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以患者为中心的沟通在心理治疗中的关键作用及影响:一项叙述性综述

The Critical Role and Effects of Patient-Centered Communication in Psychotherapy: A Narrative Review.

作者信息

Niu Yaohong, Sun Jingbo, Zhu Kerun, Xu Bojun, Zhang Yin-Ping, Peng Min

机构信息

School of Journalism and New Media, Xi'an Jiaotong University, Xi'an, 710049, People's Republic of China.

School of Sport Management and Communication, Capital University of Physical Education and Sports, Beijing, 100088, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2025 Aug 5;18:1657-1671. doi: 10.2147/PRBM.S528343. eCollection 2025.

Abstract

Patient-centered communication has emerged as a fundamental component of effective psychotherapy, significantly influencing the therapeutic process and outcomes. This narrative review examined 53 studies selected from PsycINFO, PubMed, and CINAHL databases published between 2010-2024, focusing on empirical and theoretical work on patient-centered communication in psychotherapy. A significant portion of this review is dedicated to analyzing the effects of patient-centered communication on therapeutic outcomes. The evidence consistently demonstrates that this approach enhances the therapeutic alliance, improves treatment adherence and engagement, increases patient satisfaction, and leads to better overall mental health outcomes. The review also examines how patient-centered communication is applied across different therapeutic modalities, including cognitive-behavioral therapy, psychodynamic approaches, and group therapy settings. Cultural considerations in patient-centered communication are thoroughly explored, highlighting the importance of adapting communication styles for diverse populations and addressing language barriers and cultural differences. The review discusses the impact of culturally sensitive patient-centered communication on therapeutic outcomes for minority groups, emphasizing its potential to reduce disparities in mental health care. This narrative review also provides valuable insights for mental health professionals, researchers, and policymakers, underscoring the importance of patient-centered communication in advancing the field of psychotherapy and improving mental health care delivery.

摘要

以患者为中心的沟通已成为有效心理治疗的一个基本组成部分,对治疗过程和结果有重大影响。本叙述性综述考察了从2010年至2024年期间发表在PsycINFO、PubMed和CINAHL数据库中的53项研究,重点关注心理治疗中以患者为中心的沟通的实证和理论研究。本综述的很大一部分致力于分析以患者为中心的沟通对治疗结果的影响。证据一致表明,这种方法能加强治疗联盟,提高治疗依从性和参与度,增加患者满意度,并带来更好的整体心理健康结果。该综述还考察了以患者为中心的沟通如何应用于不同的治疗方式,包括认知行为疗法、心理动力学方法和团体治疗环境。对以患者为中心的沟通中的文化因素进行了全面探讨,强调了针对不同人群调整沟通方式以及解决语言障碍和文化差异的重要性。该综述讨论了具有文化敏感性的以患者为中心的沟通对少数群体治疗结果的影响,强调了其在减少心理健康护理差距方面的潜力。本叙述性综述还为心理健康专业人员、研究人员和政策制定者提供了有价值的见解,强调了以患者为中心的沟通在推进心理治疗领域和改善心理健康护理服务方面的重要性。

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