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Quaderni di Psicoterapia Cognitiva - Open Access

Studies and researches

No. 49 (2021)

Passaggio alla psicoterapia online durante la pandemia da Coronavirus (Covid-19): precedente esperienza, familiarità con la tecnologia e conoscenze teoriche sulla psicoterapia online da parte del terapeuta. Il caso del Centro Medico Santagostino

DOI
https://doi.org/10.3280/qpc49-2021oa13211
Submitted
gennaio 17, 2022
Published
2022-01-28

Abstract

Durante la pandemia da Coronavirus (Covid-19), l’uso della psicoterapia online (PO) è stato ampiamente rivalutato. In situazioni in cui il passaggio alla PO siano caratterizzati da necessità e urgenza, la preparazione tecnica e teorica del terapeuta può essere cruciale.
Nel presente studio abbiamo pertanto indagato il ruolo di tale preparazione sul passaggio alla PO durante l’emergenza Covid-19, nel contesto di un servizio privato di psicoterapia (Santagostino).

Un questionario costruito ad hoc è stato utilizzato per rilevare l’esperienza pregressa di PO di 86 terapeuti, il grado riferito di familiarità con i sistemi di videocomunicazione, di conoscenza teorica e scientifica della PO, e la percentuale di pazienti in cura passati in PO. Sono state inoltre raccolte informazioni riguardo all’orientamento terapeutico e al grado personale di scetticismo nei confronti della PO prima della pandemia. Su 158 terapeuti contattati, 86 hanno completato il questionario.
L’esperienza pregressa del terapeuta in PO si è dimostrata la variabile più predittiva per il passaggio dei pazienti alla PO. Accanto a essa la familiarità tecnica dei terapeuti, associata a un basso scetticismo.
I risultati dello studio suggeriscono che una precedente esperienza, e dunque formazione, all’uso della PO, potrebbe favorire sia il suo utilizzo da parte del terapeuta, che l’adesione dei pazienti alla PO stessa. Una adeguata formazione tecnica e teorica potrebbe incrementare il senso di padronanza e fiducia (vs. scetticismo) nella PO.

References

  1. Backhaus A., Agha Z., Maglione M.L., Repp A., Ross B., Zuest D., Rice-Thorp N.M., Lohr J. & Thorp S.R. (2012). Videoconferencing psychotherapy: A systematic review. Psychological Services, 9(2): 111-131. DOI: 10.1037/a0027924.
  2. Berger T. (2017). The therapeutic alliance in internet interventions: A narrative review and suggestions for future research. Psychotherapy Research, 5: 511-524. DOI: 10.1080/10503307.2015.1119908.
  3. Berryhill M.B., Culmer N., Williams N., Halli-Tierney A., Betancourt A., Roberts H. & King M. (2019). Videoconferencing Psychotherapy and Depression: A Systematic Review. Telemedicine and e-Health, 25(6): 435-446. DOI: 10.1089/tmj.2018.0058.
  4. Boldrini T., Schiano Lomoriello A., Del Corno F., Lingiardi V. & Salcuni S. (2020). Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic. Frontiers in Psychology. DOI: 10.3389/fpsyg.2020.591170.
  5. Bolle S.R., Trondsen M.V., Stensland G.Ø. & Tjora A. (2018). Usefulness of videoconferencing in psychiatric emergencies – a qualitative study. Health and Technology, 8(1): 111-117. DOI: 10.1007/s12553-017-0189-z.
  6. Bongiovanni C., Olivetti E., Staccini L., Cavadini D. & Porcelli S. (in press). The use of video-conferencing in mental health care during the Covid-19 pandemic. An Italian experience in the private practice.
  7. Carlbring P., Andersson G., Cuijpers P., Riper H. & Hedman-Lagerlöf E. (2018). Internetbased vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1): 1-18. DOI: 10.1080/16506073.2017.1401115.
  8. Ćosić K., Popović S., Šarlija M. & Kesedžić I. (2020). Impact of Human Disasters and COVID-19 Pandemic on Mental Health: Potential of Digital Psychiatry. Psychiatria Danubina, 32: 25-31. DOI: 10.24869/psyd.2020.25.
  9. Crits-Christoph P., Gibbons M.C., Hamilton J., Ring-Kurtz S. & Gallup R. (2011). The dependability of alliance assessments: The alliance-outcome correlation is larger than you might think. Journal of Consulting and Clinical Psychology, 79(3): 267-278. DOI: 10.1037/a0023668.
  10. Gratzer D. & Goldbloom D. (2020). Therapy and e-therapy – Preparing Future Psychiatrists in the Era of Apps and Chatbots. Academic Psychiatry, 44: 231-234. DOI: 10.1007/s40596-019-01170-3.
  11. Hilsenroth M.J., Cromer T.D. & Ackerman S.J. (2012). How to make practical use of therapeutic alliance research in your clinical work. In: Levy R.A., Ablon J.S. & Kächele H. (eds.). Psychodynamic psychotherapy research: Evidence-based practice and practice-based evidence. Humana Press – Springer.
  12. Horvath A.O., Del Re A.C., Flückiger C. & Symonds D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1): 9-16. DOI: 10.1037/a0022186.
  13. Isaacs Russell G. (2017). Psicoanalisi attraverso lo schermo. I limiti delle terapie online. Roma: Astrolabio.
  14. Merchant J. (2016). The use of Skype in analysis and training: a research and literature review. Journal of Analytical Psychology, 61: 309-328. DOI: 10.1111/1468-5922.12224.
  15. Meyer B., Berger T., Caspar F., Beevers C., Andersson G. & Weiss M. (2009). Effectiveness of a Novel Integrative Online Treatment for Depression (Deprexis): Randomized Controlled Trial. Journal Medicine Internet Research, 11(2). DOI: 10.2196/jmir.1151.
  16. Morland L.A., Mackintosh M.A., Greene C.J., Rosen C.S., Chard K.M., Resick P. & Frueh B.C. (2014). Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: A randomized noninferiority clinical trial. Journal of Clinical Psychiatry, 75(5): 470-476. DOI: 10.4088/JCP.13m08842.
  17. Muir S.D., de Boer K., Thomas N., Seabrook E., Nedeljkovic M. & Meyer D. (2020). Videoconferencing Psychotherapy in the Public Sector: Synthesis and Model for Implementation. Journal of Mental Internet Research, 7(1). DOI: 10.2196/14996.
  18. Nienhuis J., Owen J., Valentine J.C., Winkeljohn Black S., Halford T.C., Parazak S.E., Budge S. & Hilsenroth M. (2018). Therapeutic alliance, empathy, and genuineness in individual adult psychotherapy: A meta-analytic review. Psychotherapy Research, 28(4): 593-605. DOI: 10.1080/10503307.2016.1204023.
  19. Norwood C., Moghaddam N.G., Malins S. & Sabin-Farrell R. (2018). Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta-analysis. Clinical Psychology Psychotherapy, 25: 797-808. DOI: 10.1002/cpp.2315.
  20. Paoli B. & Procacci,M. (2021). Le terapie on-line: opportunità o ripiego?. Quaderni Di Psicoterapia Cognitiva – Open Access, (47), journals.francoangeli.it/index.php/qpcoa/article/view/11204.
  21. Păsărelu C.R., Andersson G., Bergman Nordgren L. & Dobrean A. (2017). Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, 46(1): 1-28. DOI: 10.1080/16506073.2016.1231219.
  22. Perrin P.B., Rybarczyk B.D., Pierce B.S., Jones H.A., Shaffer C. & Islam L. (2020). Rapid telepsychology deployment during the COVID-19 pandemic: A special issue commentary and lessons from primary care psychology training. Journal of Clinical Psychology, 76(6): 1173-1185. DOI: 10.1002/jclp.22969.
  23. Shigemura J., Ursano R.J., Morganstein J.C., Kurosawa M. & Benedek D.M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74: 277-283. DOI: 10.1111/pcn.12988.
  24. Simpson S. (2009). Psychotherapy via videoconferencing: A review. British Journal of Guidance & Counselling, 37(3): 271-286.
  25. Simpson S.G. & Reid C.L. (2014). Alliance in videoconferencing psychotherapy. Australian Journal of Rural Health, 22: 280-299. DOI: 10.1111/ajr.12149.
  26. Spek V., Cuijpers P., Nyklicek I., Riper H., Keyzer J. & Pop V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3): 319-328. DOI: 10.1017/S0033291706008944.
  27. Stubbings D.R., Rees C.S., Roberts L.D. & Kane R.T. (2013). Comparing In-Person to Videoconference-Based Cognitive Behavioral Therapy for Mood and Anxiety Disorders: Randomized Controlled Trial. Journal of Medical Internet Research, 15(11): e258. DOI: 10.2196/jmir.2564.
  28. Sucala M., Schnur J.B., Constantino M.J., Miller S.J., Brackman E.H. & Montgomery G.H. (2012). The therapeutic relationship in e-therapy for mental health: a systematic review. Journal of Medical Internet Research, 14(4): e110. DOI: 10.2196/jmir.2084.
  29. Sucala M., Schnur J.B., Brackman E.H., Constantino M.J. & Montgomery G.H. (2013). Clinicians’ Attitudes Toward Therapeutic Alliance in e-therapy. The Journal of General Psychology, 140(4): 282-293. DOI: 10.1080/00221309.2013.830590.
  30. Terry C. & Cain J. (2016). The Emerging Issue of Digital Empathy. American Journal of Pharmaceutical Education, 80(4): 58. DOI: 10.5688/ajpe80458.
  31. Trondsen M.V., Bolle S.R., Stensland G.Ø. & Tjora A. (2014). Video-confidence: a qualitative exploration of videoconferencing for psychiatric emergencies. BMC Health Services Research, 14: 544. DOI: 10.1186/s12913-014-0544-y.
  32. Trondsen M.V., Tjora A., Broom A. & Scambler G. (2018). The symbolic affordances of a video-mediated gaze in emergency psychiatry. Social Science & Medicine, 197: 87-94. DOI: 10.1016/j.socscimed.2017.11.056.
  33. Vinai P. & Speciale M. (2013). Il colloquio nella Video-Based cognitive Therapy. In: Ruggiero G. & Sassaroli S. (a cura di). Il colloquio in psicoterapia cognitiva. Milano: Raffaello Cortina.
  34. Wampold B.E. & Imel Z.E. (2015). Counseling and psychotherapy. The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). Routledge – Taylor & Francis Group.
  35. Yuen E.K., Herbert J.D., Forman E.M., Goetter E.M., Juarascio A.S., Rabin S., Goodwin C. & Bouchard S. (2013). Acceptance based behavior therapy for social anxiety disorder through videoconferencing. Journal of Anxiety Disorders, 27(4): 389-397. DOI: 10.1016/j.janxdis.2013.03.002.

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