Telepsychotherapy with Youth at Clinical High Risk for Psychosis: Clinical Issues and Best Practices during the COVID-19 Pandemic.
Telepsychotherapy with Youth at Clinical High Risk for Psychosis: Clinical Issues and Best Practices during the COVID-19 Pandemic.
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DOI：
10.1037/int0000211
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发表时间：
2020-06
影响因子：
3.5
通讯作者：
Schiffman J
中科院分区：
文献类型：
--
作者：
DeLuca JS;Andorko ND;Chibani D;Jay SY;Rakhshan Rouhakhtar PJ;Petti E;Klaunig MJ;Thompson EC;Millman ZB;Connors KM;Akouri-Shan L;Fitzgerald J;Redman SL;Roemer C;Bridgwater MA;DeVylder JE;King CA;Pitts SC;Reinblatt SP;Wehring HJ;Bussell KL;Solomon N;Edwards SM;Reeves GM;Buchanan RW;Schiffman J
早期发现和预防精神病已成为国际优先事项。这项工作的大部分重点是患有精神病症状较轻的青少年，即那些处于精神病临床高风险（CHR）的青少年，因为他们在随后的几年中患上完全疾病的可能性较高。由于压力敏感性增强和共存的心理健康问题，CHR 的个人在 COVID-19 大流行及其随后的物理隔离措施期间可能容易遭受加剧的心理困扰。远程心理治疗有望惠及这一人群，尤其是在当前的 COVID-19 爆发期间。然而，针对这一人群使用远程心理治疗的循证指南或干预措施有限。在本文中，我们回顾了 CHR 个人的常见临床问题以及 COVID-19 大流行可能如何加剧这些问题； CHR 个人远程心理治疗的最佳治疗和适应实践；并强调我们目前在美国一家专业 CHR 诊所通过视频会议进行远程心理治疗时遇到的实际临床问题。最后，我们提出了供该领域人士思考的问题，以及对 CHR 的个人及其家人使用远程心理治疗的潜在挑战和好处。
Early detection and prevention of psychosis has become an international priority. Much of this work has focused on youth presenting with attenuated symptoms of psychosis—those at Clinical High Risk for psychosis (CHR)—given their elevated probability of developing the full disorder in subsequent years. Individuals at CHR may be prone to exacerbated psychological distress during the COVID-19 pandemic and its subsequent physical isolation measures, due to heightened stress sensitivity and comorbid mental health problems. Telepsychotherapy holds promise for reaching this population, especially during the current COVID-19 outbreak. However, there are limited evidence-based guidelines or interventions for use of telepsychotherapy with this population. In this paper, we review common clinical issues for individuals at CHR and how they might be exacerbated by the COVID-19 pandemic; best practices for treatment and adaptations for telepsychotherapy for individuals at CHR; and highlight real clinical issues that we are currently experiencing in a United States-based specialized CHR clinic as we conduct telepsychotherapy via videoconferencing. We conclude with questions for those in the field to contemplate, as well as potential challenges and benefits in using telepsychotherapy with individuals at CHR and their families.
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通讯作者：
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