Department of Clinical Psychology, Psychotherapy and Psychoanalysis, Institute of Psychology, University of Klagenfurt, Klagenfurt am Wörthersee, Austria.
University Hospital of Psychiatry and Psychotherapy, Experimental Psychology Division, University of Bern, Bern, Switzerland.
J Clin Psychol. 2023 Feb;79(2):277-295. doi: 10.1002/jclp.23411. Epub 2022 Jul 12.
Due to the coronavirus pandemic and crisis, psychotherapists around the world were forced to switch to video- or tele-based treatments overnight. To date, only a few studies on the effectiveness of video-based psychodynamic psychotherapy via the Internet exist. Therefore, the goal of the present study was to examine symptom improvement, therapeutic relationship, nonverbal synchrony processes, and intersession processes within a systematic single case design and compare face-to-face to video-based approaches in long-term psychodynamic-oriented psychotherapy.
We examined 85 sessions of a client with major depression whose psychodynamic psychotherapy changed from a face-to-face setting to a video-based setting. Video recordings were analyzed using motion energy analysis, and nonverbal synchrony was computed using a surrogate synchrony approach. Time series analyses were performed to analyze changes in symptom severity, therapeutic relationship, and intersession processes.
The results showed that symptom severity improved descriptively, but not significantly, across the entire course of psychotherapy. There were significant differences, however, in the therapeutic relationship, intersession experiences, and synchronous behavior between the face-to-face and video-based settings.
The results indicate that the presented methodology is well situated to investigate the question whether psychodynamic psychotherapy in video-based setting works in the sameway as in a face-to-face setting.
由于冠状病毒大流行和危机，世界各地的心理治疗师被迫在一夜之间转向基于视频或远程的治疗。迄今为止，关于通过互联网进行基于视频的精神动力心理治疗的有效性的研究仅有少数几个。因此，本研究的目的是通过系统的单案例设计检查症状改善、治疗关系、非言语同步过程和治疗间隙过程，并将面对面与基于视频的方法在长期精神动力导向心理治疗中进行比较。
我们检查了一名患有重度抑郁症的患者的 85 个疗程，其精神动力心理治疗从面对面的设置转变为基于视频的设置。使用运动能量分析对视频记录进行分析，并使用替代同步方法计算非言语同步。进行时间序列分析以分析症状严重程度、治疗关系和治疗间隙过程的变化。
结果表明，整个心理治疗过程中症状严重程度有描述性改善，但无统计学意义。然而，面对面和基于视频的设置之间在治疗关系、治疗间隙体验和同步行为方面存在显著差异。
结果表明，所提出的方法学非常适合研究基于视频的精神动力心理治疗在面对面设置中的效果是否相同的问题。
