The effect of attitudes toward online therapy and the difficulties perceived in online therapeutic presence.

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

JOURNAL OF PSYCHOTHERAPY INTEGRATION Pub Date : 2021-10-25 DOI:10.1037/int0000266

Sara Rathenau, Daniel Sousa, A. Vaz, Shari Geller

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引用次数: 6

Abstract

The ongoing COVID-19 pandemic has led to changes in every aspect of life. Online therapy creates both difficulties and learning opportunities for therapists. The literature shows that therapeutic presence is an important variable in efficacy and therapeutic change. Attitudes toward online therapy seem to impact the acceptance and adoption of telehealth interventions. The present cross-sectional study aims to understand whether attitudes toward online interventions and therapists' perceived difficulties in online therapy have an effect in therapeutic presence in a sample composed of psychologists and psychotherapists (N = 445). The data indicate that therapists' attitudes toward online interventions (s = .31;p < .001) and therapists' perceived difficulties (s = -.49;p < .001) are both significant predictors. These data have practical implications. Enhancing online psychological service could be done by improving therapeutic presence. Finally, ameliorating therapeutic presence could be possible by doing interventions on the other 2 variables under study. Further research is needed on this topic, which appears to be gaining importance in view of the ongoing pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement The results of this research suggest that both attitudes towards online therapy and difficulties perceived by therapists in online therapy have a significant effect on their therapeutic presence. The literature shows that during the present pandemic, with an enormous uncertainty facing the future, psychological support becomes even more necessary. Most therapists have been forced to start online therapy without experience and training, and more research is needed to clarify how we can improve online psychology services. The present research tried to find a possible way: it is suggested that doing interventions on difficulties perceived and in the attitudes towards online therapy the therapeutic presence of the therapist will increase. The therapeutic presence is a variable that appears in the literature as a common factor associated with a stronger therapeutic relationship and a more positive therapeutic alliance. These last two variables are considered as two consistent factors of change and effectiveness in psychotherapy. Research on how to improve online psychological support services is scarce, and thus a significant research effort is needed for present and future practical recommendations. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

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对在线治疗的态度的影响以及在线治疗存在的困难。

持续的新冠肺炎大流行导致生活的方方面面发生了变化。在线治疗给治疗师带来了困难和学习机会。文献表明，治疗存在是疗效和治疗变化的重要变量。对在线治疗的态度似乎影响了远程医疗干预措施的接受和采用。本横断面研究旨在了解在由心理学家和心理治疗师组成的样本中，对在线干预的态度和治疗师在在线治疗中感知到的困难是否对治疗存在产生影响（N=445）。数据表明，治疗师对在线干预的态度（s=.31；p<.001）和治疗师感知的困难（s=-.49；p<0.001）都是重要的预测因素。这些数据具有实际意义。可以通过提高治疗效果来加强在线心理服务。最后，通过对研究中的其他两个变量进行干预，可以改善治疗效果。需要对这一主题进行进一步研究，鉴于当前的疫情，这一主题似乎越来越重要。（PsycInfo数据库记录（c）2021 APA，保留所有权利）影响声明这项研究的结果表明，对在线治疗的态度和治疗师在在线治疗中感受到的困难都对他们的治疗效果有显著影响。文献表明，在当前的疫情期间，由于未来面临巨大的不确定性，心理支持变得更加必要。大多数治疗师在没有经验和培训的情况下被迫开始在线治疗，需要更多的研究来澄清我们如何改进在线心理服务。目前的研究试图找到一种可能的方法：建议对感知到的困难和对在线治疗的态度进行干预，治疗师的治疗存在会增加。治疗存在是一个变量，在文献中作为一个共同因素出现，与更强的治疗关系和更积极的治疗联盟相关。这最后两个变量被认为是心理治疗中变化和有效性的两个一致因素。关于如何改进在线心理支持服务的研究很少，因此需要进行大量的研究，以提出当前和未来的实用建议。（PsycInfo数据库记录（c）2021 APA，保留所有权利）

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF PSYCHOTHERAPY INTEGRATION PSYCHOLOGY, CLINICAL-

CiteScore

8.40

自引率

0.00%

发文量

期刊介绍： Journal of Psychotherapy Integration offers original peer-reviewed papers that move beyond the confines of single-school or single-theory approaches to psychotherapy and behavior change. The journal publishes articles that significantly advance the knowledge of psychotherapy integration and present new data, theory, or clinical techniques relevant to psychotherapy integration. Coverage includes articles integrating the knowledge of psychotherapy and behavior change with developments in the broader fields of psychology and psychiatry (e.g., cognitive sciences, psychobiology, health psychology, and social psychology). (formerly published by Kluwer Academic/Plenum)