Research on the influence that communication in psychiatric encounters has on treatment
Research on the influence that communication in psychiatric encounters has on treatment
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DOI：
10.1176/appi.ps.53.10.1253
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发表时间：
2002-10-01
影响因子：
3.8
通讯作者：
Pincus, HA
中科院分区：
文献类型：
--
作者：
Cruz, M;Pincus, HA
目的：这篇文章的目的是告知心理健康专业人员关于医疗和精神病接触的经验文献，以及沟通行为对特定接触输出和治疗结果的影响。研究方法：从1950年到2001年，使用MEDLINE和PsycINFO的健康通信文献的全面审查，进行了精神科医生和其他医生的沟通技巧，以确定相关的文章。这些搜索通过与实践变化、精神病学模式以及医学和精神病学通信研究专家的个人通信而得到加强。对每篇文章中的参考文献和专家提供的信息进行审查，确定了其他相关文章。然后，选择范围缩小到包括报告，研究使用结构化的书面文书，捕捉相关的医生和患者的看法的医患关系，内容分析的音频或录像带的通信在医疗或精神病的遭遇，或互动分析系统用于分类音频或录像带的沟通行为在医疗或精神病的遭遇。结果与结论：共纳入医学文献25篇，精神病学文献34篇。医学沟通研究人员已经观察到了医生的沟通技巧与患者满意度、患者对治疗建议的依从性、治疗效果以及患者提出医疗事故索赔的意愿之间的关联。研究还表明，初级保健医生可以在不延长就诊时间的情况下对患者的担忧做出更积极的反应。在精神病学中，文献可以分为四个独立的研究类别：协商治疗和客户方法，治疗联盟，Gottschalk-Gleser患者言语内容分析和精神病学访谈内容分析。
Objective: The purpose of this article is to inform mental health professionals about the empirical literature on medical and psychiatric encounters and the influence of communicative behaviors on specific encounter outputs and treatment outcomes. Methods: A comprehensive review of the health communications literature from 1950 to 2001, using MEDLINE and PsycINFO, was conducted to identify relevant articles on the communication skills of psychiatrists and other physicians. These searches were augmented by personal correspondence with experts on changes in practice, patterns in psychiatry and on medical and psychiatric communications research. A review of references within each article and information from the experts identified other relevant articles. Selection was then narrowed to include reports, of studies that used structured written instruments that captured relevant physician and patient perceptions of the physician-patient relationship, content analysis of audio- or videotapes of communication in medical or psychiatric encounters, or interaction analysis systems used to categorize audio- or videotaped communicative behaviors in medical or psychiatric encounters. Results and conclusions: Twenty-five articles in medicine and 34 articles in psychiatry were selected. Medical communication researchers have observed associations; between physicians' communicative skills and patients' satisfaction, patients' adherence to treatment recommendations, treatment outputs, and patients' willingness to file malpractice claims. The research has also shown that primary care physicians can be more responsive to patients' concerns without lengthening visits. In psychiatry, the literature can be organized into, four discrete categories of research: negotiated treatment and the customer approach, therapeutic Alliance, Gottschalk-Gleser content analysis of patients' speech, and content analysis of psychiatric interviews.