Ambivalence: Prerequisite for success in motivational interviewing with adolescents?
Ambivalence: Prerequisite for success in motivational interviewing with adolescents?
复制标题
DOI：
10.1111/add.13286
复制
发表时间：
2016-11-01
期刊：
影响因子：
6
通讯作者：
Gaume, Jacques
中科院分区：
文献类型：
--
作者：
Ewing, Sarah W. Feldstein;Apodaca, Timothy R.;Gaume, Jacques
背景和目的矛盾心理的探索和解决在动机面试理论中起着至关重要的作用。然而，大多数青少年MI研究并没有考察矛盾心理是行为改变的贡献者。方法与结果我们对已发表的有关青少年心理矛盾心理及其变化机制的经验和理论文献进行了叙述性回顾，发现目前的青少年心理障碍评估似乎无法获得可靠和有效的青春期矛盾心理测量或神经成像方法来评估治疗反应机制。结论在临床和研究环境中，需要改进工具来评估青少年的矛盾心理。创新的方法，包括神经成像，可能有助于确定调节青少年矛盾心理和治疗反应之间关系的因素。
Background and AimsThe exploration and resolution of ambivalence play an essential role in motivational interviewing (MI) theory. However, most adolescent MI studies have not examined ambivalence as a contributor to behaviour change. This paper reviewed research findings on the role of ambivalence in the adolescent change process.Methods and resultsWe undertook a narrative review of the published empirical and theoretical literature on ambivalence and mechanisms of change in MI for adolescents and found that current MI evaluations appear not to have access to reliable and valid measures of ambivalence in adolescence or neuroimaging methods to evaluate the mechanisms of treatment response.ConclusionsImproved instrumentation is needed to assess adolescents' ambivalence in clinical and research settings. Innovative methodology, including neuroimaging, may help identify factors mediating relationships between adolescents' ambivalence and treatment response.