COVID-19 以後のテレセラピー: 面会客の特徴と日常の実践におけるサービス利用との比較
Wilson T Trusty1, Brett E Scofield1, Stewart E Cooper2
1Center for Counseling and Psychological Services, Pennsylvania State University, University Park, Pennsylvania, USA.
Journal of clinical psychology
|August 26, 2025
まとめ
テレヘルス心理療法 (TH) と対面療法 (IP) は,流行後の同様の結果と活用を示しています. THは多様な集団へのアクセスを改善し,両方のモダリティを提供することは有益であると示唆しています.
科学分野:
- 精神科
- 精神 的 な 健康
- デジタル・ヘルス
背景:
- テレヘルス心理療法 (TH) の採用は,COVID-19以降急増した.
- THは一般的には個人治療 (IP) のように有効で受け入れられます.
- パンデミック後のTH対IPクライアントの特徴とサービス利用に関するデータは限られている.
研究 の 目的:
- THとIPの心理療法における顧客の人口統計,臨床プロファイル,サービス利用を比較する.
- THとIP心理療法の治療結果を評価する.
- THとIPの両方のサービスの提供について臨床システムに知らせる.
主な方法:
- 72の大学カウンセリングセンターの22,710人の個人心理療法のデータを分析した (2021-2023).
- クライアントの自己報告を介して人口統計と臨床データを収集します.
- チャートを見直すことでサービス利用率を決定する.
主要な成果:
- ヒスパニック/ラテン系,バイセクシュアル,IPの顧客に比べてルームメイトと暮らす可能性が低い.
- 症状の重症度は初期に類似しており,TH患者の自殺念頭は最近より少ないが,以前の治療と薬剤の履歴はより多かった.
- THの患者はより多くの診療を予定したが,診療の割合は低かった.
結論:
- 遠隔医療と対面心理療法は,わずかに異なる集団に役立つが,COVID-19以降の大学での利用と成果は類似している.
- THとIPの両方のサービスを提供することで,多様な集団のケアへのアクセスを向上させることができます.
- 遠隔医療と対面心理療法の両方への持続的なアクセスには,政策と行政のサポートが不可欠です.
関連する概念動画
01:30Current Trends in Nursing II
1.4K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.4K
01:26Modeling in Therapy
145
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
145
01:28Psychotherapy
171
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
171
01:25Interpersonal Psychotherapy
99
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
99
01:30Therapeutic Communication
5.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
5.4K
01:25Elements Crucial for Effective Psychotherapy
112
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
112