Ter Heide F Jackie June, de la Rie Simone, de Haan Annelies, Boeschoten Manon, Nijdam Mirjam J, Smid Geert, Wind Tim, Mooren Trudy
ARQ Centrum'45, Diemen/Oegstgeest, The Netherlands.
ARQ National Psychotrauma Centre, Diemen, The Netherlands.
Eur J Psychotraumatol. 2021 May 11;12(1):1906021. doi: 10.1080/20008198.2021.1906021.
: The coronavirus pandemic appears to put psychiatric patients with pre-existing symptomatology at risk of symptom increase, but evidence is scarce. While the pandemic and stringent governmental measures have accelerated the use of clinical videoconferencing (VCT), patient satisfaction with VCT is unclear. : Aim of the study was to assess the wellbeing of patients in psychotrauma treatment during the coronavirus pandemic and to evaluate their use of and satisfaction with VCT. : This study used data from a routine outcome monitoring assessment completed by patients in treatment at a specialized psychotrauma institute and administered before the easing of governmental measures in June 2020. Wellbeing (Brief Symptom Inventory, Cantril Ladder, perceived stress level, and symptom change), VCT use and VCT satisfaction, and their association with demographic variables (gender, age, education level, and refugee status) were analysed. : Of the 318 respondents (response rate 64.5%), 139 (43.7%) reported a symptom increase, which was associated with a higher coronavirus-related stress level and general psychopathology as well as lower life satisfaction. There were significant effects of age and education level on wellbeing. VCT was reported to have been used by 228 (71.7%) patients. VCT satisfaction ratings were higher among women and those with lower levels of stress ( = -.20, < .01) and general psychopathology ( = .21, < .01). No difference in treatment satisfaction was found between patients who used VCT versus those who did not (mean difference = -.09 95% CI: -.79 to .62, = .81). : The coronavirus pandemic has aggravated mental health complaints according to a substantial percentage of patients in psychotrauma treatment. Although VCT was found to be acceptable, face-to-face treatment may remain necessary for specific target groups with limited access to VCT (such as refugees) and patients with high levels of general psychopathology.
冠状病毒大流行似乎使已有症状的精神科患者面临症状加重的风险，但相关证据匮乏。虽然大流行和政府的严格措施加速了临床视频会议（VCT）的使用，但患者对VCT的满意度尚不清楚。本研究的目的是评估冠状病毒大流行期间接受心理创伤治疗的患者的幸福感，并评估他们对VCT的使用情况和满意度。本研究使用了来自一家专门的心理创伤机构接受治疗的患者在2020年6月政府措施放宽之前完成的常规结果监测评估数据。分析了幸福感（简明症状量表、坎特里尔阶梯量表、感知压力水平和症状变化）、VCT使用情况和VCT满意度，以及它们与人口统计学变量（性别、年龄、教育水平和难民身份）的关联。在318名受访者中（回复率64.5%），139名（43.7%）报告症状加重，这与较高的冠状病毒相关压力水平、一般精神病理学以及较低的生活满意度有关。年龄和教育水平对幸福感有显著影响。据报告，228名（71.7%）患者使用了VCT。女性以及压力水平较低（r = -0.20，p < 0.01）和一般精神病理学水平较低（r = 0.21，p < 0.01）的患者对VCT的满意度评分更高。使用VCT的患者与未使用VCT的患者在治疗满意度上没有差异（平均差异 = -0.09，95%置信区间：-0.79至0.62，p = 0.81）。根据相当比例的心理创伤治疗患者的情况，冠状病毒大流行加剧了心理健康问题。虽然发现VCT是可以接受的，但对于VCT使用受限的特定目标群体（如难民）和一般精神病理学水平较高的患者，面对面治疗可能仍然是必要的。
