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- W2945716428 abstract "<b><i>Background:</i></b> Abstinence-related self-efficacy and action-oriented motivation to change addictive behaviours have been demonstrated to be important predictors of post-treatment drinking. However, there are only a few studies that assess drinking outcomes through a long-term follow-up interval. <b><i>Objectives:</i></b> The purpose of this longitudinal observational study is to evaluate whether self-efficacy and motivation at a 1-year follow-up mediate the relationship of self-efficacy at discharge from residential treatment with drinking outcomes at 5-year follow-up. <b><i>Method:</i></b> Simple and serial multiple mediation analyses were conducted on data collected from 263 patients (174 men, 89 women) with severe alcohol use disorder (AUD). Self-efficacy was measured at discharge and 1-year follow-up, and motivation was also measured at 1-year follow-up. Abstinence, percent days of abstinence (PDA), and drinks per drinking day (DDD) were used as drinking outcomes at 5-year follow-up. Exploring the indirect paths provided details about the interrelationship between self-efficacy and motivation. <b><i>Results:</i></b> Self-efficacy at discharge predicted abstinence and PDA. The mediation models suggest that self-efficacy at discharge was associated with self-efficacy and motivation at 1-year follow-up, which in turn was related to better long-term drinking outcomes, in particular for abstinence and PDA at 5-year follow-up. No such effects were found for DDD. <b><i>Conclusions:</i></b> The results indicate that self-efficacy and motivation are interrelated in improving long-term abstinence and PDA following residential treatments and may play a substantial role in recovery from AUD." @default.
- W2945716428 created "2019-05-29" @default.
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- W2945716428 date "2019-01-01" @default.
- W2945716428 modified "2023-10-02" @default.
- W2945716428 title "How Are Self-Efficacy and Motivation Related to Drinking Five Years after Residential Treatment A Longitudinal Multicenter Study" @default.
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- W2945716428 doi "https://doi.org/10.1159/000500520" @default.
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