Toward a Universal Maintenance Intervention: Integrating Cognitive-Behavioral Treatment With Motivational Interviewing for Maintenance of Behavior Change

2013 ◽  
Vol 27 (2) ◽  
pp. 126-137 ◽  
Author(s):  
Sylvie Naar-King ◽  
Paul Earnshaw ◽  
Jeff Breckon
Keyword(s):  
Behavior Change ◽  
Motivational Interviewing ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Maintenance Strategies ◽  
Integrative Framework ◽  
Behavioral Treatments ◽  
Maintenance Intervention ◽  
Behavioral Domains

Improvements in behavior following active interventions diminish over time across a broad spectrum of behaviors. Motivational interviewing (MI) has been found to increase intrinsic motivation for initial behavior change, but there has been little discussion on how to integrate MI and the cognitive-behavioral treatments (CBTs) commonly used to maintain change. A prominent CBT approach to relapse prevention that has been tested in multiple behavioral domains includes the following maintenance strategies: managing the goal violation effect, flexible goal setting, identifying triggers and developing coping skills, and increasing self-efficacy and social support. Using a model of integration where MI is the foundation for CBT delivery, the integration of specific relational and technical components of MI and CBT strategies for maintenance of change are described. A universal maintenance intervention that uses MI as an integrative framework to deliver CBT may address maintenance of behavior change across multiple behavioral domains. Further research is necessary to confirm whether delivering MI with fidelity adds to the effectiveness of CBT maintenance interventions.

Psychological Treatments for Panic Disorders, Phobias, and Social and Generalized Anxiety Disorders

2015 ◽  
Author(s):  
David H. Barlow ◽  
Laren R. Conklin ◽  
Kate H. Bentley
Keyword(s):  
Behavioral Treatment ◽  
Skills Training ◽  
Cognitive Behavioral ◽  
Relaxation Techniques ◽  
Cognitive Behavioral Treatment ◽  
Panic Disorders ◽  
Generalized Anxiety Disorders ◽  
Behavioral Treatments ◽  
Breathing Retraining

A substantial number of strong studies have established the efficacy of cognitive-behavioral treatment for persons with panic disorder with or without agoraphobia. These treatments include some combination of cognitive elements, exposure to interoceptive sensations similar to physiological panic sensations, in vivo exposure, and breathing retraining. A number of excellent studies have established the clinical efficacy of situational in vivo exposure for patients with moderate to severe agoraphobia and specific phobia. The most common treatment approaches for social anxiety disorder include social skills training, relaxation techniques, exposure-based treatment methods, and multicomponent cognitive-behavioral treatments.

scholarly journals The Efficacy of Motivational Interviewing with Cognitive Behavioral Treatment on Behavior Changes in Heavy Drinkers

2021 ◽  
Vol 13 (3) ◽  
pp. 1338
Author(s):  
Kyonghwa Kang ◽  
Sungjae Kim
Keyword(s):  
Motivational Interviewing ◽  
Self Efficacy ◽  
Behavioral Treatment ◽  
Problem Drinking ◽  
Intervention Group ◽  
Behavioral Changes ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Cognitive Behavioral Treatment ◽  
Heavy Drinkers

This study aimed to investigate the efficacy of motivational interviewing (MI) with cognitive behavioral treatment (CBT) on behavioral changes of heavy drinkers. This study used embedded mixed methods that integrate sequential qualitative interviews with quantitative evaluation. Of a total of 47 participants, 24 belonged to an intervention group, which participated in the MI with CBT on behavioral changes once a week, 25–30 min on average, for 8 weeks. A total of 23 participants were assigned to a control group, which received a 7-page booklet containing information about alcohol. A t-test, generalized linear model, and qualitative analysis were used to evaluate the effects of MI with CBT. The interview data (n = 13) were analyzed using qualitative content analysis. There was a statistically significant change in participants’ beliefs concerning the immediate effects of drinking (F = 3.827, p = 0.025). Additionally, the intervention group had a significantly higher drinking refusal self-efficacy than the control group (F = 4.426, p = 0.015). Four themes emerged from the analysis of qualitative data: reduction of benefits of drinking, changes in thoughts about costs of drinking, changes in drinking behavior, and achieving self-efficacy. The MI with CBT significantly promoted awareness of problem-drinking behaviors among heavy drinkers and increased their self-efficacy, improving their ability to make positive behavioral changes for themselves. Since this intervention is simple and easy to apply, it will be useful for problem drinking-prevention strategies in the public health sector. Therefore, efforts to disseminate these strategies will be worthwhile from sustainable perspectives.

scholarly journals Effectiveness of Group and Individual Formats of a Combined Motivational Interviewing and Cognitive Behavioral Treatment Program for Problem Gambling: A Randomized Controlled Trial

2010 ◽  
Vol 38 (2) ◽  
pp. 233-238 ◽  
Author(s):  
Tian P. S. Oei ◽  
Namrata Raylu ◽  
Leanne M. Casey
Keyword(s):  
Motivational Interviewing ◽  
Group Treatment ◽  
Behavioral Treatment ◽  
Controlled Trial ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Psychological States ◽  
Randomized Controlled ◽  
Treatment Conditions ◽  
The Individual

Background: The study aimed to assess the effectiveness of group and individual formats of a combined motivational interviewing and cognitive behavioral treatment (CBT) program for problem gamblers (PGs) using a randomized controlled design. Method: One hundred and two PGs were randomly assigned to individual or group CBT conditions. Twenty-eight of these participants were randomly allocated to a 6-week waitlist control condition prior to receiving the designated treatment. Results: At post-treatment, there were significant improvements in all dependent variables (frequency and amount gambled, gambling urges, gambling cognitions, negative psychological states, and life satisfaction) for both the treatment conditions but not for the waitlist condition. Individuals that completed the individual (compared to group) treatment condition generally had higher effect sizes for gambling correlates. Therapeutic gains for gambling correlates were generally maintained at 6-month follow-up. Conclusions: A combined motivational interviewing and CBT program applied in group or individual format can improve PG behaviors, as well as gambling correlates.

Attentional Bias in Anxiety Disorders Following Cognitive Behavioral Treatment

2011 ◽  
Vol 25 (2) ◽  
pp. 114-129 ◽  
Author(s):  
Juliana I. Tobon ◽  
Allison J. Ouimet ◽  
David J. A. Dozois
Keyword(s):  
Anxiety Disorders ◽  
Attentional Bias ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Methodological Issues ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Behavioral Treatments

A substantive literature suggests that anxious people have an attentional bias toward threatening stimuli. To date, however, no systematic review has examined the effects of cognitive behavioral therapy (CBT) for anxiety on attentional bias. A better understanding of the extant literature on CBT and its effect on attentional bias can serve to bridge the gap between experimental research on cognitive bias and the implications for clinical treatment of anxiety disorders. The present review examined studies that measured the effects of CBT on attentional bias. Of the 13 studies reviewed, 10 demonstrated that attentional bias, as assessed by dichotic listening tasks, the emotional Stroop test, or probe detection tasks, was significantly reduced from pretreatment to posttreatment for obsessive-compulsive disorder, spider phobia, social phobia, and generalized anxiety disorder. Methodological issues are considered, and implications for cognitive behavioral treatments of anxiety are discussed.

Mindfulness-Based Relapse Prevention for Alcohol and Substance Use Disorders

2005 ◽  
Vol 19 (3) ◽  
pp. 211-228 ◽  
Author(s):  
Katie Witkiewitz ◽  
G. Alan Marlatt ◽  
Denise Walker
Keyword(s):  
Relapse Prevention ◽  
Behavioral Treatment ◽  
Mindfulness Meditation ◽  
Empirical Support ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Drug Use Disorders ◽  
Behavioral Treatments ◽  
Drug Problems

Cognitive-behavioral approaches to alcohol and drug use disorders have received considerable empirical support over the past 20 years. One cognitive-behavioral treatment, relapse prevention, was initially designed as an adjunct to existing treatments. It has also been extensively used as a stand-alone treatment and serves as the basis for several other cognitive and behavioral treatments. After a brief review of relapse prevention, as well as the hypothesized mechanisms of change in cognitive and behavioral treatments, we will describe a “new” approach to alcohol and drug problems called mindfulness-based relapse prevention. Preliminary data in support of mindfulness-meditation as a treatment for addictive behavior are provided and directions for future research are discussed.

A component analysis of cognitive-behavioral treatment for depression.

2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  
Keyword(s):  
Behavioral Treatment ◽  
Component Analysis ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment
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