Department of Psychology, University of Montreal, Montreal, Quebec, Canada.
Centre de recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada.
Early Interv Psychiatry. 2021 Dec;15(6):1595-1601. doi: 10.1111/eip.13099. Epub 2020 Dec 23.
The COVID-19 pandemic has introduced many mental health professionals to therapy via videoconferencing. Mostly individual teletherapy has been offered and studied, although group therapy is often offered in clinics. In fact, little is known regarding group therapy's acceptability, feasibility, and potential impact when offered via videoconferencing.
This pilot study offered group cognitive-behavioural therapy for psychosis via videoconferencing to 14 individuals with early psychosis either living in remote areas or confined during the pandemic.
The rate of consenting to the study (79%) and actual participation rates were acceptable (18.5 sessions out of 24). Although some technological obstacles were encountered, solutions offered allowed the videoconferencing group to be considered feasible for most participants and therapists. Prepost results on symptoms and self-esteem were comparable to those of other studies using the same group treatment but in-person. Alliance scores seemed similar as well.
More studies are warranted on the efficacy of group therapy via videoconferencing. This pilot study does offer promising results, suggesting that a wider range of people with early psychosis can be reached and benefit from the advantages of receiving an evidence-based group intervention.
新冠疫情大流行促使许多精神卫生专业人员通过视频会议开展治疗。目前主要提供和研究的是个体远程治疗，尽管诊所通常会提供团体治疗。事实上，对于通过视频会议提供团体治疗的可接受性、可行性和潜在影响知之甚少。
本研究为 14 名早期精神病患者提供了团体认知行为治疗，这些患者或居住在偏远地区，或在疫情期间被隔离。
研究的同意率（79%）和实际参与率都很高（24 次中有 18.5 次）。尽管遇到了一些技术障碍，但提供的解决方案使大多数参与者和治疗师都认为视频会议组可行。症状和自尊的前后测结果与使用相同团体治疗但面对面进行的其他研究相似。联盟评分似乎也相似。
需要更多关于通过视频会议进行团体治疗的疗效的研究。本研究提供了有前景的结果，表明可以接触到更多的早期精神病患者，并从接受基于证据的团体干预的优势中受益。
