面对面和在线心理干预之间的有效性和治疗联盟. 一个纵向研究研究
Josep Mercadal1,2, Laia Coromina2, Victor Cabré2
1Vidal i Barraquer Foundation, Barcelona, Spain.
Frontiers in psychology
|November 13, 2025
概括
面对面的心理治疗通常比在线治疗产生更好的患者和治疗师结果,特别是在治疗联盟方面. 虽然在线治疗有前途,但目前更喜欢面对面的治疗,以获得更好的结果.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 疫情后对在线心理治疗的需求增加凸显了与传统面对面治疗的有效性和治疗联盟进行比较的必要性.
- 现有的文献往往侧重于在线治疗的有效性,但缺乏直接比较在线和面对面治疗模式之间的治疗联盟.
研究的目的:
- 评估和比较面对面与在线心理干预治疗联盟的有效性和演变.
- 收集患者和治疗师对不同心理治疗方式的结果的观点.
- 基于先前的研究,在在线干预中提出了良好的,但不优越的治疗联盟.
主要方法:
- 187名匿名参与者 (18-29岁;43.3%的男性,56.7%的女性) 完成了社会人口统计数据.
- 使用SOFTA-o (患者版本),CORE-OM和HoNOS来评估治疗联盟和临床结果.
- 分析了治疗前和治疗后措施 (CORE-OM,HoNOS) 之间的相关性,以跟踪治疗的演变.
主要成果:
- 参与者报告说,他们更喜欢亲自治疗而不是在线治疗方式.
- 在治疗前和治疗后的CORE-OM和HoNOS分数之间存在强烈的相关性,表明患者和治疗师在治疗进展上达成一致的协议.
- 与在线治疗相比,患者和治疗师都报告了面对面治疗的优异结果 (d=0.76对于患者,d=0.91对于治疗师).
结论:
- 面对面的治疗被患者和治疗师都认为比在线治疗更能产生更好的结果.
- 治疗师对治疗后改善的看法比患者更强烈,改善的症状与更强大的治疗联盟相关.
- 限制包括自我选择的模式,单个治疗师的使用,大学生样本,以及缺乏后续.
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