Depressive symptoms, drinking consequences, and motivation to change in first time DWI offenders

Am J Drug Alcohol Abuse. 2009;35(3):117-22. doi: 10.1080/00952990802585398.

Abstract

Background: Psychological disorders are common among driving-while-intoxicated (DWI) offenders; thus, a DWI arrest may serve as an important opportunity for further screening and subsequent treatment.

Objectives: The current study examined the extent to which mild to moderate pretreatment depressive symptoms, as measured by the Beck Depression Inventory (BDI), could predict intervention outcomes in 284 first-time DWI offenders.

Methods: Participants were given drinking-related and psychosocial assessments at the beginning and end of a 10-week intervention and at 6- and 12-month follow-ups.

Results: After the intervention and at both follow-ups, all participants reported declines in depressive symptoms, alcohol consumption, and negative drinking consequences and higher self-efficacy to avoid high-risk drinking. It was notable, however, that offenders with depressive symptoms reported more drinking-related consequences and lower self-efficacy at all time points, but greater motivation to change their drinking behavior.

Conclusions: The findings suggest that offenders with depressive symptoms have more severe symptomatology than nondepressed offenders but may be more amenable to changing their drinking.

Scientific significance: The BDI may be a useful screening tool for determining which offenders are in need of an intervention following a DWI arrest.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Alcohol Drinking / psychology*
  • Alcoholic Intoxication / complications
  • Alcoholic Intoxication / rehabilitation*
  • Automobile Driving / psychology
  • Depressive Disorder / complications*
  • Depressive Disorder / diagnosis
  • Depressive Disorder / physiopathology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Motivation*
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Self Efficacy
  • Severity of Illness Index
  • Treatment Outcome
  • Young Adult