临床干预中的负面期望 (nocebo现象):一个范围审查
Hamid Nasiri-Dehsorkhi1,2, Shahram Vaziri1, Ahmad Esmaillzadeh3
1Department of Clinical Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
Journal of education and health promotion
|May 10, 2024
概括
负面期望,称为nocebo效应,显著影响临床干预. 了解和减轻这些负面期望可以改善患者的治疗结果和治疗坚持.
科学领域:
- 心理学 心理学 心理学
- 医学 医学 医学 医学 医学
- 神经科学是一个神经科学.
背景情况:
- 对医疗和心理干预的不可预测反应使临床表现复杂化.
- 由负面期望驱动的nocebo现象可以解释这些不良反应,并破坏医生与患者的关系.
研究的目的:
- 进行范围审查,调查临床干预中的nocebo现象 (负面预期).
- 探索nocebo效应在医学和心理背景中的存在,重要性和多维方面.
主要方法:
- 从创立到2023年,对文学数据库 (ProQuest,PubMed,Google Scholar,Scopus) 的范围审查.
- 搜索术语:负面期望,诺塞博效应,安慰剂效应,负面安慰剂,临床干预.
主要成果:
- 负面期望 (nocebo效应) 在临床干预的过程和有效性中起着至关重要的作用.
- 诺塞博效应显著干扰患者与医疗服务提供者的关系和治疗进展.
- 基本成分包括认知因素 (期望,学习,记忆,扭曲),动机方面,个性,焦虑和神经生理因素 (CCK,多巴胺,皮质醇).
结论:
- 诺塞博现象及其生物心理社会层面显著影响医疗和心理干预.
- 减少nocebo效应的策略可以提高治疗遵守性,坚持性和整体干预的有效性.
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