哪些医学访谈技巧与患者未公开表达的焦虑情绪和抑郁情绪的言语暗示相关？
Which medical interview skills are associated with patients' verbal indications of undisclosed feelings of anxiety and depressive feelings?
作者信息
Goto Michiko, Takemura Yousuke C
机构信息
Department of Education and Research in Family and Community Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan.
Department of Education and Research in Family and Community Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan ; Department of Family Medicine, Mie University School of Medicine and Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan.
出版信息
Asia Pac Fam Med. 2016 Feb 28;15:2. doi: 10.1186/s12930-016-0027-x. eCollection 2016.
BACKGROUND
In medical practice, obtaining information regarding patients' undisclosed "feelings of anxiety" or "depressive feelings" is important. The purpose of this study was to determine which interview skills are best suited for eliciting verbal indications of undisclosed feelings, for example anxiety or depressive feelings in patients.
METHODS
Our group videotaped 159 medical interviews at an outpatient department of the Department of Family Medicine, Mie University Hospital (Mie, Japan). Physicians' medical interview skills were evaluated using a Medical Interview Evaluation System and Emotional Information Check Sheet for assessing indications of "feelings of anxiety" or "depressive feelings". We analyzed the relationship between the interview skills and patients' consequent emotional disclosure using generalized linear model (GLIM).
RESULTS
The usage of interview skills such as "open-ended questions" "asking the patient's ideas about the meaning of illness" "reflection" and "legitimization" were positively associated with the number of anxiety disclosure, whereas "close-ended questions" and "focused question" were negatively associated. On the other hand, only "respect" was positively associated with the number of depressive disclosures, whereas "surveying question" was negatively associated.
CONCLUSIONS
The results revealed that there are several interview skills that are effective in eliciting verbal indication of undisclosed "feelings of anxiety" or "depressive feelings".
背景
在医疗实践中，获取患者未公开的“焦虑情绪”或“抑郁情绪”相关信息非常重要。本研究的目的是确定哪些访谈技巧最适合引出未公开情绪的言语暗示，例如患者的焦虑或抑郁情绪。
方法
我们的团队在日本三重大学医院家庭医学科门诊部对159次医疗访谈进行了录像。使用医疗访谈评估系统和情绪信息检查表评估医生的医疗访谈技巧，以评估“焦虑情绪”或“抑郁情绪”的迹象。我们使用广义线性模型（GLIM）分析了访谈技巧与患者随后情绪披露之间的关系。
结果
“开放式问题”“询问患者对疾病意义的看法”“反思”和“合法化”等访谈技巧的使用与焦虑披露的次数呈正相关，而“封闭式问题”和“聚焦问题”则呈负相关。另一方面，只有“尊重”与抑郁披露的次数呈正相关，而“调查性问题”呈负相关。
结论
结果表明，有几种访谈技巧在引出未公开的“焦虑情绪”或“抑郁情绪”的言语暗示方面是有效的。
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