PDF (Español (España))
FLIP
Authors who publish in this journal agree to the following terms:
Acta Colombiana de Psicología complies with international intellectual property and copyright laws, and particularly with Article No. 58 of the Political Constitution of Colombia, Law No. 23 of 1982, and the Agreement No. 172 of September 30, 2010 (Universidad Católica de Colombia Intellectual Property Regulation).
Authors retain their copyright and grant to the Acta Colombiana de Psicología the right of first publication, with the work registered under Creative Commons attribution license, which allows third parties to use the published material, provided they credit the authorship of the work and the first publication in this Journal.
Abstract
An empirical-analytic study was carried out using a quasi-experimental design with the aim of testing and assessing the impact of a brief intervention motivational program for the control of alcohol consumption in problem drinkers. The independent variable in this study was the intervention program, as structured upon the principles of motivational interviewing and cognitive self-control. Indicators of consumption (intensity, frequency, and risk) were the dependent variable, as were the motivational stage towards change, the state of change processes, and the expectations on consumption. Measurement of all variables was carried out with the use of previously validated instruments in three moments: a) pre-intervention; b) end of intervention and; c) five weeks after treatment. 180 college students, previously detected as heavy drinkers were randomly assigned to one of three groups: (a) Individual motivational interviewing, (b) Group motivational interviewing, and (c) no intervention. Both of the motivational interventions (individual and group) led to a significant decrease in indicators of consumption and to an improvement in the use of those change processes responsible for it. Nevertheless, group intervention led to a more significant impact than individual intervention in aspects such as: (a) consumption frequency and intensity; (b) self-efficacy in situations of a high consumption risk; (c) perception of vulnerability and damage; and (d) use of behavioral processes associated with change and its maintenance.
Keywords:
References
Addis, M. (2002). Methods for disseminating research products and increasing evidence-based practice: promises, obstacles, and future directions. Clinical Psychology: Science and Practice. 9, (4). pgs. 367-379.
Andrin, L.O. (1999). Utility of the CAGE-Test as a screening tool for alcoholism in public health. Tesis Doctoral No-Publicada. Université de Genéve, departement de santé et médicine communautaire. Recuperada de: http://www.unige.ch/cyberdocuments/theses2000/OswaldA/these_front.html
Arkowitz, H. & Westra, H. (2004). Integration motivational interviewing and cognitive behavioral therapy in the treatment of depression and anxiety. Journal of Cognitive Psychoterapy. 18 pgs. 1-31.
Ayala, H. (2001). Intervenciones motivacionales con bebedores problema en México: Resultados iniciales. En: H. Ayala Velásquez & L. Echeverría San Vicente (Eds.). Tratamiento de Conductas Adictivas. México: UNAM, pgs. 81-91.
Ayala, H.E., Cárdenas, G., Echeverría, L. & Gutiérrez, M. (1998). Manual de autoayuda para personas con problemas en su forma de beber. México: Facultad de Psicología, UNAM.
Ayala, H., Echeverría, L., Sobell, M. & Sobell, L. (1998). Una alternativa de intervención breve y temprana para los bebedores problema en México. Acta Comportamentalia, 6(1) 71-93.
Bandura, A. (1997). Self-Effi cacy: The Exercise of Control. New York: W.H. Freeman and Company
Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology; 52, 1-26.
Borsari, B. & Carey, K. (2005). Two brief alcohol interventions for mandated college student. Psychology of Addicted Behaviors.19 (3), 296-302.
Burke, B., Arkowitz, H. & Menchola, M. (2003). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology. 71 (5), 843-861.
Carey, M., Braaten, L., Maisto, S., Gleason, J., Forsyth, A., Durant, L. & Jaworski, B. (2000). Using Information, Motivational Enhancement, and Skills Training to Reduce the Risk of HIV Infection for Low-Income Urban Women: A Second Randomized Clinical Trial. Health Psychology. 19, 1. 3-11.
Collins, S., Carey, K. & Sliwinski, M. (2002). Mailed personalized normative feedback as a brief intervention for at-risk college drinkers. Jorunal of Studies on Alcohol. 63: 559-567.
Connors, G., Walitzer, K. & Dermen, K. (2002). Preparing clients for alcoholism treatment: effects on treatment participation and outcomes. Journal of Consulting and Clinical Psychology. 70 (5) pgs. 1161-1169.
Chan, A.W. (1994). Detection by the CAGE of alcoholism or heary drinking in primary care outpatients and the general population. Journal of Substances Abuse, 6(2), 123-135.
Darkes, J. & Goldman, M. (1998). Expectancy challenge and drinking reduction. Experimental evidency for a mediational process. Journal of Consulting and Clinical Psychology. 6, 64-76.
Dunn, C., DeRoo, L. & Rivara F. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Adicction 96, pgs.1725-1742.
Ellis, A. (1996). Una terapia breve más profunda y duradera. Barcelona: Paidós.
Ellis, A., McInerney, J.F., DiGiuseppe, R. & Yaeager, R.J. (1992). Terapia Racional-Emotiva con Alcohólicos y Toxicómanos. Bilbao: Desclée de Brouwer.
Flórez-Alarcón, L. (2001). Baremación preliminar de un cuestionario para la modifi cación del consumo de alcohol, elaborado con fundamento en el modelo transteórico. Acta Colombiana de Psicología, 5, 99-122.
Flórez-Alarcón, L. (2003). Cuestionario de etapas integrado a un programa (CEMA-PEMA) para la modificación del consumo abusivo de alcohol: evaluación de etapas y de variables intermediarias. Acta Colombiana de Psicología, 9,83-104.
Flórez-Alarcón, L. (2007). Psicología Social de la Salud. Promoción y Prevención. Bogotá, D.C. Colombia: Manual Moderno.
Foote, J., DeLuca, A., Magura, S., Warner, A., Grand, A. & Rosenblum, A. & Stahl, S. (1999). A group motivational treatment for chemical dependency. Journal of Substance Abuse Treatment, 17 (3), 181-192.
Gantiva, C., Gómez, C. & Flórez-Alarcón, L. (2003). Evaluación del impacto de un programa de autoayuda dirigida: una alternativa para el tratamiento de personas que abusan del consumo de alcohol. Revista Colombiana de Psicología.
Gantiva, C. & Flórez-Alarcón, L. (2006a). Evaluación del impacto de un programa de entrevista motivacional en formato grupal e individual para consumidores abusivos de alcohol. TIPICA: Boletín Electrónico de Salud Escolar, 2(2), recuperado de: http://www.tipica.org/pdf/gantiva_florez_evaluacion_programa_de_entrevista_motivacional.pdf
Gantiva, C. & Flórez, L. (2006b). Intervenciones de la Entrevista Motivacional Asociadas a un Aumento en la Disponibilidad al Cambio en Personas que Consumen Alcohol Abusivamente. Tesis de Maestría en Psicología. Universidad Católica de Colombia.
Hernández, R., Fernández, C. & Baptista, P. (1991). Metodología de la Investigación. México: McGraw-Hill.
Hodgins,D., Currie, S. & Guebaly,N. (2001). Motivational Enhancement and Self-Help Treatments for Problems Gambling. Journal of Consulting and Clinical Psychology. 69, 1. 50-57.
LaBrie, J.W., Pedersen, E., Lamb, T. & Quinlan, T. (2007). A campus-based motivational enhancement group intervention reduces problematic drinking in freshmen male college students. Addictive Behaviors, 32, 889-901.
Lubin, H. (2007). Group and Individual Therapy for Childhood Sexual Abuse Survivors. International Journal of Group Psychotherapy. 57, 2.
Miller, W.R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147-172.
Miller, W. & Rollnick, S. (1999). La Entrevista Motivacional. Barcelona: Paidós
Miller, W.R., Zweben, A., DiClemente, C.C., & Rychtarik, R.G. (1992). Motivational enhancement therapy manual: A clinical research guide for therapist treating individuals with alcohol abuse and dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism. Recuperado de: http://www.niaaa.nih.gov/please-note.htm
Mora-Ríos, J., & Natera, G. (2001). Expectativas, consumo de alcohol y problemas asociados en estudiantes universitarios de la ciudad de México. Salud Pública de México, 43(2), 89-96.
Mora-Ríos, J., Natera, G., Villatoro, J. & Villalvazo, R. (2000). Validez factorial del cuestionario de expectativas hacia el alcohol (AEQ) en estudiantes universitarios. Psicología Conductual, 8(2), 319-328.
Muracén, I., Martínez, A., Aguilar, J. & González, M. (2001). Pesquisaje de alcoholismo en un área de salud. Revista Cubana de Medicina General Integral, 17(1), 62-67. Reproducido en: http://bvs.sld.cu/revistas/mgi/vol17_1_01/mgi09101.htm
National Institute of Drug Abuse (2006): Description of the solution-focused brief therapy. Approach to problem drinking. Recuperado de: http://www.dualdiagnosis.org/library/nida_00-4151/8.html
Neighbors, C., Walter, D. & Larimer, M. (2003). Expectancy and evaluation of alcohol effects among college students: Self-determination as a moderator. Journal of Studies on Alcohol. 64 (2), 292-299.
Prochaska, J.O., DiClemente, C.C. & Norcross, J.C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114.
Rodríguez-Martos, A. (1994). Papel de la atención primaria en el tratamiento de los problemas relacionados con el consumo de alcohol: motivación para el cambio. Atención Primaria, 14(4), 743-751.
Rollnick, S. & Miller, W.R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334.
Tasca, G. & Bone, M. (2007). Individual Versus Group Psychotherapy for Eating Disorders. International Journal of Group Psychotherapy. 57, 3.
Sobell, M. (2001). A public health approach to the treatment of alcohol problems: Issues and Implications. En: H. Ayala Velásquez & L. Echeverría San Vicente (Eds.). Tratamiento de Conductas Adictivas. México: UNAM, pgs. 9-24.
Sobell, L. (2001). Motivational interventions for problem drinkers. En: H. Ayala Velásquez & L. Echeverría San Vicente (Eds.). Tratamiento de Conductas Adictivas. México: UNAM, pgs. 67-80.
Veltrup, J., Driessen, M., Wetterling, T. & Dilling, H. (2003). Motivational intervention: a revindividual counselling vs. a group treatment. Alcohol and Alcoholism. 38, 3. 263.
Weinstein, N. & Sandman, P. (2002). The precaution adoption process model and its application. En K. Glanz, B.K. Rimer, & F.M. Lewis [Eds]. Health Behavior and Health Education: Theory, Research and Practice. (pp.121-143). San Francisco: Jossey Bass.
