Motivational interviewing-based interventions with patients with comorbid anxiety and substance use disorders
Open accessAbstract
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.
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Temperature regulation plays an important role in sleep initiation and maintenance because the body's core temperature naturally decreases in preparation for sleep.
“Temperature regulation plays an important role in sleep initiation and maintenance because the body's core temperature naturally decreases in preparation for sleep [60].”
From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [60]
The Introduction describes a review of motivational interviewing for patients with comorbid anxiety and substance use disorders; the Results discuss treatment outcomes. Searches for sleep initiation, thermoregulation, and core body temperature found no passage addressing the claim. The paper's discussion of anxiety and substance use does not establish whether core temperature falls before sleep. (LLM, conf=0.78)
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- Authors
- Buckner, J. D.
- Affiliations
- Louisiana State University (US)
- Corresponding author
- Buckner, Julia D.
- ORCID
- Buckner, Julia D.
- Venue
- Current Opinion in Psychology
- Publisher
- Elsevier BV
- Published
- 2024-12
- Volume
- 60
- Pages
- 101934
- ISSN
- 2352-250X (ISSN-L)
- PMC
- PMC11608130
- OpenAlex
- W4403973470
- Cited by
- 6
- References
- 26
- Citations by year
- 2026: 4 · 2025: 1 · 2021: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 342 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Current Opinion in Psychology (acceptedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- Louisiana Department of Health
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (R21AA030071)
- National Institute on Drug Abuse (R21DA056846)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- motivational interviewing, substance use disorders, anxiety disorders, online intervention, cognitive-behavioral techniques, treatment outcomes
- MeSH terms
- Anxiety Disorders, Humans, Motivation, Comorbidity, Cognitive Behavioral Therapy, Substance-Related Disorders, Motivational Interviewing
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