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职业治疗师和物理治疗师在与患者互动中使用的个体内和人际情绪调节策略:一项定性研究。

Occupational and Physical Therapists' Use of Intrapersonal and Interpersonal Emotion Regulation Strategies During Patient Interactions: A Qualitative Study.

机构信息

Ayana Horton, PhD, is Lecturer, College of Health, Medicine, and Life Sciences, Brunel University London, London, England;

David Holman, PhD, is Professor, Alliance Manchester Business School, University of Manchester, Manchester, England.

出版信息

Am J Occup Ther. 2022 Sep 1;76(5). doi: 10.5014/ajot.2022.048199.

DOI:10.5014/ajot.2022.048199
PMID:35900367
Abstract

IMPORTANCE

Occupational and physical therapists' use of intrapersonal and interpersonal emotion regulation strategies may play an important role in building therapeutic relationships, but little is known about how they use these strategies during patient interactions.

OBJECTIVE

To understand how therapists use intrapersonal and interpersonal emotion regulation strategies during their patient interactions.

DESIGN

This qualitative study consisted of two stages of data collection. In Stage 1, therapists were interviewed regarding how they use emotion regulation strategies in their therapeutic relationships. In Stage 2, patient-therapist dyads were observed during treatment sessions and then interviewed at the end of the therapeutic relationship.

SETTING

Inpatient and outpatient rehabilitation hospitals and clinics in the United Kingdom.

PARTICIPANTS

In Stage 1, 13 occupational therapists and 9 physical therapists participated; in Stage 2, 14 patient-therapist dyads participated.

OUTCOME AND MEASURES

A semistructured interview guide was used to ask therapists how they use emotion regulation strategies during patient interactions.

RESULTS

Therapists used a wide range of interpersonal and intrapersonal emotion regulation strategies that can be categorized in prominent emotion regulation strategy taxonomies. They used these strategies both proactively, in anticipation of emotional events, and reactively, in response to emotional events. Their use helped them to build and maintain the therapeutic relationship and to protect themselves, feel better, and get their jobs done.

CONCLUSIONS AND RELEVANCE

The ability to regulate one's own and others' emotions is an essential part of therapists' work. In this study, therapists used a wide range of emotion regulation strategies to benefit themselves and their patients. What This Article Adds: This is the first study to identify the specific intrapersonal and interpersonal emotion regulation strategies used by occupational and physical therapists during patient-therapist interactions. This study makes an important contribution to understanding therapists' use of proactive and reactive emotion regulation strategies to build and maintain therapeutic relationships.

摘要

重要性

职业治疗师和物理治疗师使用个体内和人际情绪调节策略可能在建立治疗关系中发挥重要作用,但对于他们在患者互动中如何使用这些策略知之甚少。

目的

了解治疗师在与患者互动过程中如何使用个体内和人际情绪调节策略。

设计

这项定性研究由两个数据收集阶段组成。在第 1 阶段,治疗师接受了关于他们如何在治疗关系中使用情绪调节策略的访谈。在第 2 阶段,在治疗期间观察了患者-治疗师二人组,然后在治疗关系结束时对其进行了访谈。

地点

英国的住院和门诊康复医院和诊所。

参与者

在第 1 阶段,有 13 名职业治疗师和 9 名物理治疗师参加;在第 2 阶段,有 14 对患者-治疗师二人组参加。

结果和措施

使用半结构化访谈指南询问治疗师他们如何在患者互动中使用情绪调节策略。

结果

治疗师使用了广泛的人际和个体内情绪调节策略,可以归类于突出的情绪调节策略分类中。他们主动地、在预期情绪事件时使用这些策略,也会在出现情绪事件时做出反应。他们的使用帮助他们建立和维持治疗关系,并保护自己、感觉更好、完成工作。

结论和相关性

调节自己和他人情绪的能力是治疗师工作的重要组成部分。在这项研究中,治疗师使用了广泛的情绪调节策略来使自己和患者受益。本文的新增内容:这是第一项确定职业治疗师和物理治疗师在患者-治疗师互动中使用的具体个体内和人际情绪调节策略的研究。这项研究对理解治疗师使用主动和反应性情绪调节策略来建立和维持治疗关系做出了重要贡献。

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