Readiness to change alcohol drinking habits after traumatic brain injury.
To describe how motivated are persons with recent traumatic brain injury (TBI) to change their alcohol drinking habits and what factors affect their motivation.
Acute inpatient rehabilitation program.
Subjects were 50 patients with recent TBI during inpatient rehabilitation.
Main Outcome Measures
Readiness to Change (RTC) questionnaire, Michigan Alcoholism Screening Test (MAST), and alcohol use questions.
Subjects were 36 years old ; 86% were men.
Eight-four percent fell in the contemplation or action phases.
Comparisons with a separate medical patient sample suggested that TBI may be associated with greater contemplation of change and greater readiness to take action to change alcohol use.
Multi variate analyses indicated that within the TBI sample a positive history of alcoholism, alcohol involved in the accident, and higher daily consumption were associated with greater readiness to change (especially contemplation scores).
Soon after TBI, drinkers frequently contemplate changing their alcohol use.
This situation may represent an underutilized window of opportunity to reduce postinjury alcohol use and abuse.
Motivational interviewing techniques seem well suited to facilitate change during this period.
Mots-clés Pascal : Alcoolisme, Complication, Traumatisme, Crânioencéphalique, Evaluation, Détermination, Abstinence, Résultat, Homme, Toxicomanie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Alcoholism, Complication, Trauma, Craniocerebral, Evaluation, Determination, Abstinence, Result, Human, Drug addiction, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0351515
Code Inist : 002B03F. Création : 12/09/1997.