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Expectations and Motives for Alcohol Use in a Psychiatric Outpatient Population


The Journal of Nervous and Mental Disease: October 1997 - Volume 185 - Issue 10 - p 622-626

The purpose of the study was to assess alcohol expectancies and motives of psychiatric outpatients with and without comorbid current or lifetime substance use disorders. Seventy-five psychiatric outpatients with diagnoses of mood disorders, anxiety disorders, and substance use disorders were administered the Alcohol Effect Expectancy Questionnaire-Abridged Version and the Drinking Motives Measure. Results demonstrated that the internal reliabilities for the two scales were comparable with those reported for these measures in the general population. Psychiatric outpatients with a history of comorbid substance use disorders reported greater expectancies and motives for using alcohol than did patients with no such history. In addition patients with comorbid alcohol and drug use disorders, and only comorbid alcohol use disorder, showed significantly greater expectancies and motives for alcohol use than patients with only comorbid drug use disorders and patients with no history of comorbid substance use disorder. We discuss the implications of the findings for role of expectancies and motives in the maintenance and treatment of substance abuse in psychiatric patients.

1 Department of Psychology, University of Missouri-St. Louis, 8001 Natural Bridge Road, St Louis, Missouri 63121-4499.

2 Department of Psychiatry and Community and Family Medicine, Dartmouth Medical School, New Hampshire Dartmouth Psychiatric Research Center, 105 Pleasant Street, Main Building, Concord, New Hampshire 03301.

3 Department of Counseling Psychology, Ohio State University 1885 Neil Ave Mall, Columbus, Ohio 43210.

4 University of Pennsylvania, Center for Cognitive Therapy, Room 754 The Science Center, 3600 Market Street, Philadelphia, Pennsylvania 19104-2648.

Send requests for reprints to Dr. Mueser.

Appreciation is extended to the following persons for their help in data collection: Rachel Teacher, Heather Bogdanoff, Stacy Kaltman, Cory Newman, Andy Butler, Vicki Gluhoski, Carrie Winterowd, Pamela Stimac, and David Reed.

© Williams & Wilkins 1997. All Rights Reserved.