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Patient Motivational Language As A Predictor Of Symptom Change, Hazard Of Clinically Significant Response, And Time To Response In Psychotherapy For Generalized Anxiety Disorder, Brien J. Goodwin
Masters Theses
Change-talk (CT), or self-arguments for change, has been associated with favorable patient outcomes, while counter change-talk (CCT), or self-arguments against change, has been associated with poorer outcomes. Most studies on change language have focused on the prediction of distal posttreatment outcomes, while the prediction of more proximal outcomes has remained largely untested. Addressing this gap, we examined early treatment CT and CCT as predictors of worry change trajectories, “hazard” of clinically significant response, and time to response (i.e., outcome efficiency) in CBT and CBT integrated with MI (MI-CBT) for generalized anxiety disorder (GAD). We also explored whether treatment type moderated …
The Role Of Motivation To Change In The Treatment Of Obsessive-Compulsive Disorder, Christopher M. Spofford
The Role Of Motivation To Change In The Treatment Of Obsessive-Compulsive Disorder, Christopher M. Spofford
Open Access Dissertations
The primary purpose of this study was to examine the role of motivation in the treatment of individuals hospitalized for severe OCD, specifically, the extent to which an individual’s motivation for treatment and motivational orientation (intrinsic or extrinsic motivation) predict OCD treatment response. The sample consisted of 142 individuals diagnosed with severe treatment-refractory OCD participating in an intensive treatment program. Patients completed a measure assessing overall motivation and motivational orientation at admission (TSRQ), and measures assessing depressive severity (BDI) and OCD symptom severity (Y-BOCS) at admission and discharge. Hierarchical multiple regression analyses were performed in which admission levels of overall …