Telepsychotherapy With Children and Families: Lessons Gleaned From Two Decades of Translational Research.
Telepsychotherapy With Children and Families: Lessons Gleaned From Two Decades of Translational Research.
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DOI：
10.1037/int0000215
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发表时间：
2020-06
影响因子：
3.5
通讯作者：
Williams T
中科院分区：
文献类型：
--
作者：
Wade SL;Gies LM;Fisher AP;Moscato EL;Adlam AR;Bardoni A;Corti C;Limond J;Modi AC;Williams T
新型冠状病毒新冠肺炎导致了心理实践的全面变化，并伴随而来的是心理咨询疗法的迅速普及。虽然心理心理治疗对许多临床心理学家来说是新事物，但关于心理心理治疗的研究却相当多。近20年来对患有神经疾病的儿童进行远程心理治疗的临床研究有可能为新冠肺炎时代的新兴临床实践提供信息。为此，我们综合了14项远程心理治疗解决问题和家长培训干预的临床试验的结果，这些试验涉及800多名患有不同诊断的儿童和家庭，包括创伤性脑损伤、癫痫、脑瘤、先天性心脏病和围产期中风。我们总结了研究和临床人群的疗效，并从父母、孩子和心理治疗师的角度报告了可行性和可接受性数据。我们描述了适应国际环境和解决技术挑战以及与不同社会经济阶层的家庭合作的战略。广泛的研究文献回顾和综合提供了相当大的支持作用的远程心理治疗的神经疾病的儿童及其家庭，并强调其高度可接受的不同的临床人群和提供者。在这段脆弱和压力加剧以及获得通常支持和服务机会减少的时期，在线家庭问题解决治疗和在线育儿技能培训等远程心理治疗方法可能使心理学家能够在虚拟环境中提供传统的循证治疗，同时保持保真度和有效性。
The novel coronavirus, COVID-19, has led to sweeping changes in psychological practice and the concomitant rapid uptake of telepsychotherapy. Although telepsychotherapy is new to many clinical psychologists, there is considerable research on telepsychotherapy treatments. Nearly 2 decades of clinical research on telepsychotherapy treatments with children with neurological conditions has the potential to inform emerging clinical practice in the age of COVID-19. Toward that end, we synthesized findings from 14 clinical trials of telepsychotherapy problem-solving and parent-training interventions involving more than 800 children and families with diverse diagnoses, including traumatic brain injury, epilepsy, brain tumors, congenital heart disease, and perinatal stroke. We summarize efficacy across studies and clinical populations and report feasibility and acceptability data from the perspectives of parents, children, and psychotherapists. We describe adaptation for international contexts and strategies for troubleshooting technological challenges and working with families of varying socioeconomic strata. The extensive research literature reviewed and synthesized provides considerable support for the utility of telepsychotherapy with children with neurological conditions and their families and underscores its high level of acceptability with both diverse clinical populations and providers. During this period of heightened vulnerability and stress and reduced access to usual supports and services, telepsychotherapy approaches such as online family problem-solving treatment and online parenting skills training may allow psychologists to deliver traditional evidence-based treatments virtually while preserving fidelity and efficacy.
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DOI：
10.1016/j.yebeh.2017.04.009
发表时间：
2017-07
期刊：
Epilepsy & behavior : E&B
影响因子：
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作者：
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DOI：
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发表时间：
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影响因子：
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