德国对创新型心理健康治疗方法的态度:电子心理健康与居家治疗

Attitudes toward innovative mental health treatment approaches in Germany: E-mental health and home treatment.

作者信息

Lincke Lena, Ulbrich Lisa, Reis Olaf, Wandinger Elisa, Brähler Elmar, Dück Alexander, Kölch Michael

机构信息

Department for Child and Adolescent Psychiatry, Rostock University Medical Center, Rostock, Germany.

Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig, Leipzig, Germany.

出版信息

Front Psychiatry. 2022 Jul 15;13:889555. doi: 10.3389/fpsyt.2022.889555. eCollection 2022.

Abstract

E-mental health and home treatment are treatment approaches that have proven to be effective, but are only slowly implemented in the German health care system. This paper explores the attitudes toward these innovative treatment approaches. Data was collected in two large, non-clinical samples representative of the German population in spring 2020 ( = 2,503) and winter 2020/2021 ( = 2,519). Statistical associations between variables were examined using two-tailed tests. Binary and multinomial logistic regressions were performed to predict attitudes toward online-based treatment concepts and home treatment approaches. Only few (<20%) people preferred online-based treatment approaches, while a larger proportion (~50%) could imagine being treated at home. Overall, younger subjects were more open to online-therapy approaches, while people with lower education preferred more often a traditional therapy setting. Acceptance of online-therapy did not raise significantly during the first months of the COVID-19 pandemic. When different online-based treatment options were available, the probability of accepting home treatment significantly increased with increasing levels of therapeutic support. Further promotion of acceptance for online-therapy and home treatment seems to be necessary. In the future, more information on innovative treatment approaches should be actively provided.

摘要

电子心理健康和居家治疗是已被证明有效的治疗方法,但在德国医疗体系中的实施进展缓慢。本文探讨了对这些创新治疗方法的态度。数据于2020年春季( = 2503)和2020/2021年冬季( = 2519)从两个具有德国人口代表性的大型非临床样本中收集。使用双侧检验来检验变量之间的统计关联。进行二元和多项逻辑回归以预测对基于网络的治疗概念和居家治疗方法的态度。只有少数(<20%)人倾向于基于网络的治疗方法,而更大比例(~50%)的人能够接受居家治疗。总体而言,较年轻的受试者对网络治疗方法更开放,而受教育程度较低的人更常倾向于传统治疗环境。在新冠疫情的头几个月里,对网络治疗的接受度并未显著提高。当有不同的基于网络的治疗选择时,随着治疗支持水平的提高,接受居家治疗的可能性显著增加。似乎有必要进一步推动对网络治疗和居家治疗的接受度。未来,应积极提供更多关于创新治疗方法的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/9334816/28bde35388fe/fpsyt-13-889555-g0001.jpg

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