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Cited by 58Substance Abuse Treatment and OutcomesBehavioral Health and InterventionsPsychotherapy Techniques and Applications

Mechanisms, determinants and processes of change in the modification of drinking behavior

DiClemente, Carlo C.·2007·Alcoholism Clinical and Experimental Research
DOI 10.1111/j.1530-0277.2007.00489.x
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Abstract

BACKGROUND: This article explores the conceptual foundations of the search for mechanisms of change in psychotherapy and behavior change approaches. METHOD: We examine historical and recent attempts to identify mechanisms and discuss results of research studies that examine the modification of drinking and other behaviors. Finally, we describe potential mechanisms of change and offer direction for the future of research. RESULTS: A series of key questions is addressed. The first critical question is, Where are the appropriate places to look for mechanisms of change in the modification of drinking behavior: person, provider, intervention, or environment? The second questions what we know about change mechanisms from recent research. The third addresses the appropriate methods and designs to isolate and understand these mechanisms. The final question is, How should we proceed to advance our understanding of the critical mechanisms that drive the process of the modifying drinking and recovery from alcoholism? CONCLUSIONS: We propose a dynamic, life course and an interactive, multidimensional perspective that focuses on personal mechanisms of change and how they interact with interventions, providers, policies, and other life context factors that facilitate or act as barriers to engaging these mechanisms of change.

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Crossref · 10.1111/j.1530-0277.2007.00489.x

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57 of 57 references verified0 citation errors · 0 not checkable

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  • Psychological changes during recovery from addiction involve motivation and have been modeled as Stages of Change.

    “Psychological changes that occur during recovery from addiction involve motivation and have been modeled as “Stages of Change” as an aid to therapists with a diversity of clients in various phases of recovery (Fig. 8) (DiClemente, 2007).”

    From Impulsivity, frontal lobes and risk for addiction (2009) · cites this paper as DiClemente, 2007

Cites

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Research works printed but not linked: 10

  1. Bandura A, 1986, Social Foundations of Thought and Action: A Social Cognitive Theory
  2. DiClemente CC, 2001, Project MATCH: A Priori Matching Hypotheses, Results, and Mediating Mechanisms, 239
  3. DiClemente CC, 2001, Project MATCH: A Priori Matching Hypotheses, Results, and Mediating Mechanisms, 206
  4. DiClemente CC, 2003, Treatment Matching in Alcoholism, 166
  5. Heather N, 1991, Self‐control and the Addictive Behaviors
  6. Janis IL, 1977, Decision Making
  7. Longabaugh R, 2001, Project MATCH: A Priori Matching Hypotheses, Results, and Mediating Mechanisms, 239
  8. Miller WR, 2002, Motivational Interviewing
  9. Roth A, 2004, What Works for Whom? A Critical Review of Psychotherapy Research
  10. Wholey D, 1984, The Courage to Change

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Authors
DiClemente, C. C.
Affiliations
University of Maryland, Baltimore County (US)
Corresponding author
DiClemente, Carlo C.
ORCID
DiClemente, Carlo C.
Venue
Alcoholism Clinical and Experimental Research
Publisher
Wiley
Published
2007-09-17
Volume
31
Issue
s3
Pages
13s-20s
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
DOI
10.1111/j.1530-0277.2007.00489.x
OpenAlex
W2093336948
Cited by
58
References
55
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 5 · 2014: 3 · 2013: 8 · 2012: 4
FWCI
3.67
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Alcoholism Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
mechanisms of change, alcohol recovery, psychotherapy, behaviour change interventions, alcoholism treatment, life course perspective, multidimensional approach, intervention design, drivers of change
MeSH terms
Alcohol Drinking, Alcoholism, Behavior Therapy, Humans, Outcome and Process Assessment, Health Care, Professional-Patient Relations

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