The COVID-19 pandemic has altered mental health care delivery like no other event in modern history. The purpose of this study was to document the magnitude of that effect by examining (a) the amount of psychologists' telepsychology use before the COVID-19 pandemic, during the pandemic, and anticipated use after the pandemic; as well as (b) the demographic, training, policy, and clinical practice predictors of these changes. This study used a cross-sectional, national online design to recruit 2,619 licensed psychologists practicing in the United States. Prior to the COVID-19 pandemic, psychologists performed 7.07% of their clinical work with telepsychology, which increased 12-fold to 85.53% during the pandemic, with 67.32% of psychologists conducting all of their clinical work with telepsychology. Psychologists projected that they would perform 34.96% of their clinical work via telepsychology after the pandemic. Psychologists working in outpatient treatment facilities reported over a 26-fold increase in telepsychology use during the pandemic, while those in Veterans Affairs medical centers only reported a sevenfold increase. A larger increase in percentage telepsychology use occurred in women, in psychologists who reported an increase in telepsychology training and supportive organizational telepsychology policies, and in psychologists who treated relationship issues, anxiety, and women's issues. The lowest increases in percentage telepsychology use were reported by psychologists working in rural areas, treating antisocial personality disorder, performing testing and evaluation, and treating rehabilitation populations. Although there was a remarkable increase in telepsychology use during the COVID-19 pandemic, individual and practice characteristics affected psychologists' ability to adopt telepsychology. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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COVID-19 远程心理学革命：美国精神卫生保健服务中基于大流行的变化的全国性研究。

COVID-19 大流行改变了精神卫生保健的提供，这在现代历史上是独一无二的。本研究的目的是通过检查 (a) 在 COVID-19 大流行之前、大流行期间和大流行之后的预期使用情况，心理学家使用远程心理学的数量来记录这种影响的程度；以及 (b) 这些变化的人口统计、培训、政策和临床实践预测因素。本研究使用横断面的全国在线设计，招募了 2,619 名在美国执业的有执照的心理学家。在 COVID-19 大流行之前，心理学家使用远程心理学进行了 7.07% 的临床工作，在大流行期间增加了 12 倍，达到 85.53%，其中 67.32% 的心理学家使用远程心理学进行所有临床工作。心理学家预计，大流行后，他们将通过远程心理学完成 34.96% 的临床工作。在大流行期间，在门诊治疗机构工作的心理学家报告说，远程心理学的使用增加了 26 倍以上，而退伍军人事务部医疗中心的心理学家报告说仅增加了 7 倍。远程心理学使用百分比的更大增加发生在女性、报告远程心理学培训和支持性组织远程心理学政策增加的心理学家，以及处理关系问题、焦虑和女性问题的心理学家。在农村地区工作、治疗反社会人格障碍、进行测试和评估以及治疗康复人群的心理学家报告的远程心理学使用百分比增幅最低。尽管在 COVID-19 大流行期间远程心理学的使用显着增加，但个人和实践特征影响了心理学家采用远程心理学的能力。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。