Therapeutic alliance in videoconferencing psychotherapy compared to psychotherapy in person: A systematic review and meta-analysis.

IF 3.5 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Telemedicine and Telecare Pub Date : 2024-12-01 Epub Date: 2023-03-28 DOI:10.1177/1357633X231161774

Patrik D Seuling, Johannes C Fendel, Lukas Spille, Anja S Göritz, Stefan Schmidt

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Abstract

Introduction: Videoconferencing psychotherapy (VCP) delivers treatment to individuals with limited access to face-to-face mental healthcare. VCP's effectiveness has been demonstrated for various disorders and therapeutic interventions. However, there is contradictory evidence regarding the therapeutic alliance in VCP as compared to psychotherapy in person (PIP). This meta-analysis examines whether therapeutic alliance differs by psychotherapy's delivery format, namely VCP versus PIP.

Methods: We searched five databases for trials comparing the therapeutic alliance in VCP and PIP, wherein the therapeutic alliance was rated by either patients or therapists or both. Eighteen publications were included, and the difference between VCP and PIP was assessed. Furthermore, we tested possible moderators of the difference in therapeutic alliance between VCP and PIP by meta-regression, and we assessed the risk of bias of this meta-analysis.

Results: The meta-analysis revealed no statistically significant difference in the therapeutic alliance between VCP and PIP for alliance ratings by patients (SMD = -0.09; 95% CI = -0.26; 0.07) as well as by therapists (SMD = 0.04; 95% CI = -0.17; 0.25). No significant moderators were found.

Discussion: In this meta-analysis, VCP and PIP did not differ with respect to the therapeutic alliance as rated by either patients or therapists. Further research is required into mechanisms driving the therapeutic alliance in VCP and PIP.

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视频会议心理治疗与面对面心理治疗的治疗联盟比较：系统回顾和荟萃分析。

导言：视频会议心理疗法（VCP）可为无法获得面对面心理保健服务的人提供治疗。视频会议心理疗法对各种疾病和治疗干预的有效性已得到证实。然而，与面对面心理治疗（PIP）相比，VCP 的治疗联盟存在着相互矛盾的证据。本荟萃分析研究了心理疗法的实施形式（即 VCP 与 PIP）是否会导致治疗联盟出现差异：我们在五个数据库中搜索了比较 VCP 和 PIP 治疗联盟的试验，其中治疗联盟由患者或治疗师或两者共同评定。共纳入了 18 篇文献，并对 VCP 和 PIP 之间的差异进行了评估。此外，我们还通过元回归测试了 VCP 和 PIP 治疗联盟差异的可能调节因素，并评估了该荟萃分析的偏倚风险：荟萃分析表明，在患者（SMD = -0.09；95% CI = -0.26；0.07）和治疗师（SMD = 0.04；95% CI = -0.17；0.25）的联盟评价中，VCP 和 PIP 之间的治疗联盟没有统计学意义上的显著差异。没有发现明显的调节因素：在这项荟萃分析中，VCP 和 PIP 在患者或治疗师评价的治疗联盟方面没有差异。需要进一步研究 VCP 和 PIP 治疗联盟的驱动机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Telemedicine and Telecare 医学-卫生保健

CiteScore

14.10

自引率

10.60%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.