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Wellbeing and clinical videoconferencing satisfaction among patients in psychotrauma treatment during the coronavirus pandemic: cross-sectional study
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-05-11 , DOI: 10.1080/20008198.2021.1906021
F Jackie June Ter Heide 1 , Simone de la Rie 1 , Annelies de Haan 2 , Manon Boeschoten 1 , Mirjam J Nijdam 1, 3 , Geert Smid 1, 4 , Tim Wind 1 , Trudy Mooren 1
Affiliation  

ABSTRACT

Background: The coronavirus pandemic appears to put psychiatric patients with pre-existing symptomatology at risk of symptom increase, but evidence is scarce. While the pandemic and stringent governmental measures have accelerated the use of clinical videoconferencing (VCT), patient satisfaction with VCT is unclear.

Objective: Aim of the study was to assess the wellbeing of patients in psychotrauma treatment during the coronavirus pandemic and to evaluate their use of and satisfaction with VCT.

Method: This study used data from a routine outcome monitoring assessment completed by patients in treatment at a specialized psychotrauma institute and administered before the easing of governmental measures in June 2020. Wellbeing (Brief Symptom Inventory, Cantril Ladder, perceived stress level, and symptom change), VCT use and VCT satisfaction, and their association with demographic variables (gender, age, education level, and refugee status) were analysed.

Results: Of the 318 respondents (response rate 64.5%), 139 (43.7%) reported a symptom increase, which was associated with a higher coronavirus-related stress level and general psychopathology as well as lower life satisfaction. There were significant effects of age and education level on wellbeing. VCT was reported to have been used by 228 (71.7%) patients. VCT satisfaction ratings were higher among women and those with lower levels of stress (r = −.20, p < .01) and general psychopathology (r = .21, p < .01). No difference in treatment satisfaction was found between patients who used VCT versus those who did not (mean difference = −.09 95% CI: −.79 to .62, p = .81).

Conclusions: The coronavirus pandemic has aggravated mental health complaints according to a substantial percentage of patients in psychotrauma treatment. Although VCT was found to be acceptable, face-to-face treatment may remain necessary for specific target groups with limited access to VCT (such as refugees) and patients with high levels of general psychopathology.



中文翻译:

冠状病毒大流行期间心理创伤治疗患者的健康和临床视频会议满意度:横断面研究

摘要

背景:冠状病毒大流行似乎使已有症状的精神病患者面临症状增加的风险,但证据不足。虽然大流行和严格的政府措施加速了临床视频会议 (VCT) 的使用,但患者对 VCT 的满意度尚不清楚。

目的:本研究的目的是评估冠状病毒大流行期间精神创伤治疗患者的健康状况,并评估他们对 VCT 的使用和满意度。

方法:本研究使用的数据来自于在 2020 年 6 月放松政府措施之前在一家专门的心理创伤研究所接受治疗的患者完成的常规结果监测评估的数据。健康(简要症状清单、Cantril 阶梯、感知压力水平和症状变化)、VCT 使用和 VCT 满意度,以及它们与人口统计变量(性别、年龄、教育水平和难民身份)的关联进行了分析。

结果:在 318 名受访者(回复率为 64.5%)中,139 名(43.7%)报告症状增加,这与较高的冠状病毒相关压力水平和一般精神病理学以及较低的生活满意度有关。年龄和教育水平对幸福感有显着影响。据报道,有 228 名 (71.7%) 患者使用了 VCT。VCT 满意度在女性和压力水平较低 ( r = .20, p < .01) 和一般精神病理学 ( r = .21, p < .01) 的人群中较高。使用 VCT 的患者与未使用 VCT 的患者之间的治疗满意度没有差异(平均差异 = −.09 95% CI:−.79 至 .62,p = .81)。

结论:根据相当一部分接受心理创伤治疗的患者,冠状病毒大流行加剧了心理健康问题。尽管 VCT 被发现是可以接受的,但对于获得 VCT 机会有限的特定目标群体(如难民)和一般精神病理学水平较高的患者,面对面的治疗可能仍然是必要的。

更新日期:2021-05-12
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