Individuals with substance misuse and substance use disorder (SUD) experience especially high rates of elevated anxiety, including anxiety disorders, and the co-occurrence of these conditions is related to worse treatment outcomes. Given that these patients may have little motivation to change their substance misuse if they use substances to cope with their chronically elevated anxiety, interventions that include components that target motivation may be especially useful. Thus, this paper reviews the recent extant literature on treatments developed specifically for these high-risk patients that include motivational interviewing (MI) techniques to increase motivation for behavioral change. Results indicate that two modalities have been tested – in-person therapies and online interventions. The majority use MI techniques to change substance use and some to change anxiety-related behaviors. The majority also incorporate cognitive-behavioral skills to manage substance use and anxiety. Data indicate that MI techniques can be administered in-person and online to decrease substance misuse and anxiety among patients with elevated anxiety and substance misuse.

中文翻译：

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对共病焦虑和物质使用障碍患者进行基于动机性访谈的干预


患有物质滥用和物质使用障碍 （SUD） 的人的焦虑率特别高，包括焦虑症，并且这些情况的共同发生与较差的治疗结果有关。鉴于这些患者如果使用物质来应对长期升高的焦虑，他们可能几乎没有动力改变他们的物质滥用，因此包括针对动机的组成部分的干预措施可能特别有用。因此，本文回顾了最近现存的专门为这些高危患者开发的治疗方法的文献，其中包括动机性访谈 （MI） 技术，以增加行为改变的动机。结果表明，已经测试了两种方式——面对面治疗和在线干预。大多数人使用 MI 技术来改变物质使用，一些人改变与焦虑相关的行为。大多数人还结合了认知行为技能来管理物质使用和焦虑。数据表明，MI 技术可以面对面和在线管理，以减少焦虑和药物滥用加剧患者的药物滥用和焦虑。