Processes of change assessment in heroin addicts following the Prochaska and DiClemente transtheoretical model

Tejero, A.; Trujols, Joan; Hernández, Enrique; Cobos, José Pérez de los; Casas, Miquel

doi:10.1016/s0376-8716(97)00071-9

Cited by 10 publications

(8 citation statements)

References 23 publications

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“…In 1994, Prochaska et al [97] successfully tested this model in quitting smoking and in cocaine cessation; thereafter it was applied in opiate addicts [98,99,100] and in alcohol abuse [101,102,103]. …”

Section: Resultsmentioning

confidence: 99%

Staging of Mental Disorders: Systematic Review

Cosci

Fava

2012

Psychother Psychosom

210

224

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Background: The staging method, whereby a disorder is characterized according to its seriousness, extension, development and features, is attracting increasing attention in clinical psychology and psychiatry. The aim of this systematic review was to critically summarize the tools that are available for reproducing and standardizing the clinical intuitions that are involved in a staging formulation. Methods: A comprehensive research was conducted on the MEDLINE, PsycINFO, EMBASE and Cochrane databases from inception to May 2012. The following search terms were used: ‘stage/staging’ AND ‘psychiatric disorder/mental disorder/schizophrenia/mood disorder/anxiety disorder/substance use disorder/eating disorder’. Results: A total of 78 studies were identified for inclusion in the review. We discussed studies addressing or related to the issue of staging in a number of mental disorders (schizophrenia, unipolar depression, bipolar disorder, panic disorder, substance use disorders, anorexia and bulimia nervosa). The literature indicates that disorders have a longitudinal development or a treatment history that can be categorized according to stages. We proposed staging formulations for the above-mentioned psychiatric disorders. Conclusion: Staging models offer innovative assessment tools for clinical psychologists and psychiatrists. Characterizing each stage of an illness demarcates major prognostic and therapeutic differences among patients who otherwise seem to be deceptively similar since they share the same psychiatric diagnosis. A stage 0 to denote an at-risk condition does not appear to be warranted at the current state of research.

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Section: Resultsmentioning

confidence: 99%

Staging of Mental Disorders: Systematic Review

Cosci

Fava

2012

Psychother Psychosom

210

224

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“…Tejero and colleagues [53] used the 40-item Processes of Change Inventory for Opiate Addicts (PCI-OA) selfreport instrument to examine the processes of change in a sample of individuals addicted to heroin. Results offered mixed support for the 10 TTM processes in this sample.…”

Section: Processes Of Changementioning

confidence: 99%

Application of the Transtheoretical Model to substance abuse: historical development and future directions

Migneault

Adams

Read

2005

Drug and Alcohol Review

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As a growing literature has documented applications of the Transtheoretical Model (TTM) to substance abuse, the utility or futility of such an application has been debated widely. The purpose of this paper is to critically examine the TTM, and its conceptual and empirical applications to the field of substance abuse. This review focuses not only on the stage of change dimension of the TTM, but also the processes, decisional balance, and self-efficacy dimensions, which have received less attention in earlier reviews. Particular emphasis is placed on the measurement and conceptualization of the stage of change construct. Unanswered questions and directions for future research are identified. It is concluded that, to effectively determine the TTM's applicability to substance abuse, all dimensions must be more fully developed, validated and evaluated across a range of substance abuse problems. Further, prospective studies are needed to determine the predictive utility of the TTM, and evaluation of TTM-matched interventions will help to address the model's specificity.

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“…3 Stages of change define a temporal dimension while the processes of change are covert or manifest strategies used by a person to change an existing unfavorable (addictive) behavior. 4 These core concepts have been utilized to assess the motivation and willingness of abusers to change which largely determine the success of relapse prevention strategies.…”

Section: Mini Reviewmentioning

confidence: 99%

“…The main advantage of this model is the description of changes in addictive behaviors as being a gradual process, a sequence of improvement-oriented phases, instead of stressing the relevance of abstinence as the first target to be achieved. 4 Numerous studies have assessed various components of the TTM for opioid users. A landmark study conducted by Tejero et al, 4 made use of Prochaska's TTM to assess the patients diagnosed with opioid dependence.…”

Section: Mini Reviewmentioning

confidence: 99%

“…4 Numerous studies have assessed various components of the TTM for opioid users. A landmark study conducted by Tejero et al, 4 made use of Prochaska's TTM to assess the patients diagnosed with opioid dependence. The authors designed an instrument called "The Processes of Change Inventory for Opiate Addicts" (PCI-OA), a self-reported questionnaire with 40 items, for the assessment of the processes of change in abusers.…”

Section: Mini Reviewmentioning

confidence: 99%

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Opioid abuse interventions: a brief review

Desai¹

2018

IJFCM

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It established that the etiology of opioid abuse is highly complex and depends on various socio-demographic, genetic, cultural and psychological factors. Here, we review the different intervention strategies which could help in curbing the burden of opioid abuse globally. Data from the literature show that use of Methadone as a maintenance treatment for combating opioid dependence is highly efficacious. However, despite these pharmacological treatments the relapse from drug-free state to re-addiction is highly prevalent, with a 40-60 % relapse rate as indicated by the National Institute on Drug Abuse.

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Processes of change assessment in heroin addicts following the Prochaska and DiClemente transtheoretical model

Cited by 10 publications

References 23 publications

Staging of Mental Disorders: Systematic Review

Staging of Mental Disorders: Systematic Review

Application of the Transtheoretical Model to substance abuse: historical development and future directions

Opioid abuse interventions: a brief review

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