自我效能感是成瘾科学与实践中行为改变的机制。

IF 4.6 2区 医学 Q1 SUBSTANCE ABUSE
Current Addiction Reports Pub Date : 2025-12-01 Epub Date: 2025-02-27 DOI:10.1007/s40429-025-00632-z
Molly Magill, Samuel Meisel, David I K Moniz-Lewis, Stephan Maisto, Katie Witkiewitz
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引用次数: 0

摘要

回顾目的:本文回顾了成瘾科学中自我效能感的概念,追溯了成瘾科学中自我效能感从理论和操作化到临床实践和干预设计的构建过程。最近的研究发现:自我效能感是一个具有强大理论和方法基础的概念。虽然在成瘾治疗的临床试验中,自我效能作为统计中介的证据是混杂的,但在条件内、非实验设计中,它是最具决定性的。跨研究方法、人群和结果的经验支持的一致性加强了对自我效能作为酒精或其他物质消费结果机制的支持。摘要:目前的综述为自我效能作为一种值得在酒精或其他物质使用障碍的临床护理中直接关注的机制提供了证据。这可能是一种人类行为改变的共同机制,可以在一系列治疗方式和客户确定的目标中加以利用。未来的工作应直接针对自我效能感干预的开发、实施和传播。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-Efficacy as a Mechanism of Behavior Change in Addiction Science and Practice.

Purpose of review: This review examines self-efficacy and traces the construct from theory and operationalization to clinical practice and intervention design in addiction science.

Recent findings: Self-efficacy is a construct with a strong theoretical and methodological foundation. While evidence for self-efficacy as a statistical mediator in the context of clinical trials of addictions treatments is mixed, it is most conclusive in within-condition, non-experimental designs. Consistency in empirical support across research methods, populations, and outcomes strengthens support for self-efficacy as a mechanism of alcohol or other substance consumption outcomes.

Summary: The current review provides evidence for self-efficacy as a mechanism worthy of direct attention in clinical care for alcohol or other substance use disorders. It is likely a common mechanism of human behavior change that can be harnessed in a range of treatment modalities and client-identified goals. Future work should target self-efficacy directly in intervention development, implementation, and dissemination.

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来源期刊
Current Addiction Reports
Current Addiction Reports Psychology-Clinical Psychology
CiteScore
6.60
自引率
4.70%
发文量
51
期刊介绍: This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.
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