Weerkamp-Bartholomeus Paula, Marazziti Donatella, van Amelsvoort Therese
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.
ReAttach Therapy International Foundation, Voerendaal, Netherlands.
Front Psychol. 2021 Jan 15;11:620027. doi: 10.3389/fpsyg.2020.620027. eCollection 2020.
Since the outbreak of the COVID-19 pandemic and its social restriction measures, online therapy is a life-saving possibility for patients with acute stress. Wiring Affect with ReAttach (W.A.R.A.) is a brief psychological intervention aiming to decrease negative affect, that can be offered online.
We assessed the effect of remote W.A.R.A. on negative affect in 37 patients. Consequently, we compared the effect of remote W.A.R.A. versus face-to-face W.A.R.A on negative affect in a cross-sectional design.
W.A.R.A. remote therapy provoked a significant reduction of negative affect with a large effect size ( = 3.08, < 0.001). However, the reduction on negative affect was smaller than with W.A.R.A. face-to-face. We found a substantial difference between W.A.R.A. remote therapy and W.A.R.A. face-to-face in decrease of negative affect ( = 1.36, < 0.001).
The major limitation of the pilot-study is the sample size of 37 patients. Besides, we designed a numeric rating scale for evaluating negative affect. We investigated the impact on negative affect by assessing "unpleasant feelings." This conceptualization of negative affect might still be a point of discussion.
The study's findings indicated that W.A.R.A. remote therapy significantly reduced negative affect, but to a lesser extent than W.A.R.A. face-to-face. Nevertheless, W.A.R.A. remote therapy might offer a fast relief, especially when personal contact is difficult.
自新冠疫情爆发及其实施社会限制措施以来，在线治疗对于急性应激患者而言是一种挽救生命的可能性。“用重新联结来疏导情绪（W.A.R.A.）”是一种旨在减少消极情绪的简短心理干预措施，可通过在线方式提供。
我们评估了远程W.A.R.A.对37名患者消极情绪的影响。因此，我们在横断面设计中比较了远程W.A.R.A.与面对面W.A.R.A.对消极情绪的影响。
W.A.R.A.远程治疗显著降低了消极情绪，效应量较大（= 3.08，< 0.001）。然而，消极情绪的降低幅度小于面对面的W.A.R.A.治疗。我们发现远程W.A.R.A.治疗与面对面W.A.R.A.治疗在消极情绪降低方面存在显著差异（= 1.36，< 0.001）。
该试点研究的主要局限性在于样本量为37名患者。此外，我们设计了一个数字评定量表来评估消极情绪。我们通过评估“不愉快的感觉”来研究对消极情绪的影响。消极情绪的这种概念化可能仍存在争议。
研究结果表明，W.A.R.A.远程治疗显著降低了消极情绪，但程度低于面对面的W.A.R.A.治疗。尽管如此，W.A.R.A.远程治疗可能会提供快速缓解，尤其是在人际接触困难时。
