Measuring motivation: change talk and counter-change talk in cognitive behavioral therapy for generalized anxiety.
Measuring motivation: change talk and counter-change talk in cognitive behavioral therapy for generalized anxiety.
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DOI：
10.1080/16506073.2013.846400
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发表时间：
2014
影响因子：
4.7
通讯作者：
Westra HA
中科院分区：
文献类型：
--
作者：
Lombardi DR;Button ML;Westra HA
研究发现，患者在治疗早期对改变的谈论方式是其后续治疗成功的一个有力预测因素。对这类患者激励性语言（支持和反对改变的言论）的研究通常是在成瘾问题的动机性访谈背景下进行的。本研究考察了患者激励性语言在广义焦虑症的认知行为疗法（CBT）背景下预测治疗结果的能力。研究发现，患者在治疗早期表达的反对改变的言论（反向改变谈话）是治疗后焦虑分数的有力预测因素，并且能够区分治疗有反应者和无反应者。此外，患者激励性语言对结果的预测能力超越了初始症状严重程度和自我报告的动机测量。这些结果有力地支持了患者激励性语言在CBT中的相关性，并为推进CBT背景下改变动机的研究奠定了基础。
How clients talk about change early in treatment has been found to be a potent predictor of their subsequent treatment success. Studies examining such client motivational language (arguments for and against change) have typically been conducted in the context of motivational interviewing for addictions. The present study examined the capacity of client motivational language to predict treatment outcomes in the context of cognitive behavioral therapy (CBT) for generalized anxiety. Client early in-session statements against change (counter-change talk) were found to be robust predictors of post-treatment worry scores and differentiated treatment responders from nonresponders. Moreover, client motivational language predicted outcomes beyond initial symptom severity and self-report measures of motivation. These results strongly support the relevance of client motivational language outcomes in CBT and provide a foundation for advancing research on motivation for change in a CBT context.
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