Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic.
Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic.
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心理治疗中通过电子和社交媒体提供的数字附属信息：比较临床医生报告的 COVID-19 大流行之前和期间的趋势。
DOI：
10.1097/pra.0000000000000727
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发表时间：
2023
影响因子：
1.9
通讯作者：
Trueba,AnaF
中科院分区：
文献类型：
--
作者：
Vahia,IpsitV;Sava,RachelN;Cray,HaileyV;Kim,HeejungJ;Dickinson,RebeccaA;Ressler,KerryJ;Trueba,AnaF
背景：患者的临床辅助信息是提供精神和心理治疗护理的关键。随着新冠肺炎疫情引发的以虚拟护理为主的转变，心理治疗师收到的临床信息可能比他们提供面对面护理时少。这项研究评估了向虚拟护理的转变是否对治疗师使用患者的电子和社交媒体来增强可能为心理治疗提供信息的临床信息产生了影响。方法：2018年，我们对麦克莱恩医院附属的心理治疗师进行了一项队列调查。然后，我们重新联系了当前研究的同一提供商队列，收集了2020年8月10日至2020年9月1日的调查回复，以进行此分析。结果：99名被调查者中，(64.6%)至少看过1例患者的社交媒体，8例(8.1%)看过患者的电子媒体。在那些报告观看患者媒体的人中，70人(97.2%)表示他们相信这些信息有助于他们提供更有效的治疗。与2018年的流行前数据相比，有10年报道媒体治疗经验的临床医生明显更多。在新冠肺炎大流行期间，成人患者的媒体浏览量也显著增加，老年患者的媒体浏览量也有增加的趋势。结论：在新冠肺炎大流行期间，某大型精神病学教学医院的临床医生越来越多地审查患者的电子和社交媒体在治疗中的使用。这些发现支持了关于审查患者媒体如何为临床护理提供信息和改善临床护理的持续研究。
Background:Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists’ use of patients’ electronic and social media to augment clinical information that may inform psychotherapy.Methods:In 2018, we conducted a survey of a cohort of psychotherapists affiliated with McLean Hospital. We then reapproached the same cohort of providers for the current study, gathering survey responses from August 10, 2020, to September 1, 2020, for this analysis. We asked clinicians whether they viewed patients’ electronic and social media in the context of their psychotherapeutic relationship, what they viewed, how much they viewed it, and their attitudes about doing so.Results:Of the 99 respondents, 64 (64.6%) had viewed at least 1 patient’s social media and 8 (8.1%) had viewed a patient’s electronic media. Of those who reported viewing patients’ media, 70 (97.2%) indicated they believed this information helped them provide more effective treatment. Compared with the 2018 prepandemic data, there were significantly more clinicians with> 10 years of experience reporting media use in therapy. There was also a significant increase during the pandemic in the viewing of media of adult patients and a trend toward an increase in viewing of media of older adult patients.Conclusions:Review of patients’ electronic and social media in therapy became more common among clinicians at a large psychiatric teaching hospital during the COVID-19 pandemic. These findings support continuing research about how reviewing patients’ media can inform and improve clinical care.