Background: One reason that motivational interviewing (MI) is thought to translate well to a variety of treatment domains is due to the focus on client ambivalence. Aims: Therefore, the current study aimed to explore the construct of ambivalence in the context of MI and cognitive behavioural therapy (CBT) for social anxiety disorder (SAD). Method: Participants were 147 individuals diagnosed with SAD who were randomised to receive either MI or supportive counselling prior to receiving group CBT for SAD. Results: The results suggested that MI was not related to decreases in general ambivalence or treatment ambivalence, although an indicator of treatment ambivalence was found to predict worse treatment outcome. Conclusions: The findings suggest that three sessions of MI prior to CBT may not decrease ambivalence in participants with SAD, which may underscore the potential importance of tackling ambivalence as it arises during CBT.

中文翻译：

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动机性访谈对社交焦虑症矛盾心理的影响

背景：动机性访谈（MI）被认为可以很好地转化为各种治疗领域的一个原因是由于关注来访者的矛盾心理。目的：因此，本研究旨在探索在 MI 和认知行为疗法 (CBT) 对社交焦虑症 (SAD) 的背景下矛盾心理的构建。方法：参与者是 147 名诊断为 SAD 的个体，他们在接受针对 SAD 的 CBT 组之前被随机分配接受 MI 或支持性咨询。结果：结果表明，MI 与一般矛盾心理或治疗矛盾心理的降低无关，尽管发现治疗矛盾心理的指标可以预测较差的治疗结果。结论：研究结果表明，在 CBT 之前进行 3 次 MI 可能不会降低 SAD 参与者的矛盾心理，