数字时代的治疗:探索面对面和虚拟的认知行为疗法
Julie Vizza1, Sanaz Riahi2,3, Olivia Jackson4
1Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe St N, Oshawa, ON, L1G 0C5, Canada. julie.vizza@ontariotechu.net.
BMC psychiatry
|July 2, 2025
概括
客户发现基于互联网的认知行为疗法 (eCBT) 由于其可访问性和灵活性而令人满意. 然而,技术挑战可能会影响治疗关系,强调需要以客户为中心的虚拟护理策略.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 心理治疗 心理治疗
背景情况:
- 以客户为中心的护理在心理健康治疗中至关重要.
- 基于互联网的认知行为疗法 (eCBT) 为传统的面对面认知行为疗法提供了一种可访问,具有成本效益的替代方案.
- 在COVID-19期间,eCBT的使用激增,但真实世界的客户体验仍未得到充分研究.
研究的目的:
- 探索客户对面CBT和eCBT的体验.
- 从客户的角度来看,确定每个治疗模式的优点和挑战.
主要方法:
- 来自门诊的12名患者参加了深入采访.
- 采访是在2023年6月至12月期间进行的.
- 采用Braun和Clarke的六步方法进行的主题分析,应用于采访成绩单.
主要成果:
- 出现了五个主题:以不同的方式接触治疗,客户与提供者的关系,满意度,环境影响和客户赋权.
- 客户对eCBT表示高度满意,并重视其可访问性和灵活性.
- 技术挑战被认为是参与和关系质量的潜在障碍.
结论:
- 电子CBT的优势和挑战反映了面对面的治疗,数字舒适性是关键因素.
- 以客户为中心的护理原则在虚拟环境中至关重要,需要数字关系建设技能和关注技术障碍.
- 这些发现可以指导在流行病后的医疗保健中对各种心理健康服务用户的eCBT改进.
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