在心理治疗中的nocebo效应
1Leiden University, Department of Health, Medical and Neuropsychology, the Netherlands; Medical Delta, Leiden University, TU Delft & Erasmus University, the Netherlands.
Current opinion in psychology
|September 7, 2025
概括
诺塞博效应通过患者的期望和背景对心理治疗结果产生负面影响. 像同情参与这样的策略可以在临床环境中减轻这些不良影响.
科学领域:
- 心理学 心理学 心理学
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
背景情况:
- 诺塞博效应,定义为来自患者期望,治疗背景或临床医生沟通的负面治疗结果,是心理治疗中的一个重要因素.
- 它的作用经常被低估,尽管它有可能影响治疗成功.
研究的目的:
- 探索在心理治疗中表现出nocebo效应的机制.
- 在心理治疗实践中讨论减轻这些负面影响的策略.
主要方法:
- 综述最近关于nocebo效应的经验和理论贡献.
- 在临床环境中分析潜在的nocebo效应来源.
- 为心理治疗实践确定缓解策略.
主要成果:
- 诺塞博效应可以来自各种来源,包括治疗师沟通,先前治疗失败,负面的治疗动态,未满足的期望,外部社会影响和等待列表等背景因素.
- 有效的缓解策略涉及同情的参与,谨慎的期望管理,并重新调整过去的负面治疗经验.
结论:
- 诺塞博效应是心理治疗中一个关键的,尽管经常被忽视的元素.
- 实施有针对性的策略可以显著减少nocebo效应的不良影响,改善患者的治疗结果.
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