Baer John S, Beadnell Blair, Garrett Sharon B, Hartzler Bryan, Wells Elizabeth A, Peterson Peggy L
Alcohol and Drug Abuse Institute, University of Washington, Seattle 98105, USA.
Psychol Addict Behav. 2008 Dec;22(4):570-5. doi: 10.1037/a0013022.
Homeless adolescents who used alcohol or illicit substances but were not seeking treatment (n = 54) were recorded during brief motivational interventions. Adolescent language during sessions was coded on the basis of motivational interviewing concepts (global ratings of engagement and affect, counts of commitment to change, statements about reasons for change, and statements about desire or ability to change), and ratings were tested as predictors of rates of substance use over time. Results indicate that statements about desire or ability against change, although infrequent (M = 0.61 per 5 min), were strongly and negatively predictive of changes in substance use rates (days of abstinence over the prior month) at both 1- and 3-month postbaseline assessment (ps < .001). Statements about reasons for change were associated with greater reductions in days of substance use at 1-month assessment (p < .05). Commitment language was not associated with outcomes. Results suggest that specific aspects of adolescent speech in brief interventions may be important in the prediction of change in substance use. These relationships should be examined within larger samples and other clinical contexts.
在简短的动机干预过程中，记录了54名使用酒精或非法药物但未寻求治疗的无家可归青少年。根据动机访谈概念（参与度和情感的总体评分、改变承诺的计数、改变原因的陈述以及改变愿望或能力的陈述）对青少年在访谈期间的语言进行编码，并将评分作为物质使用随时间变化率的预测指标进行测试。结果表明，关于改变愿望或能力的陈述虽然很少见（平均每5分钟0.61次），但在基线后1个月和3个月的评估中，对物质使用率的变化（前一个月的戒酒天数）具有强烈的负向预测作用（p <.001）。关于改变原因的陈述与1个月评估时物质使用天数的更大减少相关（p <.05）。承诺性语言与结果无关。结果表明，简短干预中青少年言语的特定方面可能对预测物质使用的变化很重要。这些关系应在更大的样本和其他临床背景中进行研究。
