动机语言的改进是否预示着在动机面试中使用酒精? 矛盾性是很重要的
David P Forman1, Jon M Houck1, Theresa B Moyers1
1University of New Mexico, Department of Psychology.
Journal of consulting and clinical psychology
|August 27, 2024
概括
动机面试 (MI) 对那些对变革持矛盾态度的人来说最有效,因为改善了客户的动机语言,在这个群体中显著减少了酒精使用. 对于那些准备好或反对改变的人来说,MI对饮酒行为的影响很小.
科学领域:
- 行为心理学 行为心理学
- 临床心理学 临床心理学
- 成研究 研究成研究
背景情况:
- 激励面试 (MI) 旨在减少客户的矛盾,以改善临床结果.
- MI的有效性可能取决于将其方法量身定制到客户的基线变革动机.
研究的目的:
- 为了测试在治疗后的酒精使用中,会话中的激励语言对治疗后的酒精使用的影响是否受到基线改变动机的调节.
- 调查客户激励语言在MI中对不同激励配置文件的特定作用.
主要方法:
- 分析了来自Project MATCH的149个客户端会话.
- 集群分析确定了三个基线动机组:反对,矛盾和准备.
- 零膨胀负二项式回归测试了改变谈话和动机组在饮酒结果之间的相互作用.
主要成果:
- 在MI会议中,百分比变化谈话 (C-PCT) 和矛盾组的变化之间发现了显著的相互作用 (p < .001).
- 有利的C-PCT与饮酒减少有关 (p = .004),特别是对于模糊的客户.
- 基线饮酒是随访时禁酒的唯一显著预测因素 (p = .001).
结论:
- 改善客户激励语言的MI机制,对于在会话开始时表达矛盾的客户来说是最有益的.
- 对于那些对变革不怀疑的客户来说,MI的实用性似乎有限.
- 结果表明,基于客户的准备,MI的更精确的应用.
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