The Predictive Capacity of Self-Reported Motivation vs. Observed Motivational Language in Cognitive Behavioural Therapy for Generalized Anxiety Disorder

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dc.contributor.advisorWestra, Henny Alice
dc.creatorPoulin, Lauren Elizabeth
dc.date.accessioned2018-11-21T13:47:16Z
dc.date.available2018-11-21T13:47:16Z
dc.date.copyright2018-07-24
dc.date.issued2018-11-21
dc.date.updated2018-11-21T13:47:16Z
dc.degree.disciplinePsychology (Functional Area: Clinical Psychology)
dc.degree.levelMaster's
dc.degree.nameMA - Master of Arts
dc.description.abstractClient change motivation is considered a key factor in psychotherapy. Existing research on motivation has largely relied on self-report, which is prone to response bias and inconsistently related to treatment outcome. In contrast, early observed client in-session language may be a more valid measure of initial motivation. The present study investigated 85 clients undergoing cognitive behavioural therapy alone (CBT) or CBT infused with motivational interviewing (MI-CBT) for generalized anxiety disorder. The aims were: (1) to compare the predictive capacity of motivational language vs. self-reported motivation, and (2) to examine the influence of treatment condition on motivational language. Findings revealed motivational language explained up to 38% of outcome variance, even 1-year posttreatment. In contrast, self-reported motivation failed to predict outcome. Moreover, MI-CBT was associated with a decrease in detrimental motivational language compared to CBT alone. These findings support attending to motivational language in CBT and responding to these markers using MI.
dc.identifier.urihttp://hdl.handle.net/10315/35525
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectPsychology
dc.subject.keywordsMotivation
dc.subject.keywordsResistance
dc.subject.keywordsCounter-change talk
dc.subject.keywordsAnxiety
dc.subject.keywordsCognitive behavioural therapy
dc.subject.keywordsTreatment outcomes
dc.titleThe Predictive Capacity of Self-Reported Motivation vs. Observed Motivational Language in Cognitive Behavioural Therapy for Generalized Anxiety Disorder
dc.typeElectronic Thesis or Dissertation

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