The Impact of Significant Others in Motivational Enhancement Therapy: Findings from Project MATCH

The Impact of Significant Others in Motivational Enhancement Therapy: Findings from Project MATCH
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DOI:
10.1017/s1352465811000592
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发表时间:
2012-05-01
影响因子:
1.8
通讯作者:
Moyers, Theresa B.
Moyers, Theresa B.
中科院分区:
心理学4区
文献类型:
--
作者:
Manuel, Jennifer K.;Houck, Jon M.;Moyers, Theresa B.

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背景:社会网络对戒酒的支持与酒精使用障碍患者样本中治疗结果的改善有关。因此,研究的重点是将重要的其他人(SOS)纳入治疗过程。然而,对于1)SOS在治疗过程中可能对患者产生的具体影响,或者2)患者在治疗过程中的行为是否与患者治疗后饮酒有任何关系,我们知之甚少。方法:在目前的研究中,使用一种旨在测量SO和客户会话内语言的行为编码系统对存在SO的动机增强疗法会话进行编码。结果:观察到SO与客户会话内语言之间的关系。此外,一些特定的SO语言类别预测治疗后患者饮酒。结论:这项研究是第一次对药物滥用治疗中SO的贡献进行系统评估。未来研究在酒精使用障碍治疗中使用SO语言可能会让临床医生避免使用与较差的饮酒结果相关的SOS。
Background: Social network support for abstinence has been associated with improved treatment outcomes among samples of individuals with alcohol use disorders. As a result, research studies have focused on the inclusion of significant others (SOs) in the treatment process. Nonetheless, little is known about 1) the specific influence SOs may have on clients during treatment sessions or 2) whether SO within-session behaviors have any relationship to client post-treatment drinking. Method: In the current study, Motivational Enhancement Therapy sessions in which a SO was present were coded using a behavioral coding system designed to measure SO and client within-session language. Results: Relationships were observed between SO and client within-session language. Furthermore, some specific SO categories of language predicted post-treatment client drinking. Conclusions: This study is the first systematic evaluation of SO contributions in substance abuse treatment sessions. Future research examining SO language in the treatment of alcohol use disorders might allow clinicians to avoid contributions from SOs that are associated with poorer drinking outcomes.