In-person therapy vs. computer-mediated therapy for college students: Single session outcomes and implications for the patient-therapist relationship.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of American College Health Pub Date : 2025-05-14 DOI:10.1080/07448481.2025.2496979

Rachel E McKenzie, Lisa Jihyun Hwang, Bo Feng, Emma J Phillips

{"title":"In-person therapy vs. computer-mediated therapy for college students: Single session outcomes and implications for the patient-therapist relationship.","authors":"Rachel E McKenzie, Lisa Jihyun Hwang, Bo Feng, Emma J Phillips","doi":"10.1080/07448481.2025.2496979","DOIUrl":null,"url":null,"abstract":"Objective: This study focused on college students to examine if the communication channel of their most recent therapy session influenced the strength of their relationship with their therapist, post-session symptoms of anxiety and depression, and their intentions to adhere to therapist recommendations.Participants: 688 college students from a large Californian university.Methods: The online survey took place on the Qualtrics survey platform and the proposed model was tested using structural equation modeling.Results: College students' emotional self-disclosure was higher in mediated compared to in-person therapy sessions. Their perceived social presence from the therapist was greater in mediated compared to in-person sessions. Emotional self-disclosure and social presence were positive predictors of the patient-therapist relational bond strength, which subsequently predicted adherence and was associated with reduced post-session depression and anxiety levels.Conclusions: A strong relational bond between patient and therapist is possible in both online and offline environments for college students.","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-11"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of American College Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07448481.2025.2496979","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study focused on college students to examine if the communication channel of their most recent therapy session influenced the strength of their relationship with their therapist, post-session symptoms of anxiety and depression, and their intentions to adhere to therapist recommendations.

Participants: 688 college students from a large Californian university.

Methods: The online survey took place on the Qualtrics survey platform and the proposed model was tested using structural equation modeling.

Results: College students' emotional self-disclosure was higher in mediated compared to in-person therapy sessions. Their perceived social presence from the therapist was greater in mediated compared to in-person sessions. Emotional self-disclosure and social presence were positive predictors of the patient-therapist relational bond strength, which subsequently predicted adherence and was associated with reduced post-session depression and anxiety levels.

Conclusions: A strong relational bond between patient and therapist is possible in both online and offline environments for college students.

查看原文本刊更多论文

大学生面对面治疗与电脑辅助治疗：单次治疗的结果及其对医患关系的影响。

目的：本研究以大学生为研究对象，考察他们最近一次治疗的沟通渠道是否影响了他们与治疗师的关系强度、治疗后的焦虑和抑郁症状，以及他们遵守治疗师建议的意愿。参与者：688名来自加州一所大型大学的大学生。方法：在Qualtrics调查平台上进行在线调查，并使用结构方程模型对所提出的模型进行检验。结果：大学生情绪自我表露在中介治疗中高于面对面治疗。与面对面的治疗相比，他们从治疗师那里感受到的社会存在感在中介中更大。情绪自我表露和社会存在是患者-治疗师关系纽带强度的正向预测因子，其随后预测依从性，并与减少治疗后抑郁和焦虑水平相关。结论：大学生在线上和线下环境中都有可能建立起牢固的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of American College Health Multiple-

CiteScore

5.40

自引率

12.50%

发文量

388

期刊介绍： Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.