WBR0512
Jump to navigation
Jump to search
| Author | [[PageAuthor::Yazan Daaboul, M.D. (Reviewed by Serge Korjian)]] |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Behavioral Science/Psychiatry |
| Sub Category | SubCategory::General Principles |
| Prompt | [[Prompt::A 52-year-old man, with a past medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for his annual check-up. Upon further questioning, the physician notes that the patient still hasn't stopped smoking despite receiving multiple recommendations to do so. The patient explains that he is aware that smoking has been a problem for him, and he knows he needs help. However, he states that he does not feel like he is quite ready to stop smoking. Which of the following stages of change is the patient currently in?]] |
| Answer A | AnswerA::Precontemplation |
| Answer A Explanation | AnswerAExp::During the precontemplation stage, individuals do not acknowledge the problem they have and are not considering change. |
| Answer B | AnswerB::Contemplation |
| Answer B Explanation | AnswerBExp::During the contemplation stage, individuals acknowledge their problem, with or without seeking help, without any real commitment to change. |
| Answer C | AnswerC::Determination/Preparation |
| Answer C Explanation | AnswerCExp::During the determination/preparation stage, individuals show a commitment to making necessary changes, with a clear plan in mind. However, these individuals have not made any changes yet. |
| Answer D | AnswerD::Action |
| Answer D Explanation | AnswerDExp::The action stage is defined as an active state of change whereby the patient modifies his behaviors and environment to overcome an addictive behavior. |
| Answer E | AnswerE::Relapse |
| Answer E Explanation | AnswerEExp::Relapse is characterized by a reinstatement of the addictive behavior after a period of non-use or abstinence. |
| Right Answer | RightAnswer::B |
| Explanation | [[Explanation::The transtheoretical model (TTM) describes the stages most individuals go through in the process of change. These 6 stages are important to identify before implementing a plan to curb an addictive behavior. The model was initially established by observing patterns in alcoholics before, during, and after they attempted to modify their addiction. The patient in this vignette is in a stage of contemplation. Contemplation is a stage characterized by acknowledgement of the problem, with or without seeking help, without any real commitment to change. People who are in the contemplation stage are often very ambivalent. Tailoring therapy to the the stage of change an individual is in has been associated will improved overall outcomes and higher likelihood of success. The stages of change in order are as follows: |
| Approved | Approved::Yes |
| Keyword | WBRKeyword::Stages of change, WBRKeyword::Transtheoretical model, WBRKeyword::Smoking, WBRKeyword::Substance abuse, WBRKeyword::Addiction, WBRKeyword::Precontemplation, WBRKeyword::Contemplation, WBRKeyword::Preparation, WBRKeyword::Determination, WBRKeyword::Action, WBRKeyword::Maintenance, WBRKeyword::Relapse |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |