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01-06-2018 | Original Paper

Development of Intensive Motivational Interviewing (IMI) and Modifications for Treating Women with Alcohol Use Disorders

Authors: Douglas L. Polcin, Rachael Korcha, Madhabika Nayak

Published in: Journal of Contemporary Psychotherapy | Issue 2/2018

Abstract

Women have greater vulnerability to alcohol problems than men. They become intoxicated after drinking half as much as men, develop cirrhosis of the liver more rapidly, and have a greater risk of dying from alcohol-related accidents. Despite more serious consequences related to their drinking, treatment for women with alcohol use disorders has been understudied relative to treatment for men. Intensive motivational interviewing (IMI) is a recent psychotherapeutic intervention for substance abuse problems that draws on the principles of brief motivational interviewing (1–2 session). However, the intervention includes 9 sessions designed to enable therapists to have maximum flexibility to facilitate factors known to be important for women with substance use disorders, such as active facilitation of client-therapist collaboration, empowerment, and affirmation of strengths. This paper reviews the development of IMI, initial favorable findings for women with co-occurring methamphetamine and alcohol problems, and the design of an ongoing longitudinal study assessing the effects of MI for women with alcohol problems over a 12-month time period. Relational Theory is used as a conceptual framework for understanding IMI for women. The theory emphasizes understanding, building, and modifying interpersonal relationships as a central goal. From this perspective, self-efficacy, self-esteem, and reduction in drinking are enhanced through interpersonal connections with others. Plans for additional study of IMI are described along with suggestions for therapists.

Arkowitz, H., Miller, W. R., & Rollnick, S. (Eds.), (2015). Motivational interviewing in the treatment of psychological problems. New York: Guilford Publications.

Ball, S. A., Martino, S., Nich, C., Frankforter, T. L., Van Horn, D., Crits-Christoph, P., … Carroll, K. M. (2007). Site matters: Multisite randomized trial of motivational enhancement therapy in community drug abuse clinics. Journal of Consulting and Clinical Psychology, 75(4), 556–567.CrossRefPubMedPubMedCentral

Campbell, A. N., Nunes, E. V., Pavlicova, M., Hatch-Maillette, M., Hu, M. C., Bailey, G. L., … Turrigiano, E. (2015). Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders. Journal of Substance Abuse Treatment, 53, 9–15.CrossRefPubMed

Deane, F. P., Wootton, D. J., Hsu, C. I., & Kelly, P. J. (2012). Predicting dropout in the first 3 months of 12-step residential drug and alcohol treatment in an Australian sample. Journal of Studies on Alcohol and Drugs, 73, 216–225.CrossRefPubMed

DeYoung, P. A. (2015). Relational psychotherapy: A primer. New York: Routledge.

Galloway, G. P., Polcin, D., Kielstein, A., Brown, M., & Mendelson, J. (2007). A nine session manual of motivational enhancement therapy for methamphetamine dependence: Adherence and efficacy. Journal of Psychoactive Drugs, 39(Suppl. 4), 393–400. doi:10.1080/02791072.2007.10399900.CrossRef

Gaume, J., Magill, M., Mastroleo, N. R., Longabaugh, R., Bertholet, N., Gmel, G., & Daeppen, J. B. (2016). Change talk during brief motivational intervention with young adult males: Strength matters. Journal of Substance Aabuse Treatment, 65, 58–65.CrossRef

Grant, S., Pedersen, E. R., Osilla, K. C., Kulesza, M., & D’amico, E. J. (2016). Reviewing and interpreting the effects of brief alcohol interventions: Comment on a Cochrane review about motivational interviewing for young adults. Addiction, 111(9), 1521–1527.CrossRefPubMed

Korcha, R. A., Polcin, D. L., Evans, K., Bond, J. C., & Galloway, G. P. (2014). Intensive motivational interviewing for women with concurrent alcohol problems and methamphetamine dependence. Journal of Substance Abuse Treatment, 46(2), 113–119. doi:10.1016/j.jsat.2013.08.013.CrossRefPubMed

Li, L., Zhu, S., Tse, N., Tse, S., & Wong, P. (2016). Effectiveness of motivational interviewing to reduce illicit drug use in adolescents: A systematic review and meta-analysis. Addiction, 111(5), 795–805.CrossRefPubMed

Lundahl, B., & Burke, B. L. (2009). The effectiveness and applicability of motivational interviewing: A practice-friendly review of four meta-analyses. Journal of Clinical Psychology, 6, 1232–1245.CrossRef

Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20, 137–160.CrossRef

McHugh, R. K., Wigderson, S., & Greenfield, S. F. (2014). Epidemiology of substance use in reproductive-age women. Obstetrics and Gynecology Clinics of North America, 41(2), 177–189.CrossRefPubMedPubMedCentral

McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., … Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199–213. doi:10.1016/0740-5472(92)90062-S.CrossRefPubMed

Miller, W. R. (1983). Motivational interviewing with problem drinkers. Behavioural and Cognitive Psychotherapy, 11(2), 147–172.CrossRef

Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change (3rd edn.). New York: The Guilford Press.

Nakama, H., Chang, L., Cloak, C., Jiang, C., Alicata, D., & Haning, W. (2008). Association between psychiatric symptoms and craving in methamphetamine users. American Journal on Addictions, 17(5), 441–446.CrossRefPubMedPubMedCentral

National Institute on Drug Abuse. (2012). Principles of drug addiction treatment: A research-based guide (NIH Publication No.00-4180). Bethesda, MD: National Institutes of Health. Retrieved August 14, 2017 from https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment.

Nuro, K. F., Maccarelli, L., Martino, S., et al. (2005). Yale Adherence and Competence Scale (YACSII) Guidelines. West Haven, CT: Yale University Psychotherapy Development Center.

Polcin, D. L., Bond, J., Korcha, R., Nayak, M. B., Galloway, G. P., & Evans, K. (2014). Randomized trial of Intensive Motivational Interviewing for methamphetamine dependence. Journal of Addictive Diseases, 33(3), 253–265. doi:10.1080/10550887.2014.950029.CrossRefPubMedPubMedCentral

Polcin, D. L., Brown, M., & Galloway, G. P. (2005). Intensive motivational enhancement therapy manual. Emeryville, CA: Alcohol Research Group.

Polcin, D. L., Buscemi, R., Nayak, M., Korcha, R., & Galloway, G. (2012). Sex differences in psychiatric symptoms among methamphetamine-dependent residents in sober living houses. Addictive Disorders and Their Treatment, 11(2), 53–63. doi:10.1097/ADT.0b013e3182213ef1.CrossRefPubMedPubMedCentral

Polcin, D. L., Sterling, J., Brown, T., Brown, M., Buscemi, R., & Korcha, R. (2015). Client and therapist views about intensive and standard motivational interviewing. Journal of Contemporary Psychotherapy, 45(3), 167–176. doi:10.1007/s10879-014-9280-1.CrossRefPubMed

Rawson, R. A., Marinelli-Casey, P., Anglin, M. D., Dickow, A., Frazier, Y., Gallagher, C., … Zweben, J. (2004). A multi-site comparison of psychosocial approaches for the treatment of methamphetamine dependence. Addiction, 99(6), 708–717.CrossRefPubMed

Sun, A.-P. (2007). Relapse among substance-abusing women: Components and processes. Substance Use and Misuse, 42(1), 1–21.CrossRefPubMed

Tollison, S. J., Mastroleo, N. R., Mallett, K. A., Witkiewitz, K., Lee, C. M., Ray, A. E., & Larimer, M. E. (2013). The relationship between baseline drinking status, peer motivational interviewing microskills, and drinking outcomes in a brief alcohol intervention for matriculating college students: A replication. Behavior Therapy, 44(1), 137–151.CrossRefPubMed

Title: Development of Intensive Motivational Interviewing (IMI) and Modifications for Treating Women with Alcohol Use Disorders
Authors: Douglas L. Polcin
Rachael Korcha
Madhabika Nayak
Publication date: 01-06-2018
Publisher: Springer US
Published in: Journal of Contemporary Psychotherapy / Issue 2/2018
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI: https://doi.org/10.1007/s10879-017-9370-y

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Development of Intensive Motivational Interviewing (IMI) and Modifications for Treating Women with Alcohol Use Disorders

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