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The effect of motivational interviewing on ambivalence in social anxiety disorder

Published online by Cambridge University Press:  19 March 2021

Mia Romano  and
Lorna Peters
Mia Romano*
Affiliation:
Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia
Lorna Peters
Affiliation:
Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

One reason that motivational interviewing (MI) is thought to translate well to a variety of treatment domains is due to the focus on client ambivalence.

Aims:

Therefore, the current study aimed to explore the construct of ambivalence in the context of MI and cognitive behavioural therapy (CBT) for social anxiety disorder (SAD).

Method:

Participants were 147 individuals diagnosed with SAD who were randomised to receive either MI or supportive counselling prior to receiving group CBT for SAD.

Results:

The results suggested that MI was not related to decreases in general ambivalence or treatment ambivalence, although an indicator of treatment ambivalence was found to predict worse treatment outcome.

Conclusions:

The findings suggest that three sessions of MI prior to CBT may not decrease ambivalence in participants with SAD, which may underscore the potential importance of tackling ambivalence as it arises during CBT.

Keywords

cognitive behavioural therapymotivational interviewingsocial anxiety disordertreatment ambivalence
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 49 , Issue 6 , November 2021 , pp. 684 - 695
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Publishing.Google Scholar
Arkowitz, H., Miller, W. R., & Rollnick, S. (eds) (2015). Motivational Interviewing in the Treatment of Psychological Problems (2nd edn). New York, USA: Guilford Press.Google Scholar
Arkowitz, H., Westra, H. A., Miller, W. R., & Rollnick, S. (eds) (2008). Motivational Interviewing in Treating Psychological Problems. New York, USA: Guilford Press.Google Scholar
Asbrand, J., Heinrichs, N., Schmidtendorf, S., Nitschke, K., & Tuschen-Caffier, B. (2020). Experience versus report: where are changes seen after exposure-based cognitive-behavioral therapy? A randomized controlled group treatment of childhood social anxiety disorder. Child Psychiatry & Human Development, 51, 427–441.10.1007/s10578-019-00954-wCrossRefGoogle ScholarPubMed
Atkins, D. C. (2005). Using multilevel models to analyze couple and family treatment data: basic and advanced issues. Journal of Family Psychology, 19, 98–110. doi: 10.1037/0893-3200.19.1.98 CrossRefGoogle ScholarPubMed
Aviram, A., Westra, H. A., Constantino, M. J., & Antony, M. M. (2016). Responsive management of early resistance in cognitive-behavioral therapy for generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 84, 783–794. doi: 10.1037/ccp0000100 CrossRefGoogle ScholarPubMed
Barrera, T. L., Smith, A. H., & Norton, P. J. (2015). Motivational interviewing as an adjunct to cognitive behavioral therapy for anxiety. Journal of Clinical Psychology, 72, 5–14. doi: 10.1002/jclp.22239 CrossRefGoogle ScholarPubMed
Borkovec, T., & Nau, S. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257–260. doi: 10.1016/0005-7916(72)90045 CrossRefGoogle Scholar
Brody, A. E., Arkowitz, B. A., & Allen, J. J. B. (2008). Development and Validation of a Self-Report Measure of Ambivalence Towards Change. Poster presented at the annual meeting of the Association for Psychological Science, Chicago, USA.Google Scholar
Button, M. L., Westra, H. A., Constantino, M. J., & Antony, M. M. (2016). Client Ambivalence as a Moderator of Treatment Outcomes in MI and CBT for Generalized Anxiety. Paper presented at the annual meeting of the Society for the Exploration of Psychotherapy Integration, Dublin, Ireland.Google Scholar
Di Nardo, P., Brown, T., & Barlow, D. (1994). Anxiety Disorders Interview Schedule for DSM-IV – Lifetime version. Albany, NY, USA: Graywind Publications.Google Scholar
Houck, J., Moyers, T. B., Miller, W. R., Glynn, L., & Hallgren, K. (2013). Motivational Interviewing Skill Code 2.5. Retrieved from: http://casaa.unm.edu/download/misc25.pdf Google Scholar
Issakidis, C., & Andrews, G. (2004). Pretreatment attrition and dropout in an outpatient clinic for anxiety disorders. Acta Psychiatrica Scandinavica, 109, 426–433.10.1111/j.1600-0047.2004.00264.xCrossRefGoogle Scholar
Lenton-Brym, A. P., Stewart, K. E., Coyne, A. E., Westra, H. A., Constantino, M. J., & Antony, M. M. (2019). Can self-report measures of readiness for change and treatment ambivalence predict outcomes in cognitive behavioral therapy for generalized anxiety disorder? Journal of Cognitive Psychotherapy, 33, 301–319. doi: 10.1891/0889-8391.33.4.301 CrossRefGoogle ScholarPubMed
Marker, I., & Norton, P. J. (2018). The efficacy of incorporating motivational interviewing to cognitive behavior therapy for anxiety disorders: a review and meta-analysis. Clinical Psychology Review, 62, 1–10.10.1016/j.cpr.2018.04.004CrossRefGoogle ScholarPubMed
Mattick, R., & Clarke, J. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behavior Research and Therapy, 36, 455–470. doi: 10.1016/S0005-7967(97)10031-6 CrossRefGoogle ScholarPubMed
McCabe, R. E., Rowa, K., Farrell, N. R., Young, L., Swinson, R. P., & Antony, M. M. (2019). Improving treatment outcome in obsessive-compulsive disorder: does motivational interviewing boost efficacy? Journal of Obsessive-Compulsive and Related Disorders, 22, 100446.10.1016/j.jocrd.2019.100446CrossRefGoogle Scholar
McEvoy, P. M., Saulsman, L. M., & Rapee, R. M. (2018). Imagery-Enhanced CBT for Social Anxiety Disorder. New York, USA: Guilford Press.Google ScholarPubMed
Miller, W. R., & Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York, USA: Guilford Press.Google Scholar
Miller, W. R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change (2nd edn). New York, USA: Guilford Press.Google Scholar
Miller, W. R., & Rollnick, S. (2004). Talking oneself into change: motivational interviewing, stages of change, and therapeutic process. Journal of Cognitive Psychotherapy: An International Quarterly, 18, 299–308.10.1891/jcop.18.4.299.64003CrossRefGoogle Scholar
Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change (3rd edn). New York, USA: Guilford Press.Google Scholar
Moyers, T. B., Martin, T., Manuel, J. K., Miller, W. R., & Ernst, D. (2010). Manual for the revised global scales: Motivational Interviewing Treatment Integrity 3.1.1 (MITI 3.1.1). Retrieved from: http://casaa.unm.edu/download/miti3.pdf Google Scholar
Peters, L., Romano, M., Byrow, Y., Gregory, B., McLellan, L. F., Brockveld, K., … & Rapee, R. M. (2019). Motivational interviewing prior to cognitive behavioural treatment for social anxiety disorder: a randomised controlled trial. Journal of Affective Disorders, 256, 70–78. doi: 10.1016/j.jad.2019.05.042 CrossRefGoogle ScholarPubMed
Randall, C. L., & McNeil, D. W. (2017). Motivational interviewing as an adjunct to cognitive behavior therapy for anxiety disorders: a critical review of the literature. Cognitive and Behavioral Practice, 24, 296–311.10.1016/j.cbpra.2016.05.003CrossRefGoogle ScholarPubMed
Rapee, R., Gaston, J., & Abbott, M. (2009). Testing the efficacy of theoretically-derived improvements in the treatment of social phobia. Journal of Consulting and Clinical Psychology, 77, 317–327. doi: 10.1037/a0014800 CrossRefGoogle Scholar
Raudenbush, S. W. et al. (2011). Optimal Design Software for Multi-Level and Longitudinal Research (version 3.01). Available from: www.wtgrantfoundation.org.Google Scholar
Rowa, K., Gifford, S., McCabe, R., Milosevic, I., Antony, M. M., & Purdon, C. (2014). Treatment fears in anxiety disorders: development and validation of the Treatment Ambivalence Questionnaire. Journal of Clinical Psychology, 70, 979–993. doi: 10.1002/jclp.22096 CrossRefGoogle ScholarPubMed
Slagle, D. M., & Gray, M. J. (2007). The utility of motivational interviewing as an adjunct to exposure therapy in the treatment of anxiety disorders. Professional Psychology: Research and Practice, 38, 329–337. doi: 10.1037/0735-7028.38.4.329 CrossRefGoogle Scholar
Wersebe, H., Sijbrandij, M., & Cuijpers, P. (2013). Psychological group-treatments of social anxiety disorder: a meta-analysis. PLoS ONE, 8, 1–5. http://doi.org/10.1371/journal.pone.0079034 CrossRefGoogle ScholarPubMed
Westra, H., & Dozois, D. (2008). Integrating motivational interviewing into the treatment of anxiety. In Arkowitz, H. et al. (eds). Motivational Interviewing in the Treatment of Psychological Problems. New York, USA: Guilford Press.Google Scholar
Westra, H. A., Arkowitz, H., & Dozois, D. J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: a preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117. doi: 10.1016/j.janxdis.2009.07.014 CrossRefGoogle ScholarPubMed
Westra, H. A., Aviram, A., & Doell, F. K. (2011). Extending motivational interviewing to the treatment of major mental health problems: current directions and evidence. Canadian Journal of Psychiatry, 56, 643–650. doi: 10.1177/070674371105601102 CrossRefGoogle ScholarPubMed
Westra, H. A., Constantino, M. J., & Antony, M. M. (2016). Integrating motivational interviewing with cognitive-behavioral therapy for severe generalized anxiety disorder: an allegiance-controlled randomized clinical trial. Journal of Consulting and Clinical Psychology, 84, 768–782. doi: 10.1037/ccp0000098 CrossRefGoogle ScholarPubMed
Westra, H. A., & Norouzian, N. (2018). Using motivational interviewing to manage process markers of ambivalence and resistance in cognitive behavioral therapy. Cognitive Therapy and Research, 42, 193–203. doi: 10.1007/s10608-017-9857-6 CrossRefGoogle Scholar
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