title: Motivation to change drinking behavior: the differences between alcohol users from an outpatient gastroenterology clinic and a specialist alcohol treatment service.
abstract: OBJECTIVE
  For some patients who have developed significant alcohol-related physical disease, total abstinence from alcohol may offer the best chance of survival. The aim of this study was to investigate motivation for treatment in two groups of alcohol users: outpatients from the gastroenterology clinic and outpatients from the specialist alcohol treatment service.
  
  
  METHODS
  Cross-sectional study, at a federally funded public teaching hospital.
  
  
  METHODS
  The sample studied was 151 outpatients from the gastroenterology clinic and 175 from the specialist alcohol treatment service. The interview was conducted in the outpatient clinics at the first appointment, and consisted of demographic questions and scales for measuring quality of life, alcohol dependence, pattern of alcohol, motivation for treatment and consequences of alcohol consumption.
  
  
  RESULTS
  The results suggested that outpatients from the gastroenterology clinic were less dependent on alcohol, had suffered fewer consequences from alcohol and had fewer emotional and mental health problems than did the outpatients from the alcohol treatment service. In relation to their stages of change, the gastroenterology outpatients presented high precontemplation scores at the beginning of treatment while outpatients of alcohol treatment service showed higher scores in contemplation, action and maintenance.
  
  
  CONCLUSIONS
  The medical treatment may be a reason for the temporary alcohol abstinence behavior among the gastroenterology outpatients.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil. neliana_figlie@uol.com.br
authors.forename: Neliana Buzi
authors.initials: NB
authors.lastname: Figlie
authors.forename: John
authors.initials: J
authors.lastname: Dunn
authors.forename: Luis Cláudio Santoro
authors.initials: LC
authors.lastname: Gomes
authors.forename: Janaina
authors.initials: J
authors.lastname: Turisco
authors.forename: Roberta
authors.initials: R
authors.lastname: Payá
authors.forename: Ronaldo
authors.initials: R
authors.lastname: Laranjeira
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000523:psychology* / Q000628:therapy; D019973:Alcohol-Related Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy; D000553:Ambulatory Care; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005762:Gastroenterology; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009042:Motivation; D011788:Quality of Life; D012720:Severity of Illness Index; D016320:Substance Abuse Treatment Centers