BACKGROUND AND AIMS: Research into the active ingredients of behavioral interventions for @entity285 use disorders (AUD) has focused on treatment-specific factors often yielding disappointing results. The present study examines common factors of change in motivational enhancement therapy, cognitive-behavioral therapy, and twelve-step facilitation therapy by 1) estimating transitional probabilities between therapist behaviors and subsequent client Change (CT) and @entity8389 ) examining therapist skillfulness as a potential predictor of transition probability magnitude. DESIGN: Secondary data analysis examined temporal associations in therapy dialogues. SETTING: USA: data were from Project MATCH (1997). @entity1 : N   =   126 @entity1 who received Motivational Enhancement Therapy, Cognitive-Behavioral Therapy, or Twelve-Step Facilitation Therapy. MEASUREMENTS: Therapist behaviors were measured in three categories (Exploring, Teaching, Connecting) and client statements included five categories (CT-Distal, ST-Distal, CT-Proximal, ST-Proximal, Neutral). Therapist skillfulness was measured using a 5-point ordinal scale. FINDINGS: Relative to chance, therapist exploratory behaviors predicted subsequent client discussion of distal, drinking behavior (OR   =   1.37 to 1.78, p   <   .001) while suppressing discussion of proximal coping and neutral content (OR   =   .83 to .90, p   <   .01). Unexpectedly, therapist teaching suppressed distal drinking language (OR   =   .48 to .53, p   <   .001) and predicted neutral content (OR   =   1.45, p   <   .001). Connecting behaviors increased both drinking and coping language, particularly language in favor of change (CT OR   =   1.15 to 1.84, p   <   .001). Analyses of exploring and connecting skillfulness revealed that high skillfulness maximized these behaviors effect on client responses, but not teaching skillfulness. CONCLUSIONS: In motivational enhancement therapy, cognitive-behavioral therapy, and twelve-step facilitation therapy for @entity285 use disorders, the therapists who explore and connect with clients appear to be more successful at eliciting discussion about change then therapists who engage in @entity146 . Therapists who are more skilled achieve better results than those who are less skilled.

Therapist and client discussions of drinking and coping: A sequential analysis of therapy dialogues in three evidence-based XXXX use disorder treatments.

@entity8389 :: ('6761', 'Gene') :: ['Sustain (ST) Talk and 2'] @entity1 :: ('9606', 'Species') :: ['participants', 'PARTICIPANTS'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol'] @entity146 :: ('MESH:D001523', 'Disease') :: ['teaching behavior']
@entity285 :: (D000431,Chemical) :: ['alcohol']
