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首页> 外文期刊>Journal of substance abuse treatment >Does mental status impact therapist and patient communication in emergency department brief interventions addressing alcohol use?
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Does mental status impact therapist and patient communication in emergency department brief interventions addressing alcohol use?

机译：精神状态是否会影响治疗师和患者沟通在急诊部简要的干预措施中解决饮酒？

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Motivational interviewing (MI) is often incorporated into screening, brief intervention, and referral to treatment (SBIRT) interventions in critical care settings to address alcohol and other drug use. However, cognitive status has been linked to differential response to MI sessions in emergency department (ED) settings. The current study examined one possible explanation for this differential response: whether higher versus lower mental status impacts patient response to clinician statements during MI sessions conducted in an ED. Participants were 126 patients receiving an MI-based single-session alcohol brief intervention, and 13 therapists who provided treatment. Participants completed a mental status exam (MSE) as part of the screening process. Intervention sessions were audio-taped, and transcribed and coded using the Motivational Interviewing Skills Code (MISC 2.0; Miller, Moyers, Ernst, & Amrhein, 2003). The MISC 2.0 coded therapist behaviors that are related to the use of motivational interviewing, and patient language reflecting movement toward (change talk) or away from (sustain talk) changing personal alcohol use. Overall, patients responded in a similar manner to therapist MI behaviors regardless of high versus low level of mental functioning at the time of the intervention. Group differences emerged on patient response to only three specific therapist skills: giving information, open questions, and complex reflection. Thus, the differential effects of SBIRT in critical care settings do not appear to be a result of differences in the therapist and patient communication process. (C) 2016 Elsevier Inc. All rights reserved.
机译：励志面试（MI）通常纳入筛选，简短的干预和转诊治疗（SBIRT）干预措施，以解决酒精和其他药物使用。然而，认知状态已与急诊部（ED）设置中的MI会话的差异响应有关。目前的研究检查了这种差异响应的一个可能的解释：在编辑中进行的MI会话期间，是否更高的较低精神状态会影响患者对临床医生陈述的临床陈述。参与者是126名接受MI的单一会议酒精短暂干预，以及13名提供治疗的治疗师。参与者完成了精神状态考试（MSE）作为筛选过程的一部分。干预会话是使用励志面试技能守则（MISC 2.0; MITC 2.0; MITCER，Moyers，Ernst，＆Amrhein，2003）转录和编码的录音和编码和编码。与使用励志面试的杂项2.0编码的治疗师行为，以及反映朝向（改变谈话）或远离（维持谈话）的患者语言改变个人酒精使用。总体而言，患者以与治疗师MI行为类似的方式回应，而不管干预时的高度高度的精神功能。患者对患者的响应产生的群体差异仅为三个特定的治疗师技能：提供信息，开放性问题和复杂的反思。因此，SBIRT在关键护理环境中的差异效果似乎不是治疗师和患者通信过程的差异的结果。 （c）2016年Elsevier Inc.保留所有权利。

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