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Previous issue date: 2016-01-07 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The use of cocaine/crack is a concern in healthcare getting attention due to the increase of users and consequences that may result. There is no definition as to the best treatment for this population. One of them is the Transtheoretical model of change (TTM) that assists the user in intentional behavior change. The concepts of self-efficacy and temptation are part of TTM change mechanisms present in behavior modification as well as the processes of change that are divided into experiential processes and behavioral processes. This dissertation aims to evaluate self-efficacy for abstinence and the temptation to use drugs after intervention based on TTM in cocaine/crack dependents. It was used a secondary data analysis of the original study with was a randomized clinical trial. The participants were dependent on cocaine and/or crack, men and women, aged between 18-59, with minimum education of five years, and admitted to treatment facilities for drug addiction. The sample was divided into experimental group (n=39) that received eight sessions of TTM and the control group (n=30) that received eight sessions of psychoeducation about drugs. The following instruments were applied before and after the intervention: interview protocol; Wechsler Intelligence Scale for adults (WAIS-III); Mini-Mental State Examination (MMSE); Drug Abstinence Self-efficacy Scale (DASE); Temptation to Use Drugs Scale (TUD); and scale of processes change (EPM). Empirical Section I aimed to compare self-efficacy for abstinence and temptation to use drugs in cocaine/crack users after intervention with TTM. The results of the Student t test showed that there were significant differences in all factors of DASE (p<.05 e p?.001) in the experimental group between the initial assessment and revaluation, and all the TUD factors (p?.001). These findings indicate that self-efficacy increased and the temptation decreased after the intervention. The control group also showed differences in self-efficacy and temptation, but at a lower magnitude. The effect of the intervention was greater in the experimental group, both in DASE and TUD, with moderate effect and of great magnitude. Empirical Section II aimed to verify the association between self-efficacy for abstinence, temptation to use drugs and the processes of change after the intervention based on TTM. The Student t test results showed in the revaluation of the EPM that the experimental group used more behavioral processes (p=.000). The Pearson correlation observed that there was a association between DASE, TUD and EPM in the experimental group, the more self-efficacy and less temptation, the more behavioral processes were used such as self-deliberation, counter-conditioning and aid relationships. Thus, it is understood that after the intervention with TTM there was an increase in self-efficacy of the participants, reduction of temptation and association between these constructs with the processes of change, i.e., results consistent with the change toward abstinence from cocaine/crack. / O consumo de coca?na/crack representa uma preocupa??o na ?rea da sa?de recebendo aten??o devido ao aumento de usu?rios e consequ?ncias que pode provocar. N?o h? uma defini??o quanto ao melhor tratamento para esta popula??o, um dos modelos indicados ? o Modelo transte?rico de mudan?a (MTT) que auxilia o usu?rio na mudan?a intencional de comportamento. Os conceitos de autoefic?cia e tenta??o fazem parte dos mecanismos de mudan?a do MTT estando presentes na modifica??o de comportamento, assim como os processos de mudan?a que se dividem em processos experienciais e processos comportamentais. Portanto, esta disserta??o tem como objetivo avaliar a autoefic?cia para abstin?ncia e a tenta??o para uso de drogas ap?s interven??o baseada no MTT em dependentes de coca?na/crack. Utilizou-se um delineamento de an?lise de dados secund?rios do estudo original, um ensaio cl?nico randomizado. Os participantes eram dependentes de coca?na e/ou crack, homens e mulheres de 18 a 59 anos, com escolaridade m?nima de cinco anos e internados em locais de tratamento para depend?ncia qu?mica. A amostra foi dividida em grupo experimental (n=39) que recebeu oito sess?es de MTT e em grupo controle (n=30) que recebeu oito sess?es de psicoeduca??o sobre drogas. Foram aplicados antes e depois das interven??es os seguintes instrumentos: protocolo de entrevista; Escala de intelig?ncia Wechsler para adultos (WAIS-III); Mini-exame do estado mental (MEEM); Escala de autoefic?cia para abstin?ncia de drogas (EAAD); Escala de tenta??o para uso de drogas (ESTUD); e Escala de processos de mudan?a (EPM). A Se??o Emp?rica I teve como objetivo comparar a autoefic?cia para abstin?ncia e tenta??o para uso de drogas nos dependentes de coca?na/crack ap?s interven??o com o MTT. Os resultados do Teste t de Student apontaram que houve diferen?as significativas em todos os fatores da EAAD (p<0,05 e p?0,001) no grupo experimental entre a avalia??o inicial e a reavalia??o, e em todos os fatores da ESTUD (p?0,001). Estes achados indicam que a autoefic?cia aumentou ap?s a interven??o e a tenta??o diminuiu. O grupo controle tamb?m apresentou diferen?as na autoefic?cia e tenta??o, por?m em menor magnitude. O tamanho de efeito da interven??o foi maior no grupo experimental, tanto na EAAD como na ESTUD, com efeito moderado e de grande magnitude. A Se??o Emp?rica II teve como objetivo verificar se havia associa??o entre a autoefic?cia para abstin?ncia, tenta??o para uso de drogas e os processos de mudan?a ap?s a interven??o baseada no MTT. Os resultados apontaram com o Teste t de Student que o grupo experimental utilizou mais processos comportamentais na reavalia??o da EPM (p=0,000). Na Correla??o de Pearson foi poss?vel verificar que houve associa??o entre a EAAD, ESTUD e EPM no grupo experimental, quanto mais autoefic?cia e menos tenta??o, mais eram utilizados processos comportamentais tais como a autodelibera??o, contra-condicionamento e rela??es de ajuda. Dessa forma, entende-se que ap?s a interven??o com MTT houve aumento na autoefic?cia dos participantes, diminui??o da tenta??o e associa??o entre estes constructos com os processos de mudan?a, ou seja, resultados coerentes com o movimento de mudan?a em dire??o ? abstin?ncia de coca?na/crack.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6520 |
| Date | 07 January 2016 |
| Creators | ?vila, Andressa Celente de |
| Contributors | Oliveira, Margareth da Silva |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Psicologia, PUCRS, Brasil, Faculdade de Psicologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2588426296948062698, 600, 600, 600, 600, 2599381623216554467, 3411867255817377423, 2075167498588264571 |
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