The moderating and mediating role of telepresence and cognitive change in cognitive behaviour therapy delivered via videoconference

被引：4

作者：

Bouchard, Stephane ^{[1
,2
,3
,9
]}

Berthiaume, Maxine ^{[2
]}

Robillard, Genevieve ^{[1
,4
]}

Allard, Micheline ^{[1
]}

Green-Demers, Isabelle ^{[1
,2
]}

Watts, Stephanie

Marchand, Andre ^{[5
]}

Gosselin, Patrick ^{[6
]}

Langlois, Frederic ^{[7
]}

Belleville, Genevieve ^{[8
]}

Dugas, Michel J. ^{[1
]}

机构：

[1] Univ Quebec Outaouais UQO, Dept Psychoeduc & Psychol, Gatineau, PQ, Canada

[2] Univ Ottawa, Sch Psychol, Ottawa, ON, Canada

[3] Ctr Rech Ctr Integre Sante & Serv Sociaux Outaouai, Gatineau, PQ, Canada

[4] Innovat Sci & Econ Dev Canada, Ottawa, ON, Canada

[5] Univ Quebec Montreal UQAM, Dept Psychol, Montreal, PQ, Canada

[6] Univ Sherbrooke, Dept Psychol, Sherbrooke, PQ, Canada

[7] Univ Quebec Trois Rivieres UQTR, Dept Psychol, Trois Rivieres, PQ, Canada

[8] Univ Laval, Ecole Psychol, Quebec City, PQ, Canada

[9] Univ Quebec Outaouais, Dept Psychoeduc Psychol, CP 1250 Succ Hull, Gatineau, PQ J8X 3X7, Canada

来源：

CLINICAL PSYCHOLOGY & PSYCHOTHERAPY | 2023年 / 30卷 / 03期

关键词：

cognitive behaviour therapy; telepsychotherapy; therapeutic alliance; treatment mechanisms; videoconferencing psychotherapy; working alliance; GENERALIZED ANXIETY DISORDER; FACE-TO-FACE; PANIC DISORDER; ALLIANCE; PSYCHOTHERAPY; VALIDATION; EFFICACY; AGORAPHOBIA; TELEMEDICINE; TRIAL;

D O I：

10.1002/cpp.2816

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

In this study, we combined the results of two controlled trials and examined the relationships between working alliance, telepresence, cognitive change and treatment outcome. Sixty-five participants with a primary diagnosis of generalized anxiety disorder (GAD) or panic disorder with agoraphobia (PDA) received cognitive behaviour therapy delivered via videoconference. Participants completed measures of working alliance and telepresence after three psychotherapy sessions. They also completed measures of treatment outcome and dysfunctional beliefs (cognitive change) specific to PDA and GAD at pretreatment and posttreatment. Results revealed that telepresence at the fifth session moderated the relationship between the working alliance at the first and fifth sessions. As telepresence increased, its impact on the working alliance diminished. Cognitive change mediated the relationship between the working alliance at the fifth session and treatment outcome.

引用

页码：575 / 586

页数：12

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