Korcha Rachael A, Polcin Douglas L, Evans Kristy, Bond Jason C, Galloway Gantt P
Alcohol Research Group, Public Health Institute, 6475 Christie Avenue, Suite 400, Emeryville, CA 94608-1010, Phone (510) 597-3440, Fax (510) 985-6459.
Addiction & Pharmacology Research Laboratory, California Pacific Medical Center Research Institute, San Francisco, CA.
Counselor (Deerfield Beach). 2015 Jun;16(3):62-69.
Motivational interviewing (MI) for the treatment of alcohol and drug problems is typically conducted over 1 to 3 sessions. This paper reports on an evaluation of an intensive 9-session version of MI (IMI) compared to a standard single MI session (SMI). Although no differences between IMI and SMI were found for methamphetamine use, there was an unexpected finding that women but not men with co-occurring alcohol problems in the IMI condition reduced the severity of their alcohol problems significantly more than those in the SMI condition at 4- and 6-month follow-up. Stronger perceived alliance with the therapist was associated with better outcome. Findings indicate that alcohol outcomes for women might be improved with the addition of more MI sessions. A current study is assessing the impact of IMI for women with more serious alcohol problems. Qualitative interviews are being conducted with women to better understand how IMI is helpful and why it appears to add benefit for women but not men.
用于治疗酒精和药物问题的动机性访谈（MI）通常分1至3节进行。本文报告了一项针对强化9节版本的动机性访谈（IMI）与标准单节动机性访谈（SMI）的评估。尽管在甲基苯丙胺使用方面未发现IMI和SMI之间存在差异，但有一个意外发现，即在4个月和6个月的随访中，IMI组中同时存在酒精问题的女性比SMI组中的女性显著更能降低其酒精问题的严重程度，而男性则不然。与治疗师更强的感知联盟与更好的结果相关。研究结果表明，增加更多节的动机性访谈可能会改善女性的酒精问题结局。当前一项研究正在评估IMI对酒精问题更严重的女性的影响。正在对女性进行定性访谈，以更好地了解IMI如何发挥作用，以及为什么它似乎对女性而非男性有额外益处。
