Client Language During Motivational Enhancement Therapy and Alcohol Use Outcome
Client Language During Motivational Enhancement Therapy and Alcohol Use Outcome
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DOI：
10.1017/s1352465810000263
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发表时间：
2010-07-01
影响因子：
1.8
通讯作者：
Carter, Janet Deborah
中科院分区：
文献类型：
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作者：
Campbell, Samadhi Deva;Adamson, Simon Justin;Carter, Janet Deborah
背景：在诸如动机强化疗法（MET）等基于动机性访谈的干预过程中所涉及的过程与结果之间的确切联系尚未完全被理解。
目的：这项初步研究检验了动机强化疗法期间的来访者语言及其结果。
方法：使用改良的动机性访谈技巧编码2.0版，对28名轻度至中度酒精依赖随机对照试验背景下接受3 - 4次动机强化疗法的参与者的106次录音动机强化疗法会话进行编码。在会话内（分为早期、中期或末期区间）以及跨会话分析来访者语言，并结合六个月的饮酒结果（饮酒量在/超过国家饮酒指南，即戒酒者/未戒酒者）进行分析。
结果：未戒酒者表达持续谈话的频率显著更高，能力语言强度更低（在整个动机强化疗法期间以及末期区间），承诺语言强度也更低（在第2和第4次会话期间，以及在动机强化疗法过程中的变化）。
结论：尽管存在局限性，这项探索性研究在检验会话内和跨会话的来访者语言强度方面具有独特性。它产生了可能有价值的发现，值得进一步研究，包括支持监测来访者语言以预测结果的临床益处。
Background: The exact link between the process engaged in during Motivational Interviewing based interventions, such as Motivational Enhancement Therapy (MET), and outcome is yet to be fully understood. Aims: This preliminary study examined Client Language during MET and outcome. Method: A modified Motivational Interviewing Skills Code Version 2.0 was used to code 106 audiotaped MET sessions from 28 participants who received 3-4 sessions of MET within the context of a randomized controlled trial for mild-moderate alcohol dependence. Client Language was analyzed within sessions (categorized into Early, Mid, or End Intervals) and across sessions, and in relation to six month drinking outcome (drinking within/over national drinking guidelines, i.e. Remitted/Unremitted Drinkers). Results: Unremitted Drinkers uttered a significantly higher frequency of Sustain Talk, lower Ability Language strength (over all MET and during End Intervals), and lower Commitment Language strength (during Session 2 and 4, and change over MET). Conclusions: Notwithstanding limitations, this exploratory study was unique in examining the strength of Client Language within and across sessions. It produced potentially valuable findings that warrant further investigation including supporting the clinical benefit of monitoring Client Language to predict outcome.