Searight H Russell
Department of Psychology, Lake Superior State University, 650 West Easterday Avenue, Sault Sainte Marie, MI 49783, USA.
Prim Care. 2007 Sep;34(3):551-70, vi-vii. doi: 10.1016/j.pop.2007.05.012.
Up to 60% of ambulatory primary care patients have psychosocial factors contributing to their symptom presentation. Counseling, although helpful, is seen as requiring specialized training that most primary care physicians lack, as well as being complex and time-consuming. Several counseling methods have been developed that are brief, relatively easy for the physician to learn and implement, and patient-centered. These include the BATHE technique, the FRAMES strategy, the Stages of Change (Transtheoretical Model) approach, and Motivational Interviewing. Although limited, available research suggests that carefully targeted brief counseling in medical settings does produce meaningful change.
高达60%的门诊初级保健患者存在导致其症状表现的社会心理因素。咨询虽然有帮助，但被认为需要大多数初级保健医生所缺乏的专业培训，而且复杂且耗时。已经开发出几种简短、医生相对容易学习和实施且以患者为中心的咨询方法。这些方法包括BATHE技巧、FRAMES策略、改变阶段（跨理论模型）方法和动机性访谈。尽管现有研究有限，但表明在医疗环境中精心针对性的简短咨询确实能产生有意义的改变。
