title: The role of brief motivational intervention on self-efficacy and abstinence in a cohort of patients with alcohol dependence.
abstract: OBJECTIVE
  Brief interventions are effective in reducing heavy drinking in the general population but few studies examined whether it is also effective in alcohol dependent patients, and whether brief intervention increases self-efficacy.
  
  
  METHODS
  One hundred and seven patients with alcohol-dependence were randomized in a controlled trial examining the efficacy of a brief motivational intervention on both self-efficacy level and days of abstinence.
  
  
  RESULTS
  We found that brief motivational interventions had no effect on days of abstinence, nor on self-efficacy, but that high self-efficacy was consistently correlated with a longer period of abstinence, at all assessment-points.
  
  
  CONCLUSIONS
  Self-efficacy appears to be a crucial prognosis factor, and is not influenced by brief motivational interventions. Other types of specific psychotherapy, probably more intensive, may be more efficient in alcohol-dependent patients than motivational interventions.
authors.affiliation: Hôpital Louis Mourier/AP-HP, and Université Paris X-Nanterre, France.
authors.forename: Lucia
authors.initials: L
authors.lastname: Romo
authors.forename: Yann
authors.initials: Y
authors.lastname: Le Strat
authors.forename: Caroline
authors.initials: C
authors.lastname: Aubry
authors.forename: Sonia
authors.initials: S
authors.lastname: Marquez
authors.forename: Karine
authors.initials: K
authors.lastname: Houdeyer
authors.forename: Philippe
authors.initials: P
authors.lastname: Batel
authors.forename: Jean
authors.initials: J
authors.lastname: Adès
authors.forename: Philip
authors.initials: P
authors.lastname: Gorwood
mesh_terms: D000437:Alcoholism / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D010297:Paris; D011446:Prospective Studies; D011614:Psychotherapy, Brief / Q000379:methods*; D012008:Recurrence; D020377:Self Efficacy; D016019:Survival Analysis