Abstract
Motivational Interviewing (MI) has been suggested as an adjunct to Cognitive Behavior Therapy (CBT) for anxiety disorders. Although preliminary evidence suggests that MI as a prelude to CBT (MI + CBT) improves various aspects of treatment from initial engagement, overall symptom reduction, and treatment drop out rate, results are inconsistent. The current meta-analysis combined the findings of 12 trials examining the efficacy of MI + CBT in comparison to CBT alone. Across studies, MI + CBT outperformed standard CBT in terms of overall anxiety symptom reduction, Hedges g = 0.59. Drop out rates were not significantly different between groups. Moderator analyses revealed no significant differences based on specific anxiety diagnosis or dose of MI. The findings of this meta-analysis suggest that MI as an adjunct to CBT for anxiety disorders improves treatment outcome, in comparison to CBT alone. Limitations of the study and future research directions are explored.
| Original language | English |
|---|---|
| Number of pages | 10 |
| Journal | Clinical Psychology Review |
| Volume | 62 |
| DOIs | |
| Publication status | Published - 1 Jun 2018 |
Keywords
- Anxiety
- Cognitive behavior therapy
- Meta-analysis
- Motivation
- Motivational interviewing
Cite this
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The efficacy of incorporating motivational interviewing to cognitive behavior therapy for anxiety disorders : A review and meta-analysis. / Marker, Isabella; Norton, Peter J.
In: Clinical Psychology Review, Vol. 62, 01.06.2018.Research output: Contribution to journal › Review Article › Research › peer-review
TY - JOUR
T1 - The efficacy of incorporating motivational interviewing to cognitive behavior therapy for anxiety disorders
T2 - A review and meta-analysis
AU - Marker, Isabella
AU - Norton, Peter J.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Motivational Interviewing (MI) has been suggested as an adjunct to Cognitive Behavior Therapy (CBT) for anxiety disorders. Although preliminary evidence suggests that MI as a prelude to CBT (MI + CBT) improves various aspects of treatment from initial engagement, overall symptom reduction, and treatment drop out rate, results are inconsistent. The current meta-analysis combined the findings of 12 trials examining the efficacy of MI + CBT in comparison to CBT alone. Across studies, MI + CBT outperformed standard CBT in terms of overall anxiety symptom reduction, Hedges g = 0.59. Drop out rates were not significantly different between groups. Moderator analyses revealed no significant differences based on specific anxiety diagnosis or dose of MI. The findings of this meta-analysis suggest that MI as an adjunct to CBT for anxiety disorders improves treatment outcome, in comparison to CBT alone. Limitations of the study and future research directions are explored.
AB - Motivational Interviewing (MI) has been suggested as an adjunct to Cognitive Behavior Therapy (CBT) for anxiety disorders. Although preliminary evidence suggests that MI as a prelude to CBT (MI + CBT) improves various aspects of treatment from initial engagement, overall symptom reduction, and treatment drop out rate, results are inconsistent. The current meta-analysis combined the findings of 12 trials examining the efficacy of MI + CBT in comparison to CBT alone. Across studies, MI + CBT outperformed standard CBT in terms of overall anxiety symptom reduction, Hedges g = 0.59. Drop out rates were not significantly different between groups. Moderator analyses revealed no significant differences based on specific anxiety diagnosis or dose of MI. The findings of this meta-analysis suggest that MI as an adjunct to CBT for anxiety disorders improves treatment outcome, in comparison to CBT alone. Limitations of the study and future research directions are explored.
KW - Anxiety
KW - Cognitive behavior therapy
KW - Meta-analysis
KW - Motivation
KW - Motivational interviewing
UR - http://www.scopus.com/inward/record.url?scp=85046641766&partnerID=8YFLogxK
U2 - 10.1016/j.cpr.2018.04.004
DO - 10.1016/j.cpr.2018.04.004
M3 - Review Article
VL - 62
JO - Clinical Psychology Review
JF - Clinical Psychology Review
SN - 0272-7358
ER -