Videoconferencing psychological therapy and anxiety: a systematic review

Berryhill, M. Blake; Halli-Tierney, Anne; Culmer, Nathan; Williams, Nelle; Betancourt, Alex; King, Michael; Ruggles, Hannah

doi:10.1093/fampra/cmy072

Cited by 120 publications

(101 citation statements)

References 42 publications

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“…Our results showed how MHWs adopted remote work practices. Tele-psychiatry practices have been tested in different contexts and can be useful and effective for both psychiatric assessment and monitoring interventions [28,29], individual psychotherapy [30,31] and group interventions [32]. Online psychological support programs have been reported in several countries during the Covid-19 pandemic, including China [33], Germany [34], the United States [35], and France [36].…”

Section: Discussionmentioning

confidence: 99%

The Early Impact of the Covid-19 Emergency on Mental Health Workers: A Survey in Lombardy, Italy

Rapisarda

Vallarino

Cavallini

et al. 2020

IJERPH

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Lombardy was the epicenter of the Covid-19 outbreak in Italy, and in March 2020 the rapid escalation in cases prompted the Italian Government to decree a mandatory lockdown and to introduce safety practices in mental health services. The general objective of the study is to evaluate the early impact of the Covid-19 emergency and quarantine on the well-being and work practices of mental health service personnel and professionals. Data were collected through an online survey of workers and professionals working with people with mental health problems in Lombardy in several outpatient and inpatient services. Their socio-demographic characteristics, professional background, description of working conditions during lockdown and psychological distress levels were collected. All analyses were performed on a sample of 241. Approximately, 31% of the participants obtained a severe score in at least one of the burnout dimensions, 11.6% showed moderate or severe levels of anxiety, and 6.6% had a moderate or severe level of depression. Different work conditions and patterns of distress were found for outpatient service workers and inpatient service workers. The overall impact of the Covid-19 emergency on mental health workers’ level of distress was mild, although a significant number of workers experienced severe levels of depersonalization and anxiety. More research is needed to assess specific predictive factors.

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Section: Discussionmentioning

confidence: 99%

The Early Impact of the Covid-19 Emergency on Mental Health Workers: A Survey in Lombardy, Italy

Rapisarda

Vallarino

Cavallini

et al. 2020

IJERPH

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“…Conducting exposure to interoceptive cues in a context where the patient is far away from the therapist is an important asset for the generalization of the current study to the situation imposed by the COVID-19 and public health rules related to physical distancing and confinement. Actually, most past VCP studies did not conduct randomized control trials (Berryhill et al, 2019). The 12-month follow-up must be interpreted in the context of an intent-to-treat analysis where some patients could not be reached to collect information.…”

Section: Discussionmentioning

confidence: 99%

“…The efficacy of CBT is well established in the treatment of anxiety disorders when delivered face-to-face, when compared to no treatment or to a placebo (Hofmann et al, 2012;Carpenter et al, 2018), and is recommended as the gold-standard form of psychotherapy for PDA in clinical guidelines (e.g., Katzman et al, 2014). Several outcome studies have been conducted on VCP, but systematic reviews on anxiety disorders have always concluded that more rigorous research is needed (Rees and Maclaine, 2015;Berryhill et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The most recent systematic review (Berryhill et al, 2019) demonstrated that studies on VCP for panic disorder and agoraphobia (PDA) are scarce. Only three studies have been published so far (Bouchard et al, 2000(Bouchard et al, , 2004Cowain, 2001;Lindner et al, 2014) and are of moderate methodological quality.…”

Section: Introductionmentioning

confidence: 99%

“…One additional study has been published, only in French, not indexed in major databases, and before the entire study was completed (Allard et al, 2007). The largest outcome study on PDA (Bouchard et al, 2004) reported in reviews and metaanalyses (Rees and Maclaine, 2015;Berryhill et al, 2019) was conducted with 21 participants, and showed that CBT delivered by videoconference was effective.…”

Section: Introductionmentioning

confidence: 99%

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Videoconferencing Psychotherapy for Panic Disorder and Agoraphobia: Outcome and Treatment Processes From a Non-randomized Non-inferiority Trial

et al. 2020

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Background: In the context of the COVID-19 pandemic, legislations are being modified around the world to allow patients to receive mental health services through telehealth. Unfortunately, there are no large clinical trial available to reliably document the efficacy of delivering videoconferencing psychotherapy (VCP) for people with panic disorder and agoraphobia (PDA) and whether basic psychotherapeutic processes are altered. Methods: This 2-arm intent-to-treat non-inferiority study reports on a clinical trial on VCP and documents how therapeutic working alliance and motivation toward psychotherapy are associated to treatment outcome. We hypothesized that VCP would not be inferior to standard face-to-face (FF) cognitive behavior therapy for PDA. No specific hypothesis was stated to address working alliance and treatment mechanisms. VCP was compared to a gold-standard psychotherapy treatment for PDA, which was delivered either in person or in videoconference, with a strict tolerance criterion of about 2 points on the primary outcome measure. Seventy one adult patients were recruited. Measures of working alliance were collected after the first, fifth, and last session. Motivation toward therapy at pre-treatment and working alliance after the fifth therapy session were used as predictors of treatment outcome and compared with change in dysfunctional beliefs toward bodily sensations. Results: Panic disorder, agoraphobia, fear of sensations and depressed mood all showed significant improvements and large effect-sizes from pre to post-treatment. Gains were maintained at follow-up. No significant differences were found between VCP and FF, and effect sizes were trivial for three of the four outcome measures. Noninferiority tests confirmed that VCP was no less effective than FF therapy on the primary outcome measure and two of the three secondary outcome measures. Working alliance was very strong in VCP and did not statistically differ from FF. Working alliance and motivation did not predict treatment outcome, which was significantly predicted by the

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The Metaverse and Mental Health

Yadav,

Dhanda

2024

Decentralized Systems and Distributed Computing

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Videoconferencing psychological therapy and anxiety: a systematic review

Abstract: Results provide promise for evidence-based interventions delivered via videoconferencing psychological therapy. More rigorous research is needed in various settings and populations.

Cited by 120 publications

References 42 publications

The Early Impact of the Covid-19 Emergency on Mental Health Workers: A Survey in Lombardy, Italy

The Early Impact of the Covid-19 Emergency on Mental Health Workers: A Survey in Lombardy, Italy

Videoconferencing Psychotherapy for Panic Disorder and Agoraphobia: Outcome and Treatment Processes From a Non-randomized Non-inferiority Trial

The Metaverse and Mental Health

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