Patient motivation in group metacognitive therapy for generalized anxiety disorder
| Autor: | Svein Haseth, Stian Solem, Mourad Touil, Espen R Lassen, Tone L Svendsen |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Motivation
Generalized anxiety disorder Psychotherapist Treatment outcome Motivational interviewing Motivational Interviewing medicine.disease Predictive value Anxiety Disorders Session (web analytics) Clinical Psychology Metacognitive therapy Treatment Outcome medicine Psychotherapy Group Anxiety Humans medicine.symptom Psychology Patient motivation Metacognition Clinical psychology |
| Zdroj: | Psychotherapy Research |
| Popis: | Objective The aim of this study was to investigate the predictive value of motivational language (change talk [CT] and sustain talk [ST]) on treatment outcome of group metacognitive therapy (g-MCT) for generalized anxiety disorder (GAD). Method Video recordings of the first, fourth, and seventh therapy sessions (55 patients) were encoded using the Motivational Interviewing Skill Code (MISC) manual. The strength of the patients' motivational utterances was encoded as CT or ST with seven subcategories. Results The strength of CT-utterances and ST-utterances differed significantly between treatment responders and non-responders as therapy progressed. The strength of ST-utterances increased significantly more among non-responders than responders, whereas CT and positive taking steps utterances increased more among treatment responders than non-responders. CT and ST in session 1 were not associated with treatment outcome. CT and ST in sessions 4 and 7 significantly predicted lower and higher worry-scores at post-treatment, respectively. This effect was particularly evident for taking steps utterances in session 7. Conclusion These findings confirm the predictive value of MISC in sessions 4 and 7 of g-MCT for GAD and highlight the importance of therapists addressing patient motivation. |
| Databáze: | OpenAIRE |
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