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Tajan N, Devès M, Potier R. Tele-psychotherapy during the COVID-19 pandemic: a mini-review. Front Psychiatry 2023; 14:1060961. [PMID: 37476543 PMCID: PMC10354254 DOI: 10.3389/fpsyt.2023.1060961] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 06/14/2023] [Indexed: 07/22/2023] Open
Abstract
The COVID-19 pandemic has dramatically changed psychotherapy practices. Psychotherapy around the world has shifted from predominantly face-to-face settings to overwhelmingly online settings since the beginning of the pandemic. Many studies have been published on this topic, but there has been no review of the literature focused on the experience of psychotherapists. Our goal was to identify the challenging issues of teletherapy, including the efficiency of online consultations and the extent to which they are accepted by therapists and patients. A PubMed literature search using the [("Teletherapy" OR "Telebehavioral health" OR "telepsychotherapy") AND ("COVID-19")] search string retrieved 46 studies focused on mental health professionals, as detailed in a PRISMA flow diagram. Two reviewers independently screened the abstracts and excluded those that were outside the scope of the review. The selection of articles kept for review was discussed by all three authors. Overall, the review contributes to the description and evaluation of tele mental health services, including teletherapy, online counseling, digital mental health tools, and remote monitoring.
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Affiliation(s)
- Nicolas Tajan
- Laboratory of Psychopathology and Psychoanalysis, Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, Japan
| | - Maud Devès
- Institut de Physique du Globe de Paris, CNRS, Université Paris Cité, Paris, France
- Centre de Recherche Psychanalyse Médecine et Société, CNRS, Université Paris Cité, Paris, France
| | - Rémy Potier
- Centre de Recherche en Psychopathologie et Psychologie Clinique, Institut de Psychologie, Université Lumière Lyon 2, Lyon, France
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Smith JA, Bandealy A, Browne DT. A case study of virtually delivered emotion-focused family therapy. JOURNAL OF MARITAL AND FAMILY THERAPY 2023. [PMID: 37365937 DOI: 10.1111/jmft.12648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 05/08/2023] [Accepted: 05/20/2023] [Indexed: 06/28/2023]
Abstract
Clinical psychologists and therapists are increasingly taking advantage of internet and mobile-based technologies to deliver mental health services for individuals and groups since the COVID-19 pandemic. However, there is a dearth of research evaluating the appropriateness of virtual platforms for family interventions. Further, no research has examined the effectiveness of weekly emotion-focused family therapy (EFFT). This case study presents a virtually delivered 8-week EFFT intervention, which supported caregivers to manage child symptoms of depression, anxiety, and anger, facilitate emotion processing, and strengthen relationships. Two parents from one family during a marital separation participated and completed brief measures of therapeutic alliance, family functioning, parental self-efficacy, and parental and child psychological distress at 12 time points as well as a posttreatment semistructured interview. A strong therapeutic alliance was formed, and general family functioning, parental self-efficacy, parent psychopathology, and child depression, anger, and anxiety symptoms improved over the course of therapy.
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Affiliation(s)
- Jackson A Smith
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
- Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada
| | | | - Dillon T Browne
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
- Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada
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Summerton A, Bellows ST, Westrupp EM, Stokes MA, Coghill D, Bellgrove MA, Hutchinson D, Becker SP, Melvin G, Quach J, Efron D, Stringaris A, Middeldorp CM, Banaschewski T, Sciberras E. Longitudinal Associations Between COVID-19 Stress and the Mental Health of Children With ADHD. J Atten Disord 2023:10870547231168334. [PMID: 37122232 PMCID: PMC10130929 DOI: 10.1177/10870547231168334] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
OBJECTIVE To investigate the longitudinal associations between COVID-19 induced stress (related to COVID-19 restrictions/changes), attention-deficit/hyperactivity disorder (ADHD) symptoms, oppositional symptoms, and mental health outcomes (negative affect, anxiety, depression, and irritability) in children with ADHD during the COVID-19 pandemic. METHOD Parents of 140 Australian children with ADHD (aged 5-17 years) completed an online survey in May 2020 during stay-at-home restrictions and 12-months later. RESULTS Baseline COVID-19 stress was associated with increased total ADHD symptom severity (β = .21, p = .007) and hyperactivity/impulsivity symptoms (β = .23, p = .002) at 12-months, after accounting for covariates (i.e., child age, gender, ADHD medication, socio-economic status, and baseline symptoms). Despite some indication of associations between baseline COVID-19 stress and 12-month oppositional symptoms and negative affect, these were attenuated when adjusting for baseline symptoms. CONCLUSIONS The study provides initial evidence of the medium-term impacts of pandemic-related stress for children with ADHD.
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Affiliation(s)
| | | | - Elizabeth M Westrupp
- Deakin University, Geelong, VIC, Australia
- La Trobe University, Bundoora, VIC, Australia
| | | | - David Coghill
- University of Melbourne, Parkville, VIC, Australia
- Murdoch Children's Research Institute, Parkville, VIC, Australia
- The Royal Children's Hospital, Parkville, VIC, Australia
| | | | - Delyse Hutchinson
- Deakin University, Geelong, VIC, Australia
- Murdoch Children's Research Institute, Parkville, VIC, Australia
- University of New South Wales, Sydney, NSW, Australia
| | - Stephen P Becker
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
- University of Cincinnati College of Medicine, OH, USA
| | | | - Jon Quach
- University of Melbourne, Parkville, VIC, Australia
- Murdoch Children's Research Institute, Parkville, VIC, Australia
| | - Daryl Efron
- University of Melbourne, Parkville, VIC, Australia
- Murdoch Children's Research Institute, Parkville, VIC, Australia
- The Royal Children's Hospital, Parkville, VIC, Australia
| | - Argyris Stringaris
- University College London, UK
- National and Kapodistrian University of Athens, Greece
| | - Christel M Middeldorp
- University of Queensland, Brisbane, QLD, Australia
- Children's Health Queensland Hospital and Health Service, Brisbane, QLD, Australia
| | | | - Emma Sciberras
- Deakin University, Geelong, VIC, Australia
- University of Melbourne, Parkville, VIC, Australia
- Murdoch Children's Research Institute, Parkville, VIC, Australia
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Lebow JL. Couple and family therapy (and families) in the digital age. FAMILY PROCESS 2021; 60:689-693. [PMID: 34580874 DOI: 10.1111/famp.12705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Jay L Lebow
- Editor, Family Process and Family Institute at Northwestern, Northwestern University, Evanston, Illinois, USA
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Gangamma R, Walia B, Luke M, Lucena C. Continuation of teletherapy post COVID-19: Survey data from licensed mental health professionals (Preprint). JMIR Form Res 2021; 6:e32419. [PMID: 35584317 PMCID: PMC9162131 DOI: 10.2196/32419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 04/25/2022] [Accepted: 05/02/2022] [Indexed: 01/02/2023] Open
Abstract
Background The use of teletherapy has exponentially increased in the context of the ongoing COVID-19 pandemic. Studies on teletherapy documented substantial benefits of accessibility and convenience even before the start of the pandemic. Although recent studies show that this modality of therapy delivery is here to stay, few have studied who will most benefit from this trend. Objective In this paper, we report predictors of continued teletherapy usage in a sample of licensed mental health professionals in the United States during a time period when pandemic-related restrictions began diminishing. As such, it is one of the first studies to examine factors related to continued benefits of teletherapy postpandemic. Methods Participation from licensed mental health professionals was sought on listservs of national organizations of multiple mental health organizations. Data were collected via an anonymous link to a survey on Qualtrics between January 2021 and April 2021. Participants responded to questions on therapist demographics, practice setting, experiences of shifting to teletherapy, perspectives on continued use of teletherapy, and their client characteristics. Findings related to client characteristics that predicted continued teletherapy usage are presented here. Results A total of 186 individuals consented to participate in the survey, with a final sample of 114 with complete data. A majority of participants identified as female (92/114, 80.7%), White (94/114, 82.5%), and having a master's degree (75/114, 65.5%) from a nationally accredited program (106/114, 93%). Data were analyzed using heteroskedastic regression modeling with client-related factors as predictors. Two models were run with and without distance travelled by clients as a control variable. Model estimates from both models showed that continued use of teletherapy postpandemic was predicted by the following factors: higher percentage of clients from rural areas, younger and older adult clients, clients with Medicare, and clients with marginalized gender and religious/spiritual identities. Significantly, having a higher percentage of clients from lower socioeconomic status, a higher percentage of those with Medicaid coverage, and a higher percentage of couples and families as clients predicted decreased use of teletherapy postpandemic. Conclusions Findings from the study suggest that while some groups of clients are more likely to continue to receive benefits of teletherapy, vulnerable groups such as those in lower socioeconomic conditions, Medicaid beneficiaries, and those who seek couple and family therapy may be less likely to be served by it. These differences point to a need to address factors driving telehealth care disparities such as access to technology, housing, and childcare issues, as well as the need for continued training for licensed professionals.
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Affiliation(s)
- Rashmi Gangamma
- Department of Marriage and Family Therapy, Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, United States
| | - Bhavneet Walia
- Department of Public Health, Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, United States
| | - Melissa Luke
- Department of Counseling & Human Services, School of Education, Syracuse University, Syracuse, NY, United States
| | - Claudine Lucena
- Department of Marriage and Family Therapy, Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, United States
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