The effectiveness of motivational enhancement therapy for addiction treatment and attitudinal ambivalence towards addiction
Journal of Research in Psychopathology
مقاله 2 ، دوره 4، شماره 12 ، 2023، صفحه 9-16 613.89 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2023.12349.1163 نویسندگان
Farzin Bagheri Sheykhangafshe* 1 Khazar Tajbakhsh 2 Vahid Savabi Niri 3 Fatemeh Eghbali 4 Reza Shabahang 5 1 Ph.D. Candidate in Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran2 B.A of Psychology, Faculty of Literature and Human Sciences, University of Guilan, Rasht, Iran3 M.A of Clinical Psychology, Islamic Azad University of Ardabil Branch, Ardabil, Iran4 M.A. in General Psychology, Allameh Tabatabai University Campus, Tehran, Iran.5 M.A. in General Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iranچکیده The present study aimed to investigate the effectiveness of motivational enhancement therapy on addiction treatment barriers and attitudinal ambivalence towards addiction. This study is quasi-experimental research with a pretest-posttest control group design. The population included addicts who were referred to addiction treatment centers in Rasht city in 2022. Seventy-four drug-addicted army conscripts were recruited by convenience sampling and were randomly assigned to two experimental and control groups. The Barriers to Treatment Inventory (BTI) and the Attitudinal Ambivalence Scale were used to measure views on addiction treatment barriers and attitudinal ambivalence towards addiction. Motivational enhancement therapy was provided for the experimental group participants in nine sessions. In the end, the data analysis was done by multivariate analysis of covariance (MANCOVA) using SPSS.24 software. MANCOVA results indicated that motivational enhancement therapy significantly affects views on barriers to treatment and attitudinal ambivalence towards addiction (p < 0.001). Having motivation in any work can be effective, but if these motivations are not well managed and controlled, they bring many harms and dangers to the individual and the society. It should be acknowledged that motivational components play a very colorful role in the beginning, continuation, withdrawal, and return of addiction. In this regard, investigating motivational interventions related to addiction is of great importance کلیدواژهها
Addiction ؛ Motivation ؛ Ambivalence ؛ Treatment
مراجع
Abiola, T., Udofia, O., Sheikh, T. L., & Sanni, K. (2015). Assessing Change Readiness and Treatment Eagerness among Psychoactive Substance Users in Northern Nigeria. Journal of substance abuse treatment, 58 (2), 72–77. doi:10.1016/j.jsat.2015.06.012
Baumeister, R. F., & Nadal, A. C. (2017). Addiction: Motivation, action control, and habits of pleasure. Motivation Science, 3 (3), 179–195. doi:10.1037/mot0000069
Choi, C. (2019). Understanding media consumption of electronic sports through spectator motivation, using three different segmentation approaches: the levels of addiction, passion, and fan identification. Sport Mont , 17 (1), 3-8. doi: 10.26773/smj.190201
DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnick, A. E., & Knoblach, D. J. (2017). Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness. Psychology of Addictive Behaviors , 31 (8), 862-887. doi: 10.1037/adb0000318
Daeppen J. B. (2016). Should we measure ambivalence to change?. Addiction (Abingdon, England), 111 (11), 1908–1909. Doi: 10.1111/add.13337
Emiliussen, J., Andersen, K., & Nielsen, A. S. (2017). How do family pressure, health and ambivalence factor into entering alcohol treatment? Experiences of people aged 60 and older with alcohol use disorder. Nordic Studies on Alcohol and Drugs, 34 (1), 28–42. doi:10.1177/1455072516682639
Englander, H., Collins, D., Perry, S. P., Rabinowitz, M., Phoutrides, E., & Nicolaidis, C. (2018). " We've Learned It's a Medical Illness, Not a Moral Choice": Qualitative Study of the Effects of a Multicomponent Addiction Intervention on Hospital Providers' Attitudes and Experiences. Journal of Hospital Medicine , 13 (11), 752-758. doi: 10.12788/jhm.2993
Everitt, B. J., & Robbins, T. W. (2016). Drug addiction: Updating actions to habits to compulsions ten years on. Annual Review of Psychology, 67 , 23–50. doi: 10.1146/annurev-psych-122414-033457
Feldstein Ewing, S., Bryan, A. D., Dash, G. F., Lovejoy, T. I., Borsari, B., & Schmiege, S. J. (2022). Randomized controlled trial of motivational interviewing for alcohol and cannabis use within a predominantly Hispanic adolescent sample. Experimental and Clinical Psychopharmacology , 30 (3), 287-296. doi: 10.1037/pha0000445
Fast, D. (2021). Going nowhere: ambivalence about drug treatment during an overdose public health emergency in Vancouver. Medical Anthropology Quarterly , 35 (2), 209-225. doi: 10.1111/maq.12638
Galloway, G. P., Polcin, D., Kielstein, A., Brown, M., & Mendelson, J. (2007). A nine session manual of motivational enhancement therapy for methamphetamine dependence: adherence and efficacy. Journal of psychoactive drugs , Suppl 4, 393–400. doi:10.1080/02791072.2007.10399900
Gladwin, T. E., Figner, B., Crone, E. A., & Wiers, R. W. (2011). Addiction, adolescence, and the integration of control and motivation. Developmental Cognitive Neuroscience, 1 (4), 364–376. doi: 10.1016/j.dcn.2011.06.008
Groshkova, T. (2010). Motivation in substance misuse treatment. Addiction Research & Theory, 18 (5), 494-510. doi:10.3109/16066350903362875
Horay, B. J. (2006). Moving towards gray: Art therapy and ambivalence in substance abuse treatment. Art Therapy, 23 (1): 14-22. doi:10.1080/07421656.2006.10129528
Haramain, M., & Afiah, N. (2022). Analysis of the Effects of Personal Traits and Internet Addiction on Indonesian Students’ Learning Motivation. International Journal of Arts and Humanities Studies , 2 (2), 13-18.
Kalivas, P. W., Volkow, N., & Seamans, J. (2005). Unmanageable motivation in addiction: a pathology in prefrontal-accumbens glutamate transmission. Neuron, 45 (5), 647–650. doi:10.1016/j.neuron.2005.02.005
Köpetz, C. E., Lejuez, C. W., Wiers, R. W., & Kruglanski, A. W. (2013). Motivation and Self-Regulation in Addiction: A Call for Convergence. Perspectives on psychological science: a journal of the Association for Psychological Science, 8 (1), 3–24. doi:10.1177/1745691612457575
Kwako, L. E., Bickel, W. K., & Goldman, D. (2018). Addiction Biomarkers: Dimensional Approaches to Understanding Addiction. Trends in molecular medicine, 24 (2), 121–128. doi:10.1016/j.molmed.2017.12.007
Lipkus, I. M., Pollak, K. I., McBride, C. M., Schwartz-Bloom, R., Lyna, P., & Bloom, P. N. (2005). Assessing attitudinal ambivalence towards smoking and its association with desire to quit among teen smokers. Psychology & Health, 20 (3), 373–387. doi:10.1080/08870440512331333988
Lister, J. J., Weaver, A., Ellis, J. D., Himle, J. A., & Ledgerwood, D. M. (2020). A systematic review of rural-specific barriers to medication treatment for opioid use disorder in the United States. The American Journal of Drug and Alcohol Abuse , 46 (3), 273-288. doi: 10.1080/00952990.2019.1694536
Madson, M. B., Schumacher, J. A., Baer, J. S., & Martino, S. (2016). Motivational Interviewing for Substance Use: Mapping Out the Next Generation of Research. Journal of substance abuse treatment, 65, 1–5. doi:10.1016/j.jsat.2016.02.003
Motyka, M. A., Al-Imam, A., Haligowska, A., & Michalak, M. (2022). Helping women suffering from drug addiction: needs, barriers, and challenges. International journal of environmental research and public health , 19 (21), 14039. doi:10.3390/ijerph192114039
MacKillop, J. (2020). Is addiction really a chronic relapsing disorder?: commentary on kelly et al.“how many recovery attempts does it take to successfully resolve an alcohol or drug problem? estimates and correlates from a national study of recovering US adults”. Alcoholism, clinical and experimental research , 44 (1), 41-44. doi: 10.1111/acer.14246
Mays, D., Johnson, A. C., Phan, L., Tercyak, K. P., Rehberg, K., & Lipkus, I. (2020). Effect of risk messages on risk appraisals, attitudes, ambivalence, and willingness to smoke hookah in young adults. Health psychology and behavioral medicine , 8 (1), 96-109. doi: 10.1080/21642850.2020.1730844
Owens, M. D., Chen, J. A., Simpson, T. L., Timko, C., & Williams, E. C. (2018). Barriers to addiction treatment among formerly incarcerated adults with substance use disorders. Addiction science & clinical practice, 13 (1), 19. doi:10.1186/s13722-018-0120-6
Oginsky, M. F., Goforth, P. B., Nobile, C. W., Lopez-Santiago, L. F., & Ferrario, C. R. (2016). Eating ‘junk-food’produces rapid and long-lasting increases in NAc CP-AMPA receptors: implications for enhanced cue-induced motivation and food addiction. Neuropsychopharmacology , 41 (13), 2977-2986. doi: 10.1038/npp.2016.111
Rahmati, A., Zeraat Herfeh, F., Hosseini, S. O. (2019). Barriers to quitting addiction in Iranian women: A qualitative study. Iranian Red Crescent Medical Journal, 21(5), 65976-65998.
Rapp, R. C., Xu, J., Carr, C. A., Lane, D. T., Wang, J., & Carlson, R. (2006). Treatment barriers identified by substance abusers assessed at a centralized intake unit. Journal of substance abuse treatment, 30 (3), 227–235. doi:10.1016/j.jsat.2006.01.002
Rogers P. J. (2017). Food and drug addictions: Similarities and differences. Pharmacology, biochemistry, and behavior, 153 , 182–190. doi:10.1016/j.pbb.2017.01.001
Ragona, A., Mesce, M., Cimino, S., & Cerniglia, L. (2023). Motivations, Behaviors and Expectancies of Sexting: The Role of Defensive Strategies and Social Media Addiction in a Sample of Adolescents. International Journal of Environmental Research and Public Health , 20 (3), 1805-1816. doi:10.3390/ijerph20031805
Rawat, H., Petzer, S. L., & Gurayah, T. (2021). Effects of Substance Use Disorder on Women's Roles and Occupational Participation. South African Journal of Occupational Therapy , 51 (1), 54-62. doi:10.17159/2310-3833/2021/vol51n1a8
Ruisoto, P., & Contador, I. (2019). The role of stress in drug addiction. An integrative review. Physiology & behavior, 202 , 62–68. doi:10.1016/j.physbeh.2019.01.022
Schlauch, R. C., Rice, S. L., Connors, G. J., & Lang, A. R. (2015). Ambivalence Model of Craving: A Latent Profile Analysis of Cue-Elicited Alcohol Craving in an Inpatient Clinical Sample. Journal of studies on alcohol and drugs, 76 (5), 764–772. doi:10.15288/jsad.2015.76.764
Shabahang R, Bagheri Sheykhangafshe F, Mousavi M. Effectiveness of motivational enhancement therapy on addiction potential and stages of change readiness and treatment eagerness. Research on Addiction 2019; 13(52): 311-330.
Shabahang R, Rezaei S, Bagheri Sheykhangafshe F. The effect of subliminal presentation of smoking pictures on addiction potential, addiction acknowledgement, and addiction craving. Research on Addiction 2018; 12(47): 157-176.
Stringer, K. L., & Baker, E. H. (2018). Stigma as a barrier to substance abuse treatment among those with unmet need: an analysis of parenthood and marital status. Journal of family issues , 39 (1), 3-27. doi: 10.1177/0192513X15581659
Sjoerds, Z., Luigjes, J., van den Brink, W., Denys, D., & Yücel, M. (2014). The role of habits and motivation in human drug addiction: a reflection. Frontiers in psychiatry, 5 , 8. doi:10.3389/fpsyt.2014.00008
Smith, F. M., & Marshall, L. A. (2007). Barriers to effective drug addiction treatment for women involved in street-level prostitution: a qualitative investigation. Criminal behaviour and mental health: CBMH, 17 (3), 163–170. doi:10.1002/cbm.654
Van der Pol, P., Liebregts, N., de Graaf, R., Korf, D. J., van den Brink, W., & van Laar, M. (2013). Facilitators and barriers in treatment seeking for cannabis dependence. Drug and Alcohol Dependence, 133 (2), 776–780. doi:10.1016/j.drugalcdep.2013.08.011
Volkow, N. D., Wise, R. A., & Baler, R. (2017). The dopamine motive system: implications for drug and food addiction. Nature Reviews Neuroscience , 18 (12), 741-752. doi: 10.1038/nrn.2017.130
Venegas, A., Donato, S., Meredith, L. R., & Ray, L. A. (2021). Understanding low treatment seeking rates for alcohol use disorder: a narrative review of the literature and opportunities for improvement. The American Journal of Drug and Alcohol Abuse , 47 (6), 664-679. doi: 10.1080/00952990.2021.1969658
Wallace, L. E., Patton, K. M., Luttrell, A., Sawicki, V., Fabrigar, L. R., Teeny, J., ... & Wegener, D. T. (2020). Perceived knowledge moderates the relation between subjective ambivalence and the “impact” of attitudes: An attitude strength perspective. Personality and Social Psychology Bulletin , 46 (5), 709-722. doi: 10.1177/0146167219873492
World Medical Association (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA, 310 (20), 2191–2194. doi:10.1001/jama.2013.281053
Yuen, J., Kouzani, A. Z., Berk, M., Tye, S. J., Rusheen, A. E., Blaha, C. D., ... & Oh, Y. (2022). Deep brain stimulation for addictive disorders—where are we now?. Neurotherapeutics , 19 (4), 1193-1215. doi: 10.1007/s13311-022-01229-4
Ye, X., & Liu, R. (2023). Intervention Effect of Aerobic Exercise on Physical Fitness, Emotional State and Mental Health of Drug Addicts: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health , 20 (3), 2272-2279. doi:10.3390/ijerph20032272
Zilberman, N., Yadid, G., Efrati, Y., Neumark, Y., & Rassovsky, Y. (2018). Personality profiles of substance and behavioral addictions. Addictive behaviors, 82 , 174–181. doi:10.1016/j.addbeh.2018.03.007
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