有效在线干预的特征:全球大流行期间对青少年人格障碍的影响

IF 1.6 Q3 PSYCHOLOGY, CLINICAL
Samantha Reis, Emily L Matthews, Brin F S Grenyer
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引用次数: 8

摘要

近年来,由于一些青少年在获得治疗方面面临一些障碍,为青少年提供在线干预作为面对面干预的替代方案的必要性已经变得明显。随着2019年冠状病毒病(COVID-19)全球大流行影响心理治疗的提供并限制面对面治疗的可及性,这一需求变得更加重要。虽然已经确定,对患有人格障碍的青少年进行面对面的心理治疗可以有效地减少这些复杂的精神疾病对功能的影响,但对青少年的在线干预很少,据我们所知,还没有针对人格障碍的经验验证的在线干预。因此,开发新的在线干预措施是必要的。为了了解对患有人格障碍或新出现人格障碍症状的青少年进行在线干预的发展情况,进行了两阶段的快速回顾。第一阶段包括搜索和检查现有的针对有人格障碍症状的青少年的在线心理健康项目,以了解如何最好地利用在线平台。第二阶段包括对经历人格障碍症状的青少年进行在线干预的实证文献的快速审查,以确定促进疗效的特征。没有专门针对青少年人格障碍的在线课程。然而,32个在线心理健康项目和41个已发表的实证研究被纳入分析。常见的干预特征包括一到两个月的时间框架,定期保密的治疗师联系,简单的交互式在线组件和模块,以及包括家庭作业或工作簿活动来练习新技能。目前迫切需要针对青少年人格功能障碍的在线干预。确定了青少年有效在线干预的几个特征。这些特征有助于为开发和实施新的在线治疗提供信息,以预防和减轻青少年人格障碍或新出现的人格障碍症状的负担和影响。这对COVID-19大流行产生了影响,因为获得有效的在线干预措施变得更加紧迫。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic.

Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic.

Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic.

In recent years, the necessity of providing online interventions for adolescents, as an alternative to face-to-face interventions, has become apparent due to several barriers some adolescents face in accessing treatment. This need has become more critical with the coronavirus disease 2019 (COVID-19) global pandemic impacting the delivery of psychotherapy and limiting accessibility of face-to-face therapy. Whilst it has been established that face-to-face psychotherapy for adolescents with personality disorder can be effective in reducing the impact these complex mental illnesses have on functioning, online interventions for adolescents are rare, and to our knowledge there are no empirically validated online interventions for personality disorder. The development of novel online interventions are therefore necessary. To inform the development of online interventions for adolescents with personality disorder or symptoms of emerging personality disorder, a two-phase rapid review was conducted. Phase one consisted of a search and examination of existing online mental health programs for adolescents with symptoms of personality disorder, to understand how to best use online platforms. Phase two consisted of a rapid review of empirical literature examining online interventions for adolescents experiencing symptoms of personality disorder to identify characteristics that promote efficacy. There were no online programs specific to personality disorder in adolescence. However, 32 online mental health programs and 41 published empirical studies were included for analysis. Common intervention characteristics included timeframes of one to two months, regular confidential therapist contact, simple interactive online components and modules, and the inclusion of homework or workbook activities to practice new skills. There is an urgent need for online interventions targeting personality dysfunction in adolescence. Several characteristics of effective online interventions for adolescents were identified. These characteristics can help inform the development and implementation of novel online treatments to prevent and reduce the burden and impact of personality disorder, or symptoms of emerging personality disorder, in adolescents. This has implications for the COVID-19 pandemic when access to effective online interventions has become more urgent.

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来源期刊
CiteScore
3.80
自引率
18.50%
发文量
28
审稿时长
10 weeks
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