Transitioning from face-to-face treatment to iCBT for youths in primary care – therapists' attitudes and experiences

Weineland, Sandra; Ribbegårdh, Rasmus; Kivi, Marie; Bygdell, Andreas; Larsson, Åsa; Vernmark, Kristofer; Lilja, Josefine L.

doi:10.1016/j.invent.2020.100356

Cited by 23 publications

(25 citation statements)

References 23 publications

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“…Before these patients seek emergency assistance, psychological interventions to prevent and treat anxiety and stress-related disorders are effective, with cognitive behavior therapy (CBT) emerging as a front-line treatment that potentially offers additional benefits to reduce anxiety and increase social support ( 31 , 32 ). To reduce the risk of spreading infections, many CBT practitioners have turned to digital therapies ( 33 ). CBT delivered via the Internet (iCBT) shows treatment effectiveness comparable to that of CBT ( 34 , 35 ) and is cost-effective ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

Increased anxiety and stress-related visits to the Shanghai psychiatric emergency department during the COVID-19 pandemic in 2020 compared to 2018–2019

et al. 2023

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BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a significant and far-reaching impact on mental health. The psychiatric emergency department (PED) is pivotal in the management of acute and severe mental illnesses, especially anxiety-and stress-related disorders.AimsThis study aimed to evaluate whether changes in the frequency or patients’ demographics of visiting the PED occurred during the COVID-19 pandemic among individuals with anxiety and stress-related disorders.MethodsThis cross-sectional study used data on PED visit counts from the largest psychiatric hospital in China between 2018 and 2020 (before and during the COVID-19 pandemic). Data from 2020, representing the COVID-19 pandemic period, were extracted from electronic medical records and compared using descriptive statistics for the same periods in 2018 and 2019.ResultsThe number of PED visits related to anxiety and stress disorders per year increased from 83 in 2018 to 136 (63.9% increase) in 2019 and 239 (188.0% increase) in 2020. Compared to that in 2018 and 2019, the proportion of PED visits in 2020 among patients with anxiety and stress disorders increased significantly. Patients with anxiety-and stress-related disorders during PED visits in 2020 were younger than those in 2018 and 2019 (three-year groups: F = 9.124, df = 2, p < 0.001).ConclusionDespite the epidemic-policy barriers against PED visits, PED care seeking has increased, thereby underscoring the need for crisis prevention services for patients with stress and anxiety disorders.

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Section: Discussionmentioning

confidence: 99%

Increased anxiety and stress-related visits to the Shanghai psychiatric emergency department during the COVID-19 pandemic in 2020 compared to 2018–2019

et al. 2023

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“…On the other hand, Spence et al (2019) found that stronger support from family members predicted increased intervention engagement (as indicated by the number of sessions completed) and increased intervention effects. Other studies have also revealed that both healthcare professionals (Weineland et al, 2020) and adolescents themselves (Lenhard et al, 2016) have been supportive of the idea of involving parents during adolescents' use of ICBT. Because this dissertation does not investigate the possible effects of parental involvement during adolescents' use of YPF, researchers are encouraged to explore whether greater parental involvement influences intervention effects, and if so, how adolescents' access to parental support in YPF can be facilitated.…”

Section: Parental Involvementmentioning

confidence: 96%

Predictors of adolescents’ response to Young Person’s Face IT: A web-based intervention to improve psychosocial adjustment to having an appearance-affecting condition (Preprint)

Zelihić¹,

Feragen²,

Pripp³

et al. 2021

Preprint

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BACKGROUND Adolescents with a condition affecting their appearance that results in a visible difference can be at risk of psychosocial distress and impaired adjustment. Evidence for the effectiveness of existing interventions in improving psychosocial outcomes is limited and relevant treatment can be difficult to access. Young Person’s Face IT (YPF), a novel self-guided web-based intervention, has demonstrated potential in reducing social anxiety in adolescents with visible differences. However, more knowledge is needed regarding factors that contribute to variations in intervention effects in order to identify which adolescents may benefit most from YPF. OBJECTIVE This study aimed to identify predictors related to overall intervention effects following adolescents’ use of YPF. METHODS N=71 adolescents (61% girls; mean age 13.98, range 11–18 years) with a wide range of visible differences completed primary (body esteem and social anxiety symptoms) and secondary (perceived stigmatization, life disengagement, and self-rated health) outcome measures, at baseline and post-intervention. Predictor variables were demographic (age and gender), psychosocial (frequency of teasing experiences related to aspects of body and appearance, and depressive and/or anxiety symptoms), and intervention-related (time spent on YPF) factors. RESULTS Backward multiple regression revealed that higher intervention effects were predicted by gender, baseline frequency of teasing experiences, levels of depressive and/or anxiety symptoms, and time spent on YPF. However, the results were limited by low proportion of explained post-intervention variance, ranging from 1.6 to 24.1%. CONCLUSIONS This study suggests that adolescent boys, adolescents who experience higher levels of psychosocial distress related to their visible difference, and adolescents that spend sufficient time on YPF, may obtain better overall intervention effects. CLINICALTRIAL NCT03165331

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“…In March of 2020, soon after the federal government declared a public health emergency, Medicare and Medicaid coverage of telehealth was expanded allowing for full telehealth services and reducing or eliminating patient deductibles and co-pays (Inserro, 2020). COVID-19 spurred greater interest in telemedicine as policymakers, insurers, and care providers sought out ways to deliver services with limited risk of virus transmission (Weigel et al, 2020;Weineland et al, 2020). The federal government was instrumental in expanding coverage by allowing Medicare beneficiaries from any geographic location to access services from their homes, waiving HIPAA enforcement for telemedicine, and even relaxing requirements on the prescription of controlled substances (Weigel et al, 2020).…”

Section: Telemental Healthmentioning

confidence: 99%

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2021

WIJAR

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Psychotherapists in private practice provide services to an ever-growing client population. The 2020 novel Corona Virus (COVID-19) pandemic was a catalyst for emerging and exasperated mental health concerns among the U.S. population. The result was an increase in demand for services and private practitioners stepping up to meet this growing need. Little is known about the psychotherapists who embark on independent practice and less is known about the nuances of practicing during a global pandemic. The aim of this review was to exhaust the literature on private practice psychotherapy and the practice of psychotherapy during COVID-19, synthesize the findings, report on themes in the literature, and provide recommendations for future lines of inquiry. Themes from this review included the impact of COVID-19 on public mental health, telemental health, private practice shifts, and private practice careers.

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Transitioning from face-to-face treatment to iCBT for youths in primary care – therapists' attitudes and experiences

Cited by 23 publications

References 23 publications

Increased anxiety and stress-related visits to the Shanghai psychiatric emergency department during the COVID-19 pandemic in 2020 compared to 2018–2019

Increased anxiety and stress-related visits to the Shanghai psychiatric emergency department during the COVID-19 pandemic in 2020 compared to 2018–2019

Predictors of adolescents’ response to Young Person’s Face IT: A web-based intervention to improve psychosocial adjustment to having an appearance-affecting condition (Preprint)

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