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Pilot trial of a telepsychotherapy parenting skills intervention for veteran families: Implications for managing parenting stress during COVID-19.
Changes in daily life created by the novel coronavirus (COVID-19) pandemic have resulted in a largely unprecedented situation for millions of families worldwide. Families are under considerable stress, and parents may experience greater psychological distress and disruptions in the parent–child relationship. Some parents may be particularly vulnerable to recent stressors, including those with preexisting psychological disorders and family dysfunction. In the United States, military veterans are one such at-risk population. Recent challenges may exacerbate preexisting conditions and heighten parenting stress, thereby nega...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Feasibility and effectiveness of a telehealth service delivery model for treating childhood posttraumatic stress: A community-based, open pilot trial of trauma-focused cognitive–behavioral therapy.
Telepsychotherapy (also referred to as telehealth or telemental health), the use of videoconferencing to deliver psychotherapy services, offers an innovative way to address significant gaps in access to care and is being used to deliver a variety of treatments for youth. Although recent research has supported the effectiveness of telehealth delivery of a variety of interventions for children, the literature has focused very little on childhood posttraumatic stress disorder. This pilot study examined the feasibility and potential effectiveness of trauma-focused cognitive–behavioral therapy (TF-CBT) delivered via telepsych...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Popular mental health apps (MH apps) as a complement to telepsychotherapy: Guidelines for consideration.
This article discusses several ethical and practical considerations involved in using MH apps as an adjunct to telepsychotherapy, proposes recommendations for app evaluation, and provides a summary table of 28 popular English-language MH apps to assist clinicians in evaluating the many MH apps available on the market today. The authors conducted a review of recent literature in EBSCO Discovery Service (EDS) and included 10 peer reviewed, English language meta-analyses and systematic reviews on the efficacy of MH apps. The emerging literature suggests that the MH apps that have been studied in randomized control trials prov...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Psychotherapist experiences with telepsychotherapy: Pre COVID-19 lessons for a post COVID-19 world.
In this study, psychotherapists were interviewed about their use of technology in practice and interviews were analyzed for consistency with current literature on usual practice and professional regulations. The researchers used actor-network theory to map and explore the links and themes that emerged from the research. We found that technology use was more integrated with psychotherapy practice and psychotherapists were more confident and comfortable with telepsychotherapy than the literature predicted. Key themes arising from the interviews were psychotherapist responsibility and trust that included expanded psychotherap...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Psychotherapists’ attitudes toward online therapy during the COVID-19 pandemic.
During the COVID-19 pandemic, many people across the world have been advised to work from home in an effort to slow down the spreading of the virus. Within the field of psychotherapy, this meant that many psychotherapists who were used to seeing their patients in person transitioned to providing therapies online via videoconferencing, regardless of their previous experience or attitudes toward online psychotherapy. This survey study examined how psychotherapists’ attitudes toward online psychotherapy is influenced by their characteristics and professional experiences during the sudden transition from face-to-face to onli...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

The COVID-19 pandemic and treating suicidal risk: The telepsychotherapy use of CAMS.
The COVID-19 pandemic has created profound challenges for health care systems worldwide. The exponential spread of COVID-19 has forced mental health providers to find new ways of providing mental health services that maintain physical distance and keeps providers and patients at home limiting possible exposure to the deadly virus. The pandemic has thus sparked a sudden interest in providing mental health services via telepsychotherapy (otherwise known as telehealth or telemedicine). Telepsychotherapy care has some inherent challenges that must always be mastered by providers to render effective care. Previous research and ...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy for generalized anxiety disorder: Impact on the working alliance.
This study assesses the impact of cognitive–behavioral therapy administered via telepsychotherapy or face-to-face on the quality of the working alliance. One hundred and 15 participants suffering from generalized anxiety disorder (GAD) took part in this randomized controlled trial, 50 of whom were assigned to telepsychotherapy in videoconference and 65 of whom were assigned to conventional psychotherapy. Each client and their psychotherapist completed the Working Alliance Inventory every 2 sessions. In the current sample, telepsychotherapy did not interfere with the establishment of the working alliance over the course o...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

eHealth to redress psychotherapy access barriers both new and old: A review of reviews and meta-analyses.
COVID-19 public health proscriptions have created severe if temporary, barriers to accessing face-to-face psychotherapy across the world. As disruptive as these are, they come on top of more long-standing barriers to getting psychotherapy faced by millions in need. eHealth interventions offer an avenue for redressing both types of barriers, but evidence about their efficacy remains a concern. This review of reviews and meta-analyses outlines the strength of evidence and effect sizes for guided and unguided approaches to eHealth interventions targeting common problems in psychotherapy (i.e., depression, anxiety, substance a...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy during a pandemic: A traumatic stress perspective.
The coronavirus disease 2019 outbreak poses unique challenges for psychotherapists and other mental health professionals. The widespread fear, helplessness, illness and death, economic hardship, and disruption of social support caused by the pandemic will create a global need for both supportive crisis counseling and formal mental health treatment. As physical distancing aimed at reducing contagion sharply limits in-person contact, psychotherapists have suddenly been forced to adopt new technologies and learn to provide telepsychotherapy. At this same time, psychotherapists must contend with their own stressors as part of ...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Recommendations for policy and practice of telepsychotherapy and e-mental health in Europe and beyond.
This article aims to highlight recommendations on how to create the best possible context in which e-mental health supplements and enhances current services for clients. These recommendations are grouped according to 3 categories of key stakeholders: psychotherapists, health services and regulatory agencies, and developers. This article focuses on (a) how to make optimal use of technology in psychotherapeutic practice; (b) how to integrate e-mental health into the health care system to allow for a safe, transparent, and effective environment for (self) care; and (c) how to develop e-mental health applications. (PsycInfo Da...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Introduction to the special issue on telepsychotherapy in the age of COVID-19.
Delivery of psychotherapy has rapidly changed as a function of physical distancing recommendations by the World Health Organization that aim to slow transmission of COVID-19 during a global pandemic. A consequent need for rapid infusion of psychological science into care delivered via telepsychotherapy has emerged. As an international journal with global reach, the Journal of Psychotherapy Integration (JPI) has responded to this need with an expanded special issue devoted entirely to the topic of telepsychotherapy in the age of COVID-19. This issue brings together empirical findings, substantial grant-funded projects, nati...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Fluctuations in therapist emotions and their relation to treatment processes and outcomes.
Recent research suggests that changes in therapists’ emotions are linked to changes in their client’s pattern of relations and characteristics (Dahl, 2016) during therapy. This is an exploratory study in which we tried to identify how fluctuations in therapist emotions throughout treatment are associated with changes in client symptoms and the working alliance. To do so, we performed multiple regression analyses in which clients’ symptoms and therapeutic alliance were predicted by changes in therapists’ feelings. The analysis was based on 20 subjects (13 females and 7 males aged 18 to 42). In addition, we present t...
Source: Journal of Psychotherapy Integration - June 1, 2020 Category: Psychiatry & Psychology Source Type: research

The reactive therapist: The problem of interpersonal reactivity in psychological therapy and the potential for a mindfulness-based program focused on “mindfulness-in-relationship” skills for therapists.
This article highlights subtle negative interpersonal reactions on the part of therapists that can be detrimental to outcome in psychological therapy. Mindfulness training is considered as a means of supporting therapists to develop the “reflection-in-action” skills needed to successfully navigate inevitable interpersonal tensions in therapy. An adapted version of mindfulness-based cognitive therapy (MBCT) is proposed, which focuses on training therapists’ “mindfulness-in-relationship.” A synthesis of research literature highlighting the impact of relational variables on outcome in psychological therapy is offere...
Source: Journal of Psychotherapy Integration - April 16, 2020 Category: Psychiatry & Psychology Source Type: research

Integrating collaborative/therapeutic assessment of interpersonal functioning into group therapy for veterans with posttraumatic stress disorder.
Symptoms of posttraumatic stress disorder (PTSD) constitute a common problem among U.S. military veterans. Several empirically supported interventions exist, have been validated for use with veterans diagnosed with PTSD, and have been modified for group format to increase accessibility. However, current theoretical and empirical literature on PTSD and its treatment primarily focus on the diagnostic symptoms of PTSD rather than the interpersonal problems that may be central to the disorder. In this article, we provide preliminary evidence evaluating a new group therapy protocol that addresses interpersonal problems in a sam...
Source: Journal of Psychotherapy Integration - March 16, 2020 Category: Psychiatry & Psychology Source Type: research

Multidimensional Hope in Counseling and Psychotherapy Scale.
Hope is a foundational facet of psychotherapy and of common factors theories of psychotherapy. Major hope measures developed in psychology are not designed to measure hope as it relates specifically to psychotherapy. There is growing evidence that both content and processes related to hope in this complex domain have unique features. The Multidimensional Hope in Counseling and Psychotherapy Scale (MHCPS) was developed through a multiphase process, including comprehensive literature review, surveys employing overlapping panels of experts, and scale validation with 211 clients in therapy at 7 Canadian locations. The MHCPS in...
Source: Journal of Psychotherapy Integration - March 9, 2020 Category: Psychiatry & Psychology Source Type: research