ERIC Number: ED244185
Record Type: RIE
Publication Date: 1983-Aug
Reference Count: 0
Cognitive Dysfunction, Locus of Control and Treatment Outcome among Chronic Alcoholics.
Abbott, Max W.
While alcoholism is no longer regarded as a unitary disorder, conventional measures of congition and personality have yet to be shown capable of consistently predicting clinical outcomes. To investigate cognitive dysfunction and locus of control as predictors of post treatment outcome in a large sample of alcoholics, 106 alcoholics (74 men, 32 women) were interviewed and assessed twice during an 8-10 week inpatient program. Subjects completed two measures of locus of control (the Rotter Internal-External Scale-IE, and a drinking-related locus of control scale-DRIE), and two measures of cognitive dysfunction (the Booklet Rod and Frame Test-BRF, and the Patterned Cognitive Impairment Test Battery-PCIT). Other demographic and psychological measures also were administered at the beginning and end of treatment, as was the PCIT. Treatment outcome, focusing on weeks of abstinence, was assessed at 3 and 12 months. Significant and independent shifts in the internal direction were found on both measures of locus of control from the first to second testing. Significant improvement on the BRF was similarly observed. The relationship between the independent variables and indices of treatment participation was weak. DRIE fared better than IE in predicting treatment outcome in 103 patients assessed for drinking outcome 12 months following discharge. The two cognitive measures also significantly predicted drinking outcome at 12 months. Ability to predict outcome was enhanced when interactions between the two cognitive measures and locus of control were considered, and when multivariate analyses were employed including nonlinear relationships between these measures and treatment outcome. (Author/BL)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A
Identifiers: Treatment Outcomes
Note: Paper presented at the Annual Convention of the American Psychological Association (91st, Anaheim, CA, August 26-30, 1983).