Changes in well-being, self-efficacy, and coping strategies during residential treatment of alcohol-addicted patients

Jan Chodkiewicz, Ewa Gruszczyńska

Abstract


The aim of the study was to answer the question about changes in self-efficacy, coping strategies, and well-being during residential alcohol addiction psychotherapy. Correlations between these changes were also explored. The participants were 60 patients of a specialized alcohol addiction treatment center attending structural-strategic residential group therapy. Self-efficacy, well-being (two indicators: satisfaction with life and depression), and coping strategies (four indicators: problem-focused, emotion-focused, and meaning-focused strategies plus seeking social support) were assessed twice: at admission and then at the end of the treatment, i.e., six weeks later. The tools used for this purpose were, respectively: Schwarzer et al.’s Generalized Self-Efficacy Scale (GSES), Diener et al.’s Satisfaction With Life Scale (SWLS), Beck Depression Inventory (BDI), and Gruszczyńska’s Coping Questionnaire (KRS). The results of bivariate latent growth curve analysis with bootstrapping show a decrease in depression as well as an increase in strategies focused on problem, on meaning, and on seeking social support. All these changes were positively correlated, which indicates that the intensification of coping is connected with a decrease in depression. Additionally, pretest coping intensity was shown to moderate changes in satisfaction with life, which increased only in the “low copers” group. For the remaining variables, significant interindividual variances were found regarding both the starting points and the rates of change. Thus, results indicate the need for analyzing changes during treatment from two perspectives: in terms of group means and in terms of variance around these means, which capture interindividual variability in the change process.


Keywords


therapy; alcohol addiction; changes; well-being; self-efficacy; coping with stress

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References


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