ArticleAddiction (Abingdon, England)2016
Therapist and client discussions of drinking and coping: a sequential analysis of therapy dialogues in three evidence-based alcohol use disorder treatments.
Article in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Trajectories of in-session change language in brief motivational interventions with mandated college students.Journal of consulting and clinical psychology · 2018Trial
- Exploring motivational interviewing's technical hypothesis with emerging adults from racial or ethnic minority groups with heavy alcohol use.Journal of ethnicity in substance abuse · 2026Article
- Coping strategies patterns to buffer the psychological impact of the State of Emergency in Spain during the COVID-19 pandemic's early months.Scientific reports · 2021Article
- Training in motivational interviewing improves cattle veterinarians' communication skills for herd health management.The Veterinary record · 2020Article
- Improvement in therapist skills over sessions in brief motivational interventions predicts client language and alcohol use outcomes.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019Article
- A Sequential Analysis of Clinician Skills and Client Change Statements in a Brief Motivational Intervention for Young Adult Heavy Drinking.Behavior therapy · 2019Observational
- Effects of motivational interviewing fidelity on substance use treatment engagement in primary care.Journal of substance abuse treatment · 2018Article
- The Alcohol Intervention Mechanisms Scale (AIMS): Preliminary Reliability and Validity of a Common Factor Observational Rating Measure.Journal of substance abuse treatment · 2016Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
aimsResearch into the active ingredients of behavioral interventions for alcohol use disorders (AUD) has focused upon treatment-specific factors, often yielding disappointing results. The present study examines common factors of change in motivational enhancement therapy, cognitive-behavioral therapy and 12-Step facilitation therapy by (1) estimating transitional probabilities between therapist behaviors and subsequent client Change (CT) and Sustain (ST) Talk and (2) examining therapist skillfulness as a potential predictor of transition probability magnitude.
designSecondary data analysis examined temporal associations in therapy dialogues.
settingUnited States: data were from Project MATCH (Matching Alcoholism Treatments to Client Homogeneity) (1997).
participantsOne hundred and twenty-six participants who received motivational enhancement therapy, cognitive-behavioral therapy or 12-Step facilitation therapy. MEASUREMENTS: Therapist behaviors were measured in three categories (exploring, teaching, connecting) and client statements included five categories (CT-distal, ST-distal, CT-proximal, ST-proximal, neutral). Therapist skillfulness was measured using a five-point ordinal scale.
findingsRelative to chance, therapist exploratory behaviors predicted subsequent client discussion of distal, drinking behavior [odds ratio (OR) = 1.37-1.78, P < 0.001] while suppressing discussion of proximal coping and neutral content (OR = 0.83-0.90, P < 0.01). Unexpectedly, therapist teaching suppressed distal drinking language (OR = 0.48-0.53, P < 0.001) and predicted neutral content (OR = 1.45, P < 0.001). Connecting behaviors increased both drinking and coping language, particularly language in favor of change (CT OR = 1.15-1.84, P < 0.001). Analyses of exploring and connecting skillfulness revealed that high skillfulness maximized these behaviors effect on client responses, but not teaching skillfulness.
conclusionsIn motivational enhancement therapy, cognitive-behavioral therapy, and 12-Step facilitation therapy for alcohol use disorders, the therapists who explore and connect with clients appear to be more successful at eliciting discussion about change than therapists who engage in teaching behavior. Therapists who are more skilled achieve better results than those who are less skilled.
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