Dismantling Motivational Interviewing: Effects on Initiation of Behavior Change Among Problem Drinkers Seeking Treatment
Dismantling Motivational Interviewing: Effects on Initiation of Behavior Change Among Problem Drinkers Seeking Treatment
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DOI：
10.1037/adb0000317
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发表时间：
2017-11-01
影响因子：
3.4
通讯作者：
McKay, James R.
中科院分区：
文献类型：
--
作者：
Morgenstern, Jon;Kuerbis, Alexis;McKay, James R.
动机性访谈（MI）是治疗酒精使用障碍的有效方法。MI被认为通过2种治疗策略或活性成分的组合来增强动机：1种关系和1种方向。本研究的主要目的是使用拆卸设计检查MI的假设活性成分。寻求治疗的问题饮酒者（N = 139）被随机分为3种情况之一：MI，关系型MI，无方向性元素标记的精神型MI（SOMI），或非治疗对照条件，并随访8周。那些被分配到MI或SOMI的患者在8周内接受了4次治疗。所有参与者在第8周时都显著减少了饮酒量，但在不同条件下的减少量是相等的。假设基线动机会显着缓和条件对结果的影响，一般不支持。未能找到支持MI的假设活性成分的研究设计的优势和局限性的背景下进行了讨论。
Motivational interviewing (MI) is an efficacious treatment for alcohol use disorders. MI is thought to enhance motivation via a combination of 2 therapeutic strategies or active ingredients: 1 relational and 1 directional. The primary aim of this study was to examine MI's hypothesized active ingredients using a dismantling design. Problem drinkers (N = 139) seeking treatment were randomized to 1 of 3 conditions: MI, relational MI without the directional elements labeled spirit-only MI (SOMI), or a nontherapy control condition and followed for 8 weeks. Those assigned to MI or SOMI received 4 sessions of treatment over 8 weeks. All participants significantly reduced their drinking by Week 8, but reductions were equivalent across conditions. The hypothesis that baseline motivation would significantly moderate condition effects on outcome was generally not supported. Failure to find support for MI's hypothesized active ingredients is discussed in the context of the strengths and limitations of the study design.