Romano Mia, Arambasic Jelena, Peters Lorna
Macquarie University.
J Clin Psychol. 2017 Jul;73(7):829-847. doi: 10.1002/jclp.22405. Epub 2016 Oct 31.
The aim of the present study is to assess the bidirectional associations between therapist and client speech during a treatment based on motivational interviewing (MI) for social anxiety disorder.
Participants were 85 adults diagnosed with social anxiety who received MI prior to entering cognitive behavioral therapy. MI sessions were sequentially coded using the Motivational Interviewing Skill Code 2.5.
Therapist MI-consistent behaviors, including open questions as well as positive and negative reflections, were more likely to be followed by client change exploration (change talk and counter-change talk). Therapist MI-inconsistent behaviors were more likely to precede client neutral language. Client language was also found to influence therapist likelihood of responding in an MI-consistent manner.
The findings support the first step of the MI causal model in the context of social anxiety and direct future research into the effect of therapist and client behaviors on MI treatment outcome.
本研究旨在评估基于动机性访谈（MI）治疗社交焦虑障碍期间治疗师与来访者言语之间的双向关联。
85名被诊断为社交焦虑的成年人在进入认知行为治疗之前接受了动机性访谈。使用动机性访谈技能编码2.5对动机性访谈环节进行顺序编码。
治疗师与MI一致的行为，包括开放式问题以及积极和消极的反映，之后更有可能出现来访者的改变探索（改变谈话和反改变谈话）。治疗师与MI不一致的行为更有可能先于来访者的中性语言出现。还发现来访者的语言会影响治疗师以与MI一致的方式做出回应的可能性。
研究结果支持了MI因果模型在社交焦虑背景下的第一步，并指导未来关于治疗师和来访者行为对MI治疗结果影响的研究。
