动机式晤谈在儿科心理健康中的应用。

Motivational Interviewing in Pediatric Mental Health.

机构信息

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 3015, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Pediatrics, College of Medicine, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.

Department of Pediatrics, College of Medicine, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: https://twitter.com/DrAlexCorley.

出版信息

Pediatr Clin North Am. 2024 Dec;71(6):1047-1058. doi: 10.1016/j.pcl.2024.07.012. Epub 2024 Aug 21.

DOI:10.1016/j.pcl.2024.07.012

PMID:39433377

Abstract

Although many pediatric clinicians have familiarity with motivational interviewing (MI), they may have limited awareness of how it can benefit mental and behavioral health assessment and management. This article describes the spirit, tasks, and skills of MI. Cases illustrate the application of MI to common presentations of mental health concerns in pediatric primary care. These examples provide concrete guidance on how to navigate barriers to applying MI and underscore how MI aligns with the unique opportunities and values of primary care, including longitudinal relationships, opportunities to partner with families in shared decision-making, and valuing culturally-responsive, patient-centered care.

摘要

尽管许多儿科临床医生对动机性访谈（MI）有所了解，但他们可能对其如何有益于精神和行为健康评估和管理知之甚少。本文描述了 MI 的精神、任务和技能。案例说明了 MI 在儿科初级保健中常见的心理健康问题表现中的应用。这些例子提供了具体的指导，说明如何克服应用 MI 的障碍，并强调了 MI 如何与初级保健的独特机会和价值观保持一致，包括纵向关系、与家庭共同决策的机会以及重视文化响应、以患者为中心的护理。