{"id":975,"date":"2018-07-30T14:59:54","date_gmt":"2018-07-30T14:59:54","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=975"},"modified":"2025-11-04T14:37:31","modified_gmt":"2025-11-04T14:37:31","slug":"self-regulation-from-theory-to-practice-supporting-your-patients-goals-for-change","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/zh\/2018\/07\/self-regulation-from-theory-to-practice-supporting-your-patients-goals-for-change\/","title":{"rendered":"<strong>\u4ece\u7406\u8bba\u5230\u5b9e\u8df5\u7684\u81ea\u6211\u8c03\u8282\uff1a\u652f\u6301\u60a3\u8005\u7684\u6539\u53d8\u76ee\u6807<\/strong>"},"content":{"rendered":"<p>\u7531\u8377\u5170\u83b1\u987f\u5927\u5b66\u65af\u5766\u00b7\u6885\u65af\uff08Stan Maes\uff09\u548c\u7ef4\u7f57\u5c3c\u514b\u00b7\u5fb7\u53e4\u5e0c\u7279\uff08V\u00e9ronique De Gucht\uff09\u64b0\u7a3f<\/p>\n<p>\u5728\u8fc7\u53bb\u7684\u51e0\u5341\u5e74\u91cc\uff0c\u4e2a\u4eba\u5728\u533b\u7597\u4fdd\u5065\u7cfb\u7edf\u4e2d\u7684\u89d2\u8272\u5df2\u7ecf\u4ece\u201c\u9075\u5b88\u533b\u7597\u89c4\u5b9a\u201d\uff08\u610f\u5473\u7740\u670d\u4ece\uff09\u6f14\u53d8\u4e3a\u201c\u81ea\u6211\u7ba1\u7406\u201d\uff08\u610f\u5473\u7740\u5bf9\u63a7\u5236\u81ea\u5df1\u7684\u5065\u5eb7\u6216\u75be\u75c5\u8d1f\u8d23\uff09\u3002\u6700\u8fd1\uff0c\u8fdb\u4e00\u6b65\u53d1\u5c55\u5230\u4e86\u201c\u81ea\u6211\u8c03\u8282\u201d\u7684\u6982\u5ff5\uff0c\u8fd9\u662f\u4e00\u4e2a\u7cfb\u7edf\u5316\u7684\u8fc7\u7a0b\uff0c\u6d89\u53ca\u8bbe\u5b9a\u4e2a\u4eba\u5065\u5eb7\u76f8\u5173\u76ee\u6807\u5e76\u5f15\u5bfc\u884c\u4e3a\u4ee5\u5b9e\u73b0\u8fd9\u4e9b\u76ee\u6807\u3002\u4e3a\u4e86\u8bf4\u660e\u8fd9\u4e2a\u6301\u7eed\u7684\u81ea\u6211\u8c03\u8282\u8fc7\u7a0b\uff0c\u6211\u4eec\u9009\u62e9\u4e86\u53e4\u8001\u7684\u201c\u8854\u5c3e\u86c7\u201d\u56fe\u7247\uff08\u5373\u4e00\u6761\u86c7\u5403\u81ea\u5df1\u7684\u5c3e\u5df4\uff09\u4f5c\u4e3a\u8fd9\u7bc7\u535a\u6587\u7684\u914d\u56fe\u3002<\/p>\n<p><!--more--><\/p>\n<p>\u81ea\u6211\u8c03\u8282\u5206\u9636\u6bb5\u8fdb\u884c\uff1a\uff081\uff09\u76ee\u6807\u610f\u8bc6\u548c\u76ee\u6807\u8bbe\u5b9a\uff1b\uff082\uff09\u79ef\u6781\u8ffd\u6c42\u76ee\u6807\uff1b\uff083\uff09\u76ee\u6807\u5b9e\u73b0\u3001\u7ef4\u6301\u6216\u8131\u79bb\u3002\u5728\u63a5\u4e0b\u6765\u7684\u6bb5\u843d\u4e2d\uff0c\u6211\u4eec\u7528\u5fc3\u810f\u75c5\u60a3\u8005\u7ea6\u7ff0\u7684\u4f8b\u5b50\u6765\u8bf4\u660e\u8fd9\u4e9b\u9636\u6bb5\u3002<\/p>\n<p><strong>\u7b2c<\/strong><strong>1<\/strong><strong>\u9636\u6bb5<\/strong><\/p>\n<p>\u5728\u7b2c\u4e00\u9636\u6bb5\uff0c\u4e2a\u4f53\u5e94\u8be5\u610f\u8bc6\u5230\u5e76\u8bbe\u5b9a\u73b0\u5b9e\u4e14\u4e0e\u4e2a\u4f53\u76f8\u5173\u7684\u5065\u5eb7\u76f8\u5173\uff08\u53d8\u5316\uff09\u76ee\u6807\u3002\u4f8b\u5982\uff0c\u7ea6\u7ff0\u53ef\u80fd\u4f1a\u88ab\u95ee\u5230\uff0c\u201c\u4f60\u7684\u5eb7\u590d\u8ba1\u5212\u662f\u4ec0\u4e48\uff1f\u201d\uff0c\u4ed6\u53ef\u80fd\u4f1a\u56de\u7b54\u8bf4\uff0c\u548c\u5b59\u5b50\u4e00\u8d77\u53bb\u5927\u81ea\u7136\u6563\u6b65\u5bf9\u4ed6\u6765\u8bf4\u5f88\u91cd\u8981\u3002\u56e0\u6b64\uff0c\u4f5c\u4e3a\u7b2c\u4e00\u6b65\uff0c\u7ea6\u7ff0\u53ef\u80fd\u4f1a\u8bbe\u5b9a\u4e00\u4e2a\u76ee\u6807\uff0c\u4f8b\u5982\u201c\u5728\u6211\u7684\u793e\u533a\u5f00\u59cb\u77ed\u8ddd\u79bb\u6563\u6b65\u3002\u201d\u8fd9\u91cc\u91cd\u8981\u7684\u662f\uff0c\u8fd9\u4e9b\u76ee\u6807\u662f\u81ea\u6211\u8bbe\u5b9a\u7684\uff0c\u8003\u8651\u5230\u76ee\u524d\u7684\u8fd0\u4f5c\u60c5\u51b5\uff0c\u8fd9\u4e9b\u76ee\u6807\u662f\u73b0\u5b9e\u7684\uff0c\u56e0\u4e3a\u8fd9\u4e9b\u76ee\u6807\u7ed9\u4eba\u4e00\u79cd\u4e3b\u4eba\u7fc1\u611f\uff0c\u800c\u4e14\u6bd4\u5176\u4ed6\u4eba\u5f3a\u52a0\u7684\u76ee\u6807\u66f4\u5bb9\u6613\u5b9e\u73b0\u3002<a href=\"In%20the%20first%20phase,%20individuals%20should%20become%20aware%20of%20and%20set%20realistic%20and%20personally-relevant%20health-related%20(change)%20goals.\">\u52a8\u673a\u6027\u8bbf\u8c08<\/a>\u7684\u6280\u672f\u53ef\u4ee5\u5e2e\u52a9\u652f\u6301\u6ca1\u6709\u52a8\u673a\u7684\u4e2a\u4f53\u8bbe\u5b9a\u4e2a\u4eba\u76ee\u6807\u3002<\/p>\n<p><strong>\u7b2c<\/strong><strong>2<\/strong><strong>\u9636\u6bb5<\/strong><\/p>\n<p>\u7b2c\u4e8c\u9636\u6bb5\u7684\u7279\u70b9\u662f\u8ffd\u6c42\u76ee\u6807\u3002\u5728\u8fd9\u4e2a\u9636\u6bb5\uff0c\u4e2a\u4f53\u5fc5\u987b\u5f25\u5408\u8ba4\u77e5\uff08\u4f8b\u5982\u610f\u56fe\uff09\u548c\u884c\u52a8\u4e4b\u95f4\u7684<a href=\"The%20second%20phase%20is%20characterized%20by%20goal%20pursuit.%20In%20this%20phase,%20individuals%20must%20bridge%20the%20common%20gap%20between%20cognitions%20(e.g.,%20intentions)%20and%20action.\">\u5171\u540c\u5dee\u8ddd<\/a>\u3002\u4e3a\u6b64\uff0c\u9700\u8981\u57fa\u4e8e\u53cd\u601d\u5236\u5b9a\u5177\u4f53\u7684\u201c\u884c\u52a8\u8ba1\u5212\u201d\uff0c\u8fd9\u4e2a\u884c\u52a8\u8ba1\u5212\u7cbe\u786e\u5730\u89c4\u5b9a\u4e86\u89c4\u5b9a\u4f55\u65f6\u3001\u4f55\u5730\u4ee5\u53ca\u5982\u4f55\u91c7\u53d6\u884c\u52a8\u3002\u5728\u6211\u4eec\u7684\u4f8b\u5b50\u4e2d\uff0c\u8fd9\u53ef\u80fd\u662f\uff1a\u201c\u4ece\u4e0b\u5468\u5f00\u59cb\uff0c\u6211\u5c06\u548c\u6211\u7684\u59bb\u5b50\u5728\u5468\u4e00\u3001\u5468\u4e09\u548c\u5468\u4e94\u4e0b\u53483\u70b9\u6b65\u884c\u5230\u9644\u8fd1\u7684\u6742\u8d27\u5e97\u8d2d\u4e70\u98df\u7269\u3002\u201d\u50cf\u8fd9\u6837\u7684\u884c\u52a8\u8ba1\u5212\uff0c\u8be6\u7ec6\u8bf4\u660e\u4e86\u8db3\u591f\u7684\u7ec6\u8282\uff0c\u5df2\u7ecf\u88ab\u8bc1\u660e\u53ef\u4ee5\u4fc3\u8fdb\u4e0e<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1469029212001148\">\u4f53\u80b2\u953b\u70bc<\/a>\u3001<a href=\"http:\/\/53303223.nl.strato-hosting.eu\/wp-content\/uploads\/2012\/04\/Adriaanse-Vinkers-et-al.-2011-Appetite.pdf\">\u5065\u5eb7\u996e\u98df<\/a>\u548c<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/aphw.12017\">\u5176\u4ed6<\/a>\u5065\u5eb7\u884c\u4e3a\u76f8\u5173\u7684\u76ee\u6807\u7684\u5b9e\u73b0\u3002<\/p>\n<p>\u6b64\u5916\uff0c\u4e09\u79cd\u8c03\u63a7\u673a\u5236\u5728\u76ee\u6807\u8ffd\u6c42\u8fc7\u7a0b\u4e2d\u53d1\u6325\u7740\u91cd\u8981\u4f5c\u7528\u3002\u7b2c\u4e00\u4e2a\u673a\u5236\u662f\u53cd\u9988\uff0c\u5305\u62ec\u76d1\u7763\u548c\u8bc4\u4f30\u8fdb\u5c55\u3002\u5728\u6211\u4eec\u7684\u793a\u4f8b\u4e2d\uff0c\u53ef\u4ee5\u4f1a\u8981\u6c42\u7ea6\u7ff0\u767b\u8bb0\u4ed6\u7684\u6d3b\u52a8\uff0c\u4ee5\u67e5\u770b\u4ed6\u662f\u5426\u8fbe\u5230\u4e86\u76ee\u6807\u3002\u7136\u540e\uff0c\u53ef\u4ee5\u548c\u7ea6\u7ff0\u4e00\u8d77\u5ba1\u67e5\u7ed3\u679c\uff0c\u4ee5\u786e\u5b9a\u6210\u529f\u4e4b\u5904\uff0c\u6216\u8005\u786e\u5b9a\u672a\u6765\u9700\u8981\u514b\u670d\u7684\u95ee\u9898\u3002\u7b2c\u4e8c\u4e2a\u673a\u5236\u6d89\u53ca\u9884\u671f\u6216\u524d\u9988\u8fc7\u7a0b\uff0c\u5176\u4e2d\u5305\u62ec\u7ed3\u679c\u9884\u671f\uff08\u5373\uff0c\u4e00\u4e2a\u4eba\u8ba4\u4e3a\u5982\u679c\u4ed6\u4eec\u91c7\u53d6\u884c\u52a8\u5c06\u4f1a\u53d1\u751f\u4ec0\u4e48\uff09\u548c\u81ea\u6211\u6548\u80fd\u4fe1\u5ff5\uff08\u5373\uff0c\u4e00\u4e2a\u4eba\u662f\u5426\u89c9\u5f97\u4ed6\u4eec\u53ef\u4ee5\u6210\u529f\u5730\u91c7\u53d6\u884c\u52a8\uff09\u3002\u7ed3\u679c\u9884\u671f\u548c\u81ea\u6211\u6548\u80fd\u611f\u90fd\u662f\u901a\u8fc7\u89c2\u5bdf\u6210\u529f\u7684\u4ed6\u4eba\u3001\u76ee\u6807\u8fdb\u6b65\u548c\u9f13\u52b1\u6765\u63d0\u9ad8\u7684\u3002\u56e0\u6b64\uff0c\u4e34\u5e8a\u533b\u751f\u5e94\u8be5\u4e0e\u5176\u4ed6\u6210\u529f\u8fbe\u5230\u7c7b\u4f3c\u76ee\u6807\u7684\u4eba\u8fdb\u884c\u8054\u7cfb\uff0c\u4ee5\u589e\u52a0\u5b9e\u73b0\u76ee\u6807\u7684\u673a\u4f1a\uff0c\u5e76\u4e3a\u4e2a\u4f53\u63d0\u4f9b\u5b9e\u73b0\u76ee\u6807\u83b7\u5f97\u652f\u6301\u7684\u673a\u4f1a\u3002\u6700\u540e\u4e00\u4e2a\u673a\u5236\u662f\u542f\u52a8\u63a7\u5236\u7a0b\u5e8f\uff0c\u4ee5\u786e\u4fdd\u5c3d\u7ba1\u5b58\u5728\u76f8\u4e92\u7ade\u4e89\u7684\u76ee\u6807\u6216\u969c\u788d\uff0c\u4ecd\u80fd\u7ee7\u7eed\u52aa\u529b\u3002\u504f\u79bb\u81ea\u6211\u8bbe\u5b9a\u7684\u76ee\u6807\uff0c\u4f8b\u5982\u751f\u6d3b\u4e8b\u4ef6\uff0c\u53ef\u80fd\u4f1a\u5bf9\u76ee\u6807\u8ffd\u6c42\u4ea7\u751f\u4e0d\u5229\u5f71\u54cd\u3002\u5b9e\u73b0\u76ee\u6807\u7f3a\u4e4f\u8fdb\u5c55\uff08\u5373\u5931\u8d25\uff09\u4e5f\u5e38\u5e38\u4e0e\u6d88\u6781\u60c5\u7eea\u6709\u5173\u3002\u5982\u679c\u53d1\u751f\u8fd9\u79cd\u60c5\u51b5\uff0c\u4eba\u4eec\u53ef\u80fd\u60f3\u4e3a\u7ea6\u7ff0\u63d0\u4f9b\u5904\u7406\u8fd9\u4e9b\u60c5\u7eea\u7684\u652f\u6301\uff0c\u5e76\u901a\u8fc7\u5c06\u8fd9\u4e9b\u89c6\u4e3a\u5b66\u4e60\u7684\u673a\u4f1a\u6765\u5e2e\u52a9\u5e94\u5bf9\u5931\u8d25\u3002<\/p>\n<p><strong>\u7b2c<\/strong><strong>3<\/strong><strong>\u9636\u6bb5<\/strong><\/p>\n<p>\u7b2c\u4e09\u9636\u6bb5\u6d89\u53ca\u76ee\u6807\u5b9e\u73b0\u3001\u7ef4\u6301\u548c\u8131\u79bb\u3002\u76ee\u6807\u7684\u5b9e\u73b0\u4e0d\u662f\u7ec8\u70b9\uff0c\u800c\u662f\u4e00\u4e2a\u65b0\u7684\u5f00\u59cb\u3002\u53ef\u4ee5\u9f13\u52b1\u4e2a\u4f53\u8bbe\u5b9a\u65b0\u7684\u76ee\u6807\uff0c\u4ee5\u968f\u7740\u65f6\u95f4\u7684\u63a8\u79fb\u4fdd\u6301\u8fdb\u6b65\u3002\u7136\u800c\uff0c\u5982\u679c\u4e8b\u5b9e\u8bc1\u660e\u81ea\u6211\u8bbe\u5b9a\u7684\u5065\u5eb7\u76ee\u6807\u65e0\u6cd5\u5b9e\u73b0\uff0c\u90a3\u4e48\u653e\u5f03\u8fd9\u4e2a\u76ee\u6807\u5e76\u9009\u62e9<a href=\"http:\/\/sci-hub.tw\/https:\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1464-0597.2005.00210.x\">\u4e00\u4e2a\u66f4\u5bb9\u6613\u5b9e\u73b0\u7684\u76ee\u6807<\/a>\u901a\u5e38\u662f\u66f4\u660e\u667a\u7684\u505a\u6cd5\u3002\u56e0\u6b64\uff0c\u5728\u6211\u4eec\u7684\u793a\u4f8b\u4e2d\uff0c\u7ea6\u7ff0\u53ef\u4ee5\u7ee7\u7eed\u8ffd\u6c42\u4ed6\u5b9e\u9645\u7684\u8eab\u4f53\u6d3b\u52a8\u76ee\u6807\uff0c\u6216\u8005\u66f4\u786e\u5207\u5730\u8bf4\uff0c\u8bbe\u5b9a\u4e00\u4e2a\u65b0\u7684\u76ee\u6807\uff0c\u4f8b\u5982\u6bcf\u5929\u548c\u4ed6\u7684\u72d7\u6563\u6b65\u4e00\u5c0f\u4f1a\u513f\u3002\u57f9\u517b\u81ea\u6211\u6548\u80fd\u611f\u548c\u793e\u4f1a\u652f\u6301\u662f\u7ef4\u6301\u7684\u91cd\u8981\u9884\u6d4b\u56e0\u7d20\u3002<\/p>\n<p>\u8bb8\u591a\u7814\u7a76\u652f\u6301\u4e86\u57fa\u4e8e\u81ea\u6211\u8c03\u8282\u7684\u5e72\u9884\u63aa\u65bd\u5bf9\u5065\u5eb7\u4eba\u7fa4\u548c\u6162\u6027\u75c5\u60a3\u8005\u5065\u5eb7\u884c\u4e3a\u53d8\u5316\u7684\u6709\u6548\u6027\uff0c\u4f8b\u5982 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