Counselor and Drug Detox Inpatient Verbal Behaviors in a Single Session of Motivational Interviewing and Subsequent Substance Use-Related Patient Outcomes.

Effects of counselor and client verbal behaviors, in a single motivational interviewing (MI) session during inpatient detoxification, were evaluated in relation to 17 study participants' self-reported drug use 3 months later. Also, counselor-to-client transitions in the single MI session were explor...

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Publicado en:International Journal of Mental Health & Addiction Vol. 17; no. 1; pp. 73 - 89
Autores principales: Berman, Anne H., Lindqvist, Helena, Källmén, Håkan, Durbeej, Natalie, Hermansson, Ulric, Forsberg, Lars
Formato: Artículo
Publicado: Springer Nature Feb2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
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      pub: Springer Nature
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        134996407
        10.1007/s11469-017-9866-4
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        atl: Counselor and Drug Detox Inpatient Verbal Behaviors in a Single Session of Motivational Interviewing and Subsequent Substance Use-Related Patient Outcomes.
      aug:
        au:
          Berman, Anne H.
          Lindqvist, Helena
          Källmén, Håkan
          Durbeej, Natalie
          Hermansson, Ulric
          Forsberg, Lars
        affil:
          Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Norra Stationsgatan 69, 7th floor, Norra Stationsgatan 69, SE-11364, Stockholm, Sweden
          Stockholm Center for Dependency Disorders, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden
          MIQA-group, Centre for Psychotherapy Education & Research, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden
          Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden
          Department of Psychology, Uppsala University, Uppsala, Sweden
      su:
        Motivational interviewing
        Counselor-client relationship
        Counselors
        Verbal behavior
        Odds ratio
      sug:
        subj:
          Motivational interviewing
          Counselor-client relationship
          Counselors
          Verbal behavior
          Odds ratio
      keyword:
        Client
        Counselor
        Detoxification
        Drug use
        Hospital
        Client
        Counselor
        Detoxification
        Drug use
        Hospital
      ab: Effects of counselor and client verbal behaviors, in a single motivational interviewing (MI) session during inpatient detoxification, were evaluated in relation to 17 study participants' self-reported drug use 3 months later. Also, counselor-to-client transitions in the single MI session were explored for 24 participants, using the Motivational Interviewing Sequential Code for Observing Process Exchanges (MI-SCOPE) coding instrument. Surprisingly, counselor neutral/double-sided reflections predicted lower levels of drug use (r = − 0.42), higher treatment interest (r = 0.40), and self-efficacy for abstaining from drug use when experiencing positive feelings (r = 0.48) and negative feelings or craving (r = 0.40). Client change talk predicted motivation to change (r = 0.42) and perceptions of negative aspects of drug use (r = 0.44), while higher levels of client sustain talk predicted lower levels of drug use (r = − 0.45) and lower interest in treatment (r = − 0.68). The counselor-client transition analysis showed an odds ratio (OR) of 13.84 (95% CI 9.75; 19.66) for client change talk in response to counselor reflections on change talk (RCT), and an OR of 55.98 (95% CI 26.53; 118.12) for client sustain talk in response to counselor reflections on sustain talk (RST). Future research should increase sample size and extend follow-up.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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