IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Department of Medicine Surgery and Dentistry 'Salerno Medical School', University of Salerno, Fisciano, Italy.
J Int Med Res. 2022 May;50(5):3000605221097478. doi: 10.1177/03000605221097478.
Emergency psychological interventions are needed in patients with COVID-19. During the pandemic, psychological counseling services have been provided using online platforms to address adverse psychological impacts and symptoms in patients and the general population. We investigated the effects of telepsychotherapy on emotional well-being and psychological distress in patients affected by COVID-19.
Forty-five Sicilian patients who had contracted COVID-19 joined "Telecovid Sicilia" from March to June 2020. Participants completed self-assessment questionnaires and psychological testing to measure levels of anxiety, presence of depressive symptoms, and altered circadian rhythm with consequent sleep disorders and psychological distress. Individual telepsychotherapy services were provided for 1 hour, twice a week, for 16 sessions in total.
We enrolled 45 patients (42.2% women). We found significant changes between baseline and the end of follow-up in all outcome measures, especially depression (χ (1) = 30.1; effect size [ES] = 0.82), anxiety (χ (1) = 37.4; ES = 0.91), and paranoid ideation (χ (1) = 5.6; ES = 0.35). The proportion of participants with sleep disorders decreased to 84.1% after intervention (χ (1) = 58.6; ES = 1.14).
A telepsychotherapeutic approach showed promising effects on psychological symptoms, with significantly reduced patient anxiety and depression.
新冠疫情下需要为患者提供紧急心理干预。在疫情期间，通过在线平台提供心理咨询服务，以解决患者和普通人群的不良心理影响和症状。我们调查了远程心理治疗对新冠感染患者情绪健康和心理困扰的影响。
2020 年 3 月至 6 月，45 名西西里新冠感染者加入“西西里远程新冠”。参与者完成了自我评估问卷和心理测试，以测量焦虑水平、抑郁症状的存在、以及改变的昼夜节律导致的睡眠障碍和心理困扰。个体远程心理治疗服务每周两次，每次 1 小时，共进行 16 次。
我们共招募了 45 名患者（42.2%为女性）。我们发现，在所有结局指标上，基线与随访结束时均有显著变化，特别是抑郁（卡方检验[χ²(1)]=30.1，效应量[ES] = 0.82）、焦虑（χ²(1)]=37.4，ES=0.91）和偏执观念（χ²(1)]=5.6，ES=0.35）。干预后，睡眠障碍患者的比例下降至 84.1%（卡方检验[χ²(1)]=58.6，ES=1.14）。
远程心理治疗方法对心理症状显示出有希望的效果，显著降低了患者的焦虑和抑郁。
