Preliminary results on a new instrument to assess patient motivation for treatment in cognitive-behaviour therapy
Publication year
1999Source
Behavioural and Cognitive Psychotherapy, 27, (1999), pp. 165-179ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ BSI KLP
Journal title
Behavioural and Cognitive Psychotherapy
Volume
vol. 27
Page start
p. 165
Page end
p. 179
Subject
Experimental Psychopathology and TreatmentAbstract
The Nijmegen Motivation List 2 (NML2) is a new instrument to assess patient
motivation for psychotherapy. A previous version of the instrument was associated
with positive treatment outcome in cognitive-behaviour therapy in several studies but
its psychometric properties were poor. The present study investigated the NML2’s factorial
structure, psychometric properties, and predictive value for treatment outcome.
The NML2 was completed by 133 outpatients. Three factors were found: preparedness,
distress, and doubt. Internal consistencies and re-test reliabilities of the factors were
reasonable. The NML2 total score and preparedness were associated with proximal
treatment helpfulness and with treatment drop-out. Distress and doubt were not. These
findings corroborate those found with the earlier NML version. Rather than assuming
that the relationship between motivation factors and treatment outcome is mediated by
the amount or quality of treatment or homework compliance, it is proposed that motivation
for treatment is the first step in the patient’s change process itself.
This item appears in the following Collection(s)
- Academic publications [238441]
- Faculty of Social Sciences [29483]
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