Sarah W Feldstein Ewing1, Timothy R Apodaca2,3, Jacques Gaume4. 1. Oregon Health & Science University, Department of Child & Adolescent Psychiatry, Portland, OR, USA. feldstei@ohsu.edu. 2. Children's Mercy Kansas City, Kansas City, MO, USA. 3. University of Missouri-Kansas City School of Medicine, Department of Pediatrics, Kansas City, MO, USA. 4. Lausanne University Hospital, Department of Community Health and Medicine, Alcohol Treatment Center, Lausanne, Switzerland.
Abstract
BACKGROUND AND AIMS: The exploration and resolution of ambivalence play an essential role in motivational interviewing (MI) theory. However, most adolescent MI studies have not examined ambivalence as a contributor to behaviour change. This paper reviewed research findings on the role of ambivalence in the adolescent change process. METHODS AND RESULTS: We undertook a narrative review of the published empirical and theoretical literature on ambivalence and mechanisms of change in MI for adolescents and found that current MI evaluations appear not to have access to reliable and valid measures of ambivalence in adolescence or neuroimaging methods to evaluate the mechanisms of treatment response. CONCLUSIONS: Improved instrumentation is needed to assess adolescents' ambivalence in clinical and research settings. Innovative methodology, including neuroimaging, may help identify factors mediating relationships between adolescents' ambivalence and treatment response.
BACKGROUND AND AIMS: The exploration and resolution of ambivalence play an essential role in motivational interviewing (MI) theory. However, most adolescent MI studies have not examined ambivalence as a contributor to behaviour change. This paper reviewed research findings on the role of ambivalence in the adolescent change process. METHODS AND RESULTS: We undertook a narrative review of the published empirical and theoretical literature on ambivalence and mechanisms of change in MI for adolescents and found that current MI evaluations appear not to have access to reliable and valid measures of ambivalence in adolescence or neuroimaging methods to evaluate the mechanisms of treatment response. CONCLUSIONS: Improved instrumentation is needed to assess adolescents' ambivalence in clinical and research settings. Innovative methodology, including neuroimaging, may help identify factors mediating relationships between adolescents' ambivalence and treatment response.
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Authors: Maureen A Walton; Stephen T Chermack; Jean T Shope; C Raymond Bingham; Marc A Zimmerman; Frederic C Blow; Rebecca M Cunningham Journal: JAMA Date: 2010-08-04 Impact factor: 56.272
Authors: Sarah W Feldstein Ewing; Erika A Montanaro; Jacques Gaume; Raul Caetano; Angela D Bryan Journal: Addict Behav Date: 2015-03-12 Impact factor: 3.913
Authors: Raymond F Anton; Stephanie S O'Malley; Domenic A Ciraulo; Ron A Cisler; David Couper; Dennis M Donovan; David R Gastfriend; James D Hosking; Bankole A Johnson; Joseph S LoCastro; Richard Longabaugh; Barbara J Mason; Margaret E Mattson; William R Miller; Helen M Pettinati; Carrie L Randall; Robert Swift; Roger D Weiss; Lauren D Williams; Allen Zweben Journal: JAMA Date: 2006-05-03 Impact factor: 56.272
Authors: Sarah W Feldstein Ewing; Eric D Claus; Karen A Hudson; Francesca M Filbey; Elizabeth Yakes Jimenez; Krista M Lisdahl; Alberta S Kong Journal: Brain Imaging Behav Date: 2017-08 Impact factor: 3.978
Authors: Eric D Claus; Sarah W Feldstein Ewing; Renee E Magnan; Erika Montanaro; Kent E Hutchison; Angela D Bryan Journal: Brain Imaging Behav Date: 2018-04 Impact factor: 3.978
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Authors: Jennifer A Silvers; Lindsay M Squeglia; Kristine Rømer Thomsen; Karen A Hudson; Sarah W Feldstein Ewing Journal: Alcohol Clin Exp Res Date: 2019-03-15 Impact factor: 3.455
Authors: Sarah W Feldstein Ewing; Tammy Chung; Justin D Caouette; Arielle Ketcherside; Karen A Hudson; Francesca M Filbey Journal: Neuroimage Date: 2016-12-28 Impact factor: 6.556
Authors: Sarah W Feldstein Ewing; Sarah L Karalunas; Emily A Kenyon; Manshu Yang; Karen A Hudson; Francesca M Filbey Journal: Drug Alcohol Depend Rep Date: 2022-04-01
Authors: Sarah J Schmiege; Renee E Magnan; Elizabeth A Yeater; Sarah W Feldstein Ewing; Angela D Bryan Journal: Am J Prev Med Date: 2021-01 Impact factor: 5.043