Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial

被引:174
作者
Westra, Henny A. [1 ]
Arkowitz, Hal [2 ]
Dozois, David J. A. [3 ]
机构
[1] York Univ, Dept Psychol, Toronto, ON M3J 1P3, Canada
[2] Univ Arizona, Tucson, AZ 85721 USA
[3] Univ Western Ontario, London, ON N6A 3K7, Canada
基金
加拿大健康研究院;
关键词
Motivational interviewing; Generalized anxiety; Cognitive behavioral therapy; Worry; Motivation; STATE WORRY QUESTIONNAIRE; STRESS SCALES DASS; PSYCHOMETRIC PROPERTIES; SOCIAL PHOBIA; DEPRESSION; METAANALYSIS; INDIVIDUALS; COMPETENCE; VARIABLES; EFFICACY;
D O I
10.1016/j.janxdis.2009.07.014
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Seventy-six individuals with a principal diagnosis of generalized anxiety disorder (GAD) were randomly assigned to receive either an MI pretreatment or no pretreatment (NPT), prior to receiving CBT. Significant group differences favoring the MI-CBT group were observed on the hallmark GAD symptom of worry and on therapist-rated homework compliance, which mediated the impact of treatment group on worry reduction. Adding MI pretreatment to CBT was specifically and substantively beneficial for individuals with high worry severity at baseline. There was evidence of relapse at 6-month follow-up for high severity individuals who received MI-CBT, but significant moderator effects favoring the high severity MI-CBT group were again apparent at 12-months post-treatment. Pending replication in a more controlled test, these findings suggest that MI may be a promising adjunct to CBT for GAD for those of high severity, a group which has been less responsive to CBT in past research. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1106 / 1117
页数:12
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