Hobbs Katherine W, Monette Patrick J, Owoyemi Praise, Beard Courtney, Rauch Scott L, Ressler Kerry J, Vahia Ipsit V
McLean Hospital, Belmont, MA, United States.
Harvard Medical School, Cambridge, MA, United States.
J Med Internet Res. 2019 Jul 12;21(7):e13218. doi: 10.2196/13218.
Obtaining collateral information from a patient is an essential component of providing effective psychiatric and psychotherapeutic care. Research indicates that patients' social and electronic media contains information relevant to their psychotherapy and clinical care. However, it remains unclear to what degree this content is being actively utilized by clinicians as a part of diagnosis or therapy. Moreover, clinicians' attitudes around this practice have not been well characterized.
This survey aimed to establish the current attitudes and behaviors of outpatient clinicians regarding the incorporation of patients' social and electronic media into psychotherapy.
A Web-based survey was sent to outpatient psychotherapists associated with McLean Hospital in Belmont, Massachusetts. The survey asked clinicians to indicate to what extent and with which patients they reviewed patients' social and electronic media content as part of their clinical practice, as well as their reasons for or against doing so.
Of the total 115 respondents, 71 (61.7%) indicated that they had viewed at least one patient's social or electronic media as part of psychotherapy, and 65 of those 71 (92%) endorsed being able to provide more effective treatment as a result of this information. The use of either short message service text messages or email was significantly greater than the use of other electronic media platforms (χ=24.1, n=115, P<.001). Moreover, the analysis of survey responses found patterns of use associated with clinicians' years of experience and patient demographics, including age and primary diagnosis.
The incorporation of patients' social and electronic media into therapy is currently common practice among clinicians at a large psychiatric teaching hospital. The results of this survey have informed further questions about whether reviewing patient's media impacts the quality and efficacy of clinical care.
从患者那里获取辅助信息是提供有效精神科和心理治疗护理的重要组成部分。研究表明，患者的社交和电子媒体包含与他们的心理治疗和临床护理相关的信息。然而，目前尚不清楚临床医生在多大程度上积极利用这些内容作为诊断或治疗的一部分。此外，临床医生对这种做法的态度尚未得到充分描述。
本次调查旨在确定门诊临床医生对于将患者的社交和电子媒体纳入心理治疗的当前态度和行为。
向马萨诸塞州贝尔蒙特市麦克莱恩医院的门诊心理治疗师发送了一项基于网络的调查。该调查要求临床医生指出他们在临床实践中查看患者社交和电子媒体内容的程度以及针对哪些患者，以及他们这样做的理由。
在总共115名受访者中，71名（61.7%）表示他们在心理治疗过程中查看过至少一名患者的社交或电子媒体，其中71名中的65名（92%）认可由于这些信息能够提供更有效的治疗。短信或电子邮件的使用明显多于其他电子媒体平台（χ=24.1，n=115，P<.001）。此外，对调查回复的分析发现了与临床医生的工作年限以及患者人口统计学特征（包括年龄和主要诊断）相关的使用模式。
在一家大型精神科教学医院，将患者的社交和电子媒体纳入治疗目前是临床医生中的常见做法。本次调查结果引发了关于查看患者媒体内容是否会影响临床护理质量和疗效的进一步问题。
