Beyond motivation: Initial validation of the commitment to sobriety scale

Abstract From an addiction treatment and recovery standpoint maladaptive motivational hierarchies lie at the core of the challenge in mobilizing salutary behavior change. Motivation has been conceptualized as dynamic, interactive and modifiable, as well as multidimensional. Measures of recovery moti...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2014-02, Vol.46 (2), p.257-263
Main Authors: Kelly, John F., Ph.D, Greene, M. Claire, M.P.H
Format: Article
Language:English
Subjects:
Addiction
Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Alcoholism - psychology
Alcoholism - rehabilitation
Biological and medical sciences
Commitment
Desintoxication. Drug withdrawal
Drug addiction
Drug use
Female
Follow-Up Studies
Humans
Intensive treatment
Male
Medical sciences
Miscellaneous
Motivation
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Recovery
Reproducibility of Results
Secondary Prevention
Sobriety
Substance abuse treatment
Substance-Related Disorders - psychology
Substance-Related Disorders - rehabilitation
Time Factors
Treatments
Validation
Validation studies
Young Adult
Young adults
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Summary:Abstract From an addiction treatment and recovery standpoint maladaptive motivational hierarchies lie at the core of the challenge in mobilizing salutary behavior change. Motivation has been conceptualized as dynamic, interactive and modifiable, as well as multidimensional. Measures of recovery motivation have been developed and validated, but are generally only modest and variable predictors of future behavior. A related, but potentially more potent, construct, is that of commitment to sobriety as it denotes a clearer re-ranking of motivational hierarchies such that the recovery task is now given a top priority potentially less susceptible to the risks associated with undulating future circumstance. This study investigated the psychometric properties of a novel commitment to sobriety scale (CSS). Results revealed a coherent, psychometrically valid, and reliable tool that outperformed an existing commitment to abstinence scale (ATAQ; J. Morgenstern, R.M. Frey, B.S. McCrady, E. Labouvie, & C.J. Neighbors, 1996) and a gold standard measure of motivation (SOCRATES; W.R. Miller & J.S. Tonigan, 1996). This study highlights commitment to sobriety as an important addiction construct. Researchers and theoreticians may find the CSS useful in helping to explain how individuals achieve recovery, and practitioners may find clinical utility in the CSS in helping identify patients in need of more intensive or alternative intervention.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.06.010