Giordano Cecilia, Ambrosiano Ivan, Graffeo Maria Teresa, Di Caro Alessandro, Gullo Salvatore
Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo.
ASVEGRA-COIRAG, CSR-COIRAG.
Res Psychother. 2022 Nov 4;25(3):638. doi: 10.4081/ripppo.2022.638.
The coronavirus disease 2019 (COVID-19) pandemic has substantially increased online psychotherapies due to the impossibility of participating in vis-a-vis settings. In the last years, research about online therapy has been quickly growing. However, until now, few studies investigated patients' perspective about the transition to online psychotherapy and, specifically, no qualitative research in group therapy has been done on this topic. This study aimed to explore the experience of 51 patients (39 group patients and 12 from individual psychotherapies) who continued psychotherapy in the online setting during the COVID-19 outbreak. A structured online questionnaire with open answers investigated the following topics: setting online, effectiveness, psychotherapy relationship, specific dynamics of online psychotherapy. Patients' answers were analysed by means of Consensual Qualitative Research, modified version (CQRM), an inductive method that allows analysing a large sample and relatively brief written answers. The results show the impact of shift to online platforms on patients and explore how easy or difficult it is for them to adapt to therapeutic processes are in online therapy (vs in-person therapy), by highlighting potential barriers and resources to practice implementation. Participants' responses have been arranged into three main domains: setting online, content/effectiveness of online therapy and therapeutic relationship. A fourth domain, specific for online group therapy, collected responses referred to the changes perceived regarding the group dynamics. From the patient's perspective, online therapy is effective and satisfying. Patients perceived a positive quality of therapeutic relationship in online setting, whereas produced more controversial judgments concerned the changes due to the online setting. Finally, patients in group therapy gave more attention and importance in showing and seeing private personal spaces than the ones in individual therapy.
2019年冠状病毒病（COVID-19）大流行使得在线心理治疗大幅增加，因为无法参与面对面治疗。在过去几年中，关于在线治疗的研究迅速发展。然而，到目前为止，很少有研究调查患者对转向在线心理治疗的看法，特别是关于这个主题还没有针对团体治疗的定性研究。本研究旨在探索51名患者（39名团体治疗患者和12名个体心理治疗患者）在COVID-19疫情期间继续在在线环境中进行心理治疗的经历。一份带有开放式答案的结构化在线问卷调查了以下主题：在线环境、有效性、心理治疗关系、在线心理治疗的特定动态。通过共识定性研究修改版（CQRM）对患者的答案进行分析，这是一种归纳方法，能够分析大样本和相对简短的书面答案。结果显示了转向在线平台对患者的影响，并通过突出实践实施的潜在障碍和资源，探索他们适应在线治疗（与面对面治疗相比）的治疗过程的难易程度。参与者的回答被归纳为三个主要领域：在线环境、在线治疗的内容/有效性和治疗关系。第四个领域专门针对在线团体治疗，收集了关于团体动态变化的回答。从患者的角度来看，在线治疗是有效且令人满意的。患者在在线环境中感受到治疗关系的积极品质，而关于在线环境带来的变化则产生了更多有争议的判断。最后，团体治疗中的患者比个体治疗中的患者更关注并重视展示和看到私人个人空间。
