Year of Zoom in a Year of Doom: Lessons Learned Delivering ERP Remotely During the COVID-19 Pandemic

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-05-01 DOI:10.1016/j.cbpra.2021.12.005

Dianne M. Hezel, Amy M. Rapp, Shannon Glasgow, Gail Cridland, H. Blair Simpson

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引用次数: 2

Abstract

In response to the COVID-19 pandemic and consequential shutdown measures, many mental health professionals started providing therapy to patients exclusively via telehealth. Our research center, which specializes in studying and treating obsessive-compulsive disorder (OCD), historically has provided in-person exposure and response prevention (ERP) to adults with OCD, but shifted to telehealth during the pandemic. Unlike in other modes of talk therapy, ERP’s emphasis on therapist-supervised exposures presented unique opportunities and challenges to delivering treatment entirely via a virtual platform. This paper provides case examples to illustrate lessons we learned delivering ERP exclusively via telehealth in New York from March 2020 through June 2021 and offers recommendations for future study and practice. Though we observed a number of drawbacks to fully remote ERP, we also discovered advantages to delivering ERP this way, meriting additional research attention.

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末日之年的放大：新冠肺炎大流行期间远程交付ERP的经验教训

为了应对新冠肺炎大流行和相应的关闭措施，许多心理健康专业人员开始专门通过远程医疗为患者提供治疗。我们的研究中心专门研究和治疗强迫症（OCD），历史上曾为患有强迫症的成年人提供面对面接触和反应预防（ERP），但在疫情期间转向了远程医疗。与其他谈话治疗模式不同，ERP强调治疗师监督的暴露，这为完全通过虚拟平台提供治疗提供了独特的机会和挑战。本文提供了案例示例，以说明我们从2020年3月至2021年6月在纽约仅通过远程医疗提供ERP的经验教训，并为未来的研究和实践提供了建议。尽管我们观察到了完全远程ERP的一些缺点，但我们也发现了以这种方式提供ERP的优势，值得更多的研究关注。

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

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.