Therapist and client discussions of drinking and coping: a sequential analysis of therapy dialogues in three evidence-based alcohol use disorder treatments.

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Serveur académique Lausannois

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info:eu-repo/semantics/altIdentifier/doi/10.1111/add.13313

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info:eu-repo/semantics/altIdentifier/pmid/26780564

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info:eu-repo/semantics/altIdentifier/eissn/1360-0443

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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_1FA49C5C5C086

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Serveur Académique Lausannois

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Université de Lausanne et CHUV

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Adaptation, Psychological; Adult; Alcohol Drinking; Alcoholism/therapy; Cognitive Therapy; Evidence-Based Practice; Female; Humans; Male; Motivational Interviewing; Process Assessment (Health Care); Professional-Patient Relations; Randomized Controlled Trials as Topic; Alcohol treatment; active ingredients; change talk; mechanisms of behavior change; process research; sequential analysis

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Therapy

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M. Magill et al., « Therapist and client discussions of drinking and coping: a sequential analysis of therapy dialogues in three evidence-based alcohol use disorder treatments. », Serveur académique Lausannois, ID : 10.1111/add.13313

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Research 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. Secondary data analysis examined temporal associations in therapy dialogues. United States: data were from Project MATCH (Matching Alcoholism Treatments to Client Homogeneity) (1997). One hundred and twenty-six participants who received motivational enhancement therapy, cognitive-behavioral therapy or 12-Step facilitation therapy. 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. Relative to chance, therapist exploratory behaviors predicted subsequent client discussion of distal, drinking behavior [odds ratio (OR) = 1.37-1.78, P 

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