Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic.

IF 1.3 4区 医学 Q3 PSYCHIATRY
Ipsit V Vahia, Rachel N Sava, Hailey V Cray, Heejung J Kim, Rebecca A Dickinson, Kerry J Ressler, Ana F Trueba
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Abstract

Background: Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists' use of patients' electronic and social media to augment clinical information that may inform psychotherapy.

Methods: In 2018, we conducted a survey of a cohort of psychotherapists affiliated with McLean Hospital. We then reapproached the same cohort of providers for the current study, gathering survey responses from August 10, 2020, to September 1, 2020, for this analysis. We asked clinicians whether they viewed patients' electronic and social media in the context of their psychotherapeutic relationship, what they viewed, how much they viewed it, and their attitudes about doing so.

Results: Of the 99 respondents, 64 (64.6%) had viewed at least 1 patient's social media and 8 (8.1%) had viewed a patient's electronic media. Of those who reported viewing patients' media, 70 (97.2%) indicated they believed this information helped them provide more effective treatment. Compared with the 2018 prepandemic data, there were significantly more clinicians with>10 years of experience reporting media use in therapy. There was also a significant increase during the pandemic in the viewing of media of adult patients and a trend toward an increase in viewing of media of older adult patients.

Conclusions: Review of patients' electronic and social media in therapy became more common among clinicians at a large psychiatric teaching hospital during the COVID-19 pandemic. These findings support continuing research about how reviewing patients' media can inform and improve clinical care.

心理治疗中通过电子和社交媒体的数字辅助信息:新冠肺炎大流行前和大流行期间临床医生报告的趋势比较。
背景:患者临床辅助信息对于提供精神病和心理治疗护理至关重要。随着新冠肺炎大流行引发的主要虚拟护理的转变,心理治疗师可能收到的临床信息比他们提供住院护理时更少。这项研究评估了向虚拟护理的转变是否对治疗师使用患者的电子和社交媒体来增加可能为心理治疗提供信息的临床信息产生了影响。方法:2018年,我们对麦克莱恩医院附属的心理治疗师进行了一项队列调查。然后,我们对当前研究的同一组提供者进行了重新评估,收集了2020年8月10日至2020年9月1日的调查结果。我们询问临床医生,他们是否在心理治疗关系的背景下看待患者的电子媒体和社交媒体,他们看了什么,看了多少,以及他们对此的态度。结果:在99名受访者中,64人(64.6%)至少看过1名患者的社交媒体,8人(8.1%)看过患者的电子媒介。在那些报告观看患者媒体的人中,70人(97.2%)表示他们相信这些信息有助于他们提供更有效的治疗。与2018年疫情前的数据相比,有超过10年经验的临床医生报告媒体在治疗中的使用情况。在疫情期间,成年患者的媒体观看量也显著增加,老年患者的媒体播放量也有增加的趋势。结论:在新冠肺炎大流行期间,在一家大型精神病教学医院的临床医生中,对患者在治疗中的电子和社交媒体的评论变得更加常见。这些发现支持了关于审查患者媒体如何为临床护理提供信息和改善临床护理的持续研究。
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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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