<prompt> Translate the following text to EnglishMwishowe, alidokeza kwamba kiwango cha mgonjwa cha dhiki kinaweza kuathiri kiwango cha motisha kama vile uzito wa matatizo ya mgonjwa ya kileo.  <response>: Finally, he suggested that the patients level of distress could influence motivational level as much as the severity of a patients alcohol problems. 