Category: Adult Anxiety - GAD
Client motivation for change correlates positively with various adaptive variables in cognitive-behavioral therapy, such as client engagement and commitment to therapy (e.g., Antony, Ledley, & Heimberg, 2005). Low motivation for change may be tied to ambivalence about engaging in therapy; that is, while recognizing the potential therapeutic benefit of treatment, some individuals may also experience concerns about what treatment could mean for them or require of them. The Treatment Ambivalence Questionnaire (TAQ; Rowa, et al., 2014) was developed to capture the degree of ambivalence, as well as the specific concerns the client has about treatment. If the two constructs are related, it is possible that one is more predictive of treatment outcome than the other. The present study tested the hypotheses that in individuals with generalized anxiety disorder (GAD), higher pretreatment ambivalence as measured by the TAQ would be significantly negatively correlated with pretreatment self-reported motivation for change, as measured by the Change Questionnaire (CQ; Miller & Johnson, 2008), and ambivalence and motivation for change would be significantly related to greater difference in worry and symptom severity pre- to posttreatment.
The data were collected as part of a randomized clinical trial (Westra, Constantino, & Antony, 2016) in which participants with severe GAD were randomly assigned to receive 15 sessions of CBT alone (n=30) or CBT integrated with MI (MI-CBT; n=36). Participants completed the TAQ and CQ before starting treatment and completed the worry measure (Penn State Worry Questionnaire; Meyer, Miller, Metzger, & Borkovec, 1990) and GAD severity measure (Generalized Anxiety Disorder-7 Item; Spitzer, Kroenke, Williams, & Lowe, 2006) at baseline and immediately posttreatment.
Kathleen Stewart– Ryerson University, Toronto, Ontario, Canada
Ariella Lenton-Brym– Graduate Student, Ryerson University, Toronto, Ontario, Canada
Alice Coyne– University of Massachussets Amherst
Henny Westra– Professor, York University, Ontario, Canada
Michael Constantino– Professor, University of Massachusetts Amherst
Martin Antony– Professor, Ryerson University, Ontario, Canada