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Motivational Interviewing with Alcohol Outpatients

Published online by Cambridge University Press:  16 June 2009

Thomas H. Bein ,
William R. Miller  and
Joseph M. Boroughs
Thomas H. Bein
Affiliation:
Department of Psychology, University of New Mexico
William R. Miller
Affiliation:
Department of Psychology, University of New Mexico
Joseph M. Boroughs
Affiliation:
Department of Psychology, University of New Mexico
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Abstract

Outpatients from a V.A. outpatient substance abuse treatment program (N = 32) were assigned at random either to receive or not receive a brief motivational intervention in addition to standard outpatient treatment. The additional intervention consisted of two additional hours of assessment and a one-hour motivational interview. Control subjects received the same additional assessment, but with an attention-placebo interview in place of the motivational interview. Those assigned to receive the additional intervention demonstrated superior clinical outcome at three month follow-up on a composite variable composed of three individual variables: (1) total standard drinks, (2) peak blood alcohol level, and (3) percent days abstinent. These results were substantially corroborated by reports of significant others. By six month follow-up, the superiority of the treatment group was modest, and no longer significant. These findings support the utility of this approach for use with clinically severe alcohol populations on at least a time-limited basis.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 21 , Issue 4 , October 1993 , pp. 347 - 356
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1993

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References

Bien, T., Miller, W. and Tonigan, S. (1993). Brief interventions for alcohol problems: a review. Addiction 88, 315–336.CrossRefGoogle ScholarPubMed
Brown, J. and Miller, W. (in press). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviors.Google Scholar
Chick, J., Ritson, B., Connaughton, J., Stewart, A. and Chick, J. (1988). Advice versus extended treatment for alcoholism: a controlled study. British Journal of Addiction 83, 159–170.CrossRefGoogle ScholarPubMed
Elvy, G., Wells, J. and Baird, K. (1988). Attempted referral as intervention for problem drinking in the general hospital. British Journal of Addiction 83, 83–89.CrossRefGoogle ScholarPubMed
Edwards, G., Orford, J., Egert, S., Guthrie, S., Hawker, A., Hensman, C., Mitcheson, M., Oppenheimer, E. and Taylor, C. (1977). Alcoholism: a controlled trial of “treatment” and “advice”. Journal of Studies on Alcohol 38, 1004–1031.CrossRefGoogle ScholarPubMed
Heather, N., Whitton, B. and Robertson, I. (1986). Evaluation of a self-help manual for media-recruited problem drinkers: six month follow-up results. British Journal of Clinical Psychology 25, 19–34.CrossRefGoogle ScholarPubMed
Horn, J., Wanberg, K. and Foster, F. (1986). Alcohol Use Inventory. Minneapolis: National Computer Systems, Inc.Google Scholar
Kristenson, H., Ohlin, H., Hulten-Nosslin, M-B., Trell, E. and Hood, B. (1983). Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24–60 months of long-term study with randomized controls. Alcoholism: Clinical and Experimental Research 7, 203–209.CrossRefGoogle ScholarPubMed
Markham, M. (1991). BACCUS. Dept. of Psychology, University of New Mexico.Google Scholar
Miller, W. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy 11, 147–172.CrossRefGoogle Scholar
Miller, W. (1985). Motivation for treatment: a review with special emphasis on alcoholism. Psychological Bulletin 98, 84–107.CrossRefGoogle ScholarPubMed
Miller, W., Benefield, R. and Tonigan, S. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology 61, 455–461.CrossRefGoogle ScholarPubMed
Miller, W.R., Heather, N. and Hall, W. (1991). Calculating standard drink units: international comparisons. British Journal of Addiction 86, 43–47.CrossRefGoogle ScholarPubMed
Miller, W. and Marlatt, G. (1984). Brief Drinker Profile. Psychological Assessment Resources, Inc.Google Scholar
Miller, W. and Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Press.Google Scholar
Miller, W. and Sanchez, V. (in press). Motivating young adults for treatment and lifestyle change.Google Scholar
Miller, W., Sovereign, R. and Krege, B. (1988). Motivational interviewing with problem drinkers: II. The drinker's check-up as a preventive intervention. Behavioural Psychotherapy 16, 251–268.CrossRefGoogle Scholar
Selzer, M. (1971). The Michigan Alcholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry 127, 1653–1658.CrossRefGoogle Scholar
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