来访者在动机性访谈中的行为对大麻治疗效果的影响。
The influence of client behavior during motivational interviewing on marijuana treatment outcome.
机构信息
University of Washington, School of Social Work, Innovative Programs Research Group, 909 NE 43rd St, Suite 304, Seattle, WA, 98105-6020, United States.
Virginia Tech, Department of Psychology, 0436, Blacksburg, VA, 24061, United States.
出版信息
Addict Behav. 2011 Jun;36(6):669-673. doi: 10.1016/j.addbeh.2011.01.009. Epub 2011 Jan 20.
Abstract
Psychotherapy process research continues to be important in identifying within session client and therapist behaviors related to outcome. Motivational Interviewing (MI) assumes that the type of client language elicited within session is important. Client behavior was coded from 61 MI sessions with marijuana dependent adults. Sessions were coded for client language using the Client Language and Commitment Scale. Client statements indicating desire and reasons for change were significantly predictive of marijuana treatment outcome through the 34-month follow-up above and beyond baseline levels of marijuana use or motivation for change. Commitment language was not associated with outcomes. These findings suggest specific types of client language statements predict marijuana treatment outcome and are durable to a 34-month follow-up.
摘要
心理治疗过程研究在识别与治疗结果相关的会谈内患者和治疗师行为方面仍然很重要。动机性访谈（MI）假设在会谈中引出的患者语言类型很重要。对 61 例大麻依赖成年人的 MI 治疗会谈中的患者行为进行了编码。使用《患者语言和承诺量表》对患者语言进行了编码。在 34 个月的随访中，表明改变意愿和原因的患者陈述，与大麻治疗结果显著相关，超过了大麻使用或改变动机的基线水平。承诺语言与结果无关。这些发现表明，特定类型的患者语言陈述可预测大麻治疗结果，并在 34 个月的随访中具有持久性。
相似文献
1
The influence of client behavior during motivational interviewing on marijuana treatment outcome.
Addict Behav. 2011 Jun;36(6):669-673. doi: 10.1016/j.addbeh.2011.01.009. Epub 2011 Jan 20.
2
Therapist influence on client language during motivational interviewing sessions.
J Subst Abuse Treat. 2006 Apr;30(3):245-51. doi: 10.1016/j.jsat.2005.12.003.
3
Strength of commitment language in motivational interviewing and gambling outcomes.
Psychol Addict Behav. 2009 Mar;23(1):122-130. doi: 10.1037/a0013010.
4
The technical hypothesis of motivational interviewing: a meta-analysis of MI's key causal model.
J Consult Clin Psychol. 2014 Dec;82(6):973-83. doi: 10.1037/a0036833. Epub 2014 May 19.
5
Effect of a significant other on client change talk in motivational interviewing.
J Consult Clin Psychol. 2013 Feb;81(1):35-46. doi: 10.1037/a0030881. Epub 2012 Dec 10.
6
How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions.
J Consult Clin Psychol. 2005 Aug;73(4):590-598. doi: 10.1037/0022-006X.73.4.590.
7
Fidelity to Motivational Interviewing and subsequent cannabis cessation among adolescents.
Addict Behav. 2011 Jul;36(7):749-54. doi: 10.1016/j.addbeh.2011.03.002. Epub 2011 Mar 11.
8
Which Individual Therapist Behaviors Elicit Client Change Talk and Sustain Talk in Motivational Interviewing?
J Subst Abuse Treat. 2016 Feb;61:60-5. doi: 10.1016/j.jsat.2015.09.001. Epub 2015 Sep 21.
9
Client commitment language during motivational interviewing predicts drug use outcomes.
J Consult Clin Psychol. 2003 Oct;71(5):862-78. doi: 10.1037/0022-006X.71.5.862.
10
Client language as a mediator of motivational interviewing efficacy: where is the evidence?
Alcohol Clin Exp Res. 2007 Oct;31(10 Suppl):40s-47s. doi: 10.1111/j.1530-0277.2007.00492.x.
引用本文的文献
1
Novel motivational interviewing-based intervention improves engagement in physical activity and readiness to change among adolescents with chronic pain.
Health Expect. 2024 Apr;27(2):e14031. doi: 10.1111/hex.14031.
2
Predictors of effective therapy among individuals with Cannabis Use Disorder: a review of the literature.
Eur Arch Psychiatry Clin Neurosci. 2025 Mar;275(2):341-353. doi: 10.1007/s00406-024-01781-4. Epub 2024 Mar 16.
3
Identifying Effective Motivational Interviewing Communication Sequences Using Automated Pattern Analysis.
J Healthc Inform Res. 2019;3(1):86-106. doi: 10.1007/s41666-018-0037-6. Epub 2018 Oct 31.
4
Predicting the Outcome of Patient-Provider Communication Sequences using Recurrent Neural Networks and Probabilistic Models.
AMIA Jt Summits Transl Sci Proc. 2018 May 18;2017:64-73. eCollection 2018.
5
Dismantling motivational interviewing: Effects on initiation of behavior change among problem drinkers seeking treatment.
Psychol Addict Behav. 2017 Nov;31(7):751-762. doi: 10.1037/adb0000317. Epub 2017 Sep 28.
6
Testing the Amotivational Syndrome: Marijuana Use Longitudinally Predicts Lower Self-Efficacy Even After Controlling for Demographics, Personality, and Alcohol and Cigarette Use.
Prev Sci. 2018 Feb;19(2):117-126. doi: 10.1007/s11121-017-0811-3.
7
Development and validation of the Pachinko/Pachi-Slot Playing Ambivalence Scale.
Asian J Gambl Issues Public Health. 2017;7(1):3. doi: 10.1186/s40405-017-0023-6. Epub 2017 May 12.
8
Effective Patient-Provider Communication in Pediatric Obesity.
Pediatr Clin North Am. 2016 Jun;63(3):525-38. doi: 10.1016/j.pcl.2016.02.002.
9
Building Motivation in African American Caregivers of Adolescents With Obesity: Application of Sequential Analysis.
J Pediatr Psychol. 2017 Mar 1;42(2):131-141. doi: 10.1093/jpepsy/jsw044.
10
A study of the effectiveness of machine learning methods for classification of clinical interview fragments into a large number of categories.
J Biomed Inform. 2016 Aug;62:21-31. doi: 10.1016/j.jbi.2016.05.004. Epub 2016 May 13.
本文引用的文献
1
An initial trial of a computerized behavioral intervention for cannabis use disorder.
Drug Alcohol Depend. 2011 May 1;115(1-2):74-9. doi: 10.1016/j.drugalcdep.2010.10.014. Epub 2010 Dec 4.
2
Chasing change talk: the clinician's role in evoking client language about change.
J Subst Abuse Treat. 2010 Jul;39(1):65-70. doi: 10.1016/j.jsat.2010.03.012. Epub 2010 Apr 24.
3
Strength of commitment language in motivational interviewing and gambling outcomes.
Psychol Addict Behav. 2009 Mar;23(1):122-130. doi: 10.1037/a0013010.
4
Adolescent change language within a brief motivational intervention and substance use outcomes.
Psychol Addict Behav. 2008 Dec;22(4):570-5. doi: 10.1037/a0013022.
5
Marijuana dependence and its treatment.
Addict Sci Clin Pract. 2007 Dec;4(1):4-16. doi: 10.1151/ascp07414.
6
Brief alcohol interventions: do counsellors' and patients' communication characteristics predict change?
Alcohol Alcohol. 2008 Jan-Feb;43(1):62-9. doi: 10.1093/alcalc/agm141. Epub 2007 Oct 17.
7
Client language as a mediator of motivational interviewing efficacy: where is the evidence?
Alcohol Clin Exp Res. 2007 Oct;31(10 Suppl):40s-47s. doi: 10.1111/j.1530-0277.2007.00492.x.
8
Therapist influence on client language during motivational interviewing sessions.
J Subst Abuse Treat. 2006 Apr;30(3):245-51. doi: 10.1016/j.jsat.2005.12.003.
9
Relationships of linguistic and motivation variables with drinking outcomes following two mailed brief interventions.
J Stud Alcohol. 2005 Jul;66(4):526-35. doi: 10.15288/jsa.2005.66.526.
10
Client commitment language during motivational interviewing predicts drug use outcomes.
J Consult Clin Psychol. 2003 Oct;71(5):862-78. doi: 10.1037/0022-006X.71.5.862.
Zotero 插件