Hodgins David C, Ching Laurie E, McEwen Jamie
Psychol Addict Behav. 2009 Mar;23(1):122-130. doi: 10.1037/a0013010.
The purpose of the present study was to examine the mechanisms by which the motivational interview (MI) is an effective treatment for pathological gambling. Forty MIs with pathological gamblers were transcribed and coded for language content and strength of expression. As hypothesized, participants who expressed stronger commitment to change their gambling behavior during the MI exhibited better gambling outcomes over 12 months than did those who expressed weaker commitment or no commitment to change their gambling behavior during the MI. Contrary to expectation, commitment strength in the latter part of the MI was not a stronger predictor of gambling outcome. Expression of desire, ability, need, reasons, and readiness for change were not predictive of outcome. Ability and readiness were associated with commitment. This study has important implications for clinical monitoring of client treatment success and for improving the MI. (PsycINFO Database Record (c) 2009 APA, all rights reserved).
本研究的目的是探讨动机性访谈（MI）作为病理性赌博有效治疗方法的作用机制。对40次与病理性赌博者的动机性访谈进行了转录，并对语言内容和表达强度进行了编码。正如所假设的那样，在动机性访谈中对改变赌博行为表现出更强承诺的参与者，在12个月内的赌博结果比那些在动机性访谈中对改变赌博行为表现出较弱承诺或没有承诺的参与者更好。与预期相反，动机性访谈后半部分的承诺强度并不是赌博结果的更强预测指标。表达改变的愿望、能力、需求、理由和准备情况并不能预测结果。能力和准备情况与承诺有关。本研究对临床监测客户治疗成功情况以及改进动机性访谈具有重要意义。（PsycINFO数据库记录（c）2009美国心理学会，保留所有权利）
