data were collected within a naturalistic outcome study of various forms of psychotherapy for patients (N = 172) with substance use disorders (SUD). Therapy motivation was measured using the Client Motivation for Therapy Scale (CMOTS), including the variables autonomous motivation, controlled motivation, and amotivation. Female patients had higher levels of autonomous motivation (d = .53), lower levels of controlled motivation (d = -.32), and lower levels of amotivation (d = -.62). Level of symptoms and impairment was significantly positively correlated with controlled motivation (r = .31). Autonomous motivation was positively correlated with four expectation subscales associated with constructive therapeutic work, whereas amotivation was negatively correlated with three of these subscales. Controlled motivation was positively correlated with the subscales external orientation, defensiveness, and support. In a logistic regression, amotivation stood out as a negative predictor of retention, in terms of starting in psychotherapy after assessment or not. Quite surprisingly, autonomous motivation was not a significant predictor of retention. The present study indicates that amotivation is a risk factor for early dropout among SUD patients. More efforts should be directed at preparing patients for psychotherapy through strengthening motivation.
机译：本研究旨在检查患者的治疗前动机是否与其他患者特征有关，以及是否预测了心理治疗的保留。在对物质使用障碍（SUD）的患者（N = 172）进行各种形式的心理治疗的自然结果研究中收集了数据。使用“客户治疗动机量表”（CMOTS）来衡量治疗动机，其中包括自主动机，受控动机和动机。女性患者具有较高的自主动机水平（d = .53），较低的受控动机水平（d = -.32）和较低的动机水平（d = -.62）。症状和损伤程度与控制动机呈显着正相关（r = .31）。自主动机与与建设性治疗工作相关的四个期望子量表正相关，而动机与这些子量表中的三个负子量负相关。控制动机与分量表的外部定向，防御能力和支持成正相关。在逻辑回归中，就是否进行评估后开始进行心理治疗而言，动机是保留的否定预测指标。出人意料的是，自主动机并不是留任率的重要预测指标。本研究表明，动机是SUD患者中早期辍学的危险因素。应加大努力，通过加强动力为患者做好心理治疗的准备。

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