Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Department of Psychology, California State University San Bernardino, San Bernardino, California, USA.
J Trauma Stress. 2020 Aug;33(4):371-379. doi: 10.1002/jts.22544. Epub 2020 Jun 11.
The global outbreak of COVID-19 has required mental health providers to rapidly rethink and adapt how they provide care. Cognitive processing therapy (CPT) is a trauma-focused, evidence-based treatment for posttraumatic stress disorder that is effective when delivered in-person or via telehealth. Given current limitations on the provision of in-person mental health treatment during the COVID-19 pandemic, this article presents guidelines and treatment considerations when implementing CPT via telehealth. Based on lessons learned from prior studies and clinical delivery of CPT via telehealth, recommendations are made with regard to overall strategies for adapting CPT to a telehealth format, including how to conduct routine assessments and ensure treatment fidelity.
全球范围内的 COVID-19 疫情爆发，要求精神卫生服务提供者迅速重新思考和调整其提供服务的方式。认知加工疗法（CPT）是一种针对创伤的、基于证据的创伤后应激障碍治疗方法，无论是在面对面环境中还是通过远程医疗进行，都具有疗效。鉴于在 COVID-19 大流行期间提供面对面精神卫生治疗存在限制，本文介绍了通过远程医疗实施 CPT 的指南和治疗注意事项。基于从先前的研究和通过远程医疗提供 CPT 的临床经验中吸取的经验教训，本文就如何将 CPT 调整为远程医疗格式提出了总体策略方面的建议，包括如何进行常规评估和确保治疗的一致性。
