Delivering cognitive-behavior therapy for panic disorder with agoraphobia in videoconference
Delivering cognitive-behavior therapy for panic disorder with agoraphobia in videoconference
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DOI：
10.1089/153056204773644535
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发表时间：
2004-03-01
期刊：
影响因子：
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通讯作者：
Lapierre, J
中科院分区：
文献类型：
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作者：
Bouchard, S;Paquin, B;Lapierre, J
通过视频会议提供心理治疗可以显着增加经验验证治疗的可及性。本研究的目的是比较认知行为疗法（CBT）治疗惊恐障碍伴广场恐怖症（PDA）的有效性，无论是面对面还是通过视频会议进行治疗。对21名参与者进行了面对面或视频会议的抽样处理。结果表明，通过视频会议进行的CBT与面对面进行的CBT一样有效。所有指标都有统计学显著性降低，通过视频会议接受CBT的无恐慌参与者人数在治疗后为81%，在6个月随访时为91%。与面对面的心理治疗相比，没有一项结果表明通过视频会议提供的CBT效果较差。这些结果通过效应量分析得到证实。参与者报告说，早在第一次治疗会议上，他们就在视频会议中建立了一个优秀的治疗联盟。这些结果的治疗可及性的重要性进行了讨论。提出了一些假设来解释在视频会议中快速建立强大的治疗联盟。
Delivering psychotherapy by videoconference could significantly increase the accessibility of empirically validated treatments. The aim of this study was to compare the effectiveness of cognitive-behavior therapy (CBT) for panic disorder with agoraphobia (PDA) when the therapy is delivered either face-to-face or by videoconference. A sample of 21 participants was treated either face-to-face or by videoconference. Results showed that CBT delivered by videoconference was as effective as CBT delivered face-to-face. There was a statistically significant reduction in all measures, and the number of panic-free participants among those receiving CBT by videoconference was 81% at post-treatment and 91% at the 6-month follow-up. None of the comparisons with face-to-face psychotherapy suggested that CBT delivered by videoconference was less effective. These results were confirmed by analyses of effect size. The participants reported the development of an excellent therapeutic alliance in videoconference as early as the first therapy session. The importance of these results for treatment accessibility is discussed. Hypotheses are proposed to explain the rapid creation of strong therapeutic alliances in videoconferencing.