Motivational Interviewing and Adolescent Psychopharmacology
Motivational Interviewing and Adolescent Psychopharmacology
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DOI：
10.1097/chi.0b013e3181930660
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发表时间：
2009-02-01
影响因子：
13.3
通讯作者：
Weiss, Gony
中科院分区：
文献类型：
--
作者：
Dilallo, John J.;Weiss, Gony
在青少年的综合精神卫生保健中，精神科药物往往在解决衰弱症状和改善社会功能方面发挥着至关重要的作用。然而，尽管对青少年的具体估计是有限的，但精神病患者往往不坚持长期服用处方药。[1]反过来，药物不依从性预示着精神病住院、治疗失败和其他不良结局。[2]越来越多的文献证明，治疗联盟的质量对患者坚持精神科药物治疗和其他推荐治疗具有重要影响。3 Y 5处方的有效性在很大程度上取决于制定处方时的关系。对儿童和青少年有效的精神药物治疗的描述强调与患者和父母形成共情联盟，早期引入药物作为可能的治疗选择，评估家庭，学校和社会环境，促进自我接纳和对未来的希望，并持续关注发育中的儿童赋予药物的特殊意义。6 Y8此类描述-
In the comprehensive mental health care of an adolescent, psychiatric medication often plays a vital role in addressing debilitating symptoms and improving social functioning. However, although estimates specific to adolescents are limited, psychiatric patients frequently do not adhere to prescribed medications over time. 1 In turn, medication nonadherence predicts psychiatric hospitalization, treatment failure, and other poor outcomes. 2A growing literature attests to the quality of the therapeutic alliance as a central influence on patient adherence to psychiatric medication and other recommended therapies. 3Y5 A prescription’s effectiveness can depend significantly on the relationship in which it is made. Descriptions of effective Bpsychopharmacotherapy [with children and adolescents emphasize forming empathic alliances with both patients and parents, early introduction of medication as a possible treatment option, assessment of family, school and social contexts, promoting self-acceptance and hope for the future, and ongoing attention to the particular meanings assigned to medication by the developing child. 6Y8 Such descrip-