文献综述

动机式访谈在儿童与青少年疾病诊治中的应用

  • 顾思懿 ,
  • 徐明玉 ,
  • 李斐
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  • 上海交通大学医学院附属新华医院发育行为儿保科 环境与儿童健康教育部和上海市重点实验室 (上海 200092)
作者贡献(Authors’ Contributions)

顾思懿负责综述撰写,徐明玉、李斐负责论文修改审核。

收稿日期: 2025-09-09

  录用日期: 2025-12-05

  网络出版日期: 2026-05-08

基金资助

国家自然科学基金资助项目(82430104);国家自然科学基金资助项目(82125032);科技部科技创新2030“脑科学与类脑研究”重大项目(2021ZD0200800);新华医院院级临床创新项目(24XHCR08B)

Application of motivational interviewing in the management of pediatric and adolescent diseases

  • GU Siyi ,
  • XU Mingyu ,
  • LI Fei
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  • Department of Developmental and Behavioral Pediatric and Child Health Care, Ministry of Education-Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China

Received date: 2025-09-09

  Accepted date: 2025-12-05

  Online published: 2026-05-08

摘要

动机式访谈(MI)是一种以人为中心、目标导向的沟通方法,通过探索和解决矛盾心理,增强个体行为改变的内在动机。近年来,MI逐渐应用到儿科领域,在儿童精神与心理障碍、慢性病健康管理等方面展现出良好的应用前景。同时,父母参与的MI干预模式也在提高治疗依从性、改善父母心理健康和患儿临床结局等方面显示出多维度效果。由于儿童的身心发展与成人存在显著差异,MI在儿科领域的应用存在有别于成人应用的特点和挑战。本文系统总结了目前MI在儿科领域的应用模式、现状与效果,并对未来研究方向进行了展望。

本文引用格式

顾思懿 , 徐明玉 , 李斐 . 动机式访谈在儿童与青少年疾病诊治中的应用[J]. 临床儿科杂志, 2026 , 44(5) : 471 -477 . DOI: 10.12372/jcp.2026.25e1121

Abstract

Motivational interviewing (MI) is a person-centered, goal-oriented communication method that enhances individuals' intrinsic motivation for behavior change by exploring and resolving ambivalence. In recent years, MI has been gradually applied in pediatrics, demonstrating significant clinical potential in areas such as pediatric mental and psychological disorders and chronic disease health management. Additionally, the parent-involved MI intervention model demonstrates multidimensional effects in improving treatment adherence, enhancing parental mental health, and optimizing clinical outcomes for children with illnesses. Since there are significant differences between children and adults in physical and psychological development, the application of MI in pediatrics has unique characteristics and challenges distinct from those in adults. This article systematically summarizes the current application models, status and effects of MI in pediatrics, and discusses future research directions.

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