Online Psychological Care and Psychotherapy: Reality, Evidence, and Indicators
DOI:
https://doi.org/10.59992/IJSR.2023.v2n11p4الكلمات المفتاحية:
Psychological Care، Psychotherapy، Online Psychotherapy، Face-to-Face Therapy، Cognitive Therapy، Evidence-Based Psychotherapiesالملخص
The provision of psychological care in its various forms using the Internet has been associated with the emergence of the Internet and the developments seen by various digital media. Multiple justifications exist for using media, including limited resources and difficulty accessing mental health services. The use of remote psychological care has significantly increased during the Covid-19 crisis. The references abound with various discussions and studies on the effectiveness and effects of this type of therapy, the differences from face-to-face therapy, and the qualification requirements of providers. Today, many studies and meta-analyses have examined the effectiveness of internet-based therapy, most likely cognitive-behavioral therapy. The matter still needs more research due to the variety and interrelatedness of the issues raised in this context, especially with reference to the effectiveness of different psychological trends, whether within the same direction or in different directions. It can be concluded that online psychological services are effective, and interventions that combine internet-based elements with organized face-to-face communication have equivalent effects to traditional therapy. Remote psychotherapeutic services should not replace traditional therapy. The provision of psychological services in most Arab countries in its various forms suffers from multiple problems, such as the lack of professional organization and randomness, the absence of philosophy oriented to the humanities and psychology. This review aims to supply a picture of several of the issues raised in the field of psychological services using the Internet and some supporting and opposing points of view without claiming inclusiveness in this presentation.
المراجع
• Abdul Razzak, H., Harbi, A., & Ahli, S. (2019, July 20). Depression: Prevalence and Associated Risk Factors in the United Arab Emirates. Oman Medical Journal, 34(4), 274–282. https://doi.org/10.5001/omj.2019.56
• Abi Doumit, C., Haddad, C., Sacre, H., Salameh, P., Akel, M., Obeid, S., Akiki, M., Mattar, E., Hilal, N., Hallit, S., & Soufia, M. (2019, September 16). Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study. PLOS ONE, 14(9), e0222172. https://doi.org/10.1371/journal.pone.0222172
• Andersson, G., & Cuijpers, P. (2009, December). Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis. Cognitive Behaviour Therapy, 38(4), 196–205. https://doi.org/10.1080/16506070903318960
• Andersson, G., & Titov, N. (2014, February). Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry, 13(1), 4–11. https://doi.org/10.1002/wps.20083
• Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014, October). Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry, 13(3), 288–295. https://doi.org/10.1002/wps.20151
• Andrews, G., Basu, A., Cuijpers, P., Craske, M., McEvoy, P., English, C., & Newby, J. (2018, April). Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. Journal of Anxiety Disorders, 55, 70–78. https://doi.org/10.1016/j.janxdis.2018.01.001
• APA Dictionary of Psychology. (n.d.). APA Dictionary of Psychology. Retrieved May 11, 2023, from https://dictionary.apa.org/e-therapy
• BACP. (2023, January). Working Online in the Counselling Professions: Good Practice in Action . Retrieved May 2, 2023, from https://www.bacp.co.uk/media/17386/bacp-working-online-in-counselling-professions-fs-gpia-047-feb23.pdf
• Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008, July 3). A Comprehensive Review and a Meta-Analysis of the Effectiveness of Internet-Based Psychotherapeutic Interventions. Journal of Technology in Human Services, 26(2–4), 109–160. https://doi.org/10.1080/15228830802094429
• Barak, A., Klein, B., & Proudfoot, J. G. (2009, August 1). Defining Internet-Supported Therapeutic Interventions. OUP Academic. https://doi.org/10.1007/s12160-009-9130-7
• Barker, G. G., & Barker, E. E. (2021, May 19). Online therapy: lessons learned from the COVID-19 health crisis. British Journal of Guidance & Counselling, 50(1), 66–81. https://doi.org/10.1080/03069885.2021.1889462
• Bhattacharjee, D., & Chakraborty, A. (2022, December). Brief online psychotherapy for psychogenic non-epileptic seizures using the psychoeducation-motivational interviewing- self appraisal- grounding (PMSG) model: A multiple baseline case series study. Psychiatry Research Case Reports, 1(2), 100080. https://doi.org/10.1016/j.psycr.2022.100080
• Bucci, S., Schwannauer, M., & Berry, N. (2019, March 28). The digital revolution and its impact on mental health care. Psychology and Psychotherapy: Theory, Research and Practice, 92(2), 277–297. https://doi.org/10.1111/papt.12222
• Buhrman, M., Syk, M., Burvall, O., Hartig, T., Gordh, T., & Andersson, G. (2015, June). Individualized Guided Internet-delivered Cognitive-Behavior Therapy for Chronic Pain Patients With Comorbid Depression and Anxiety. The Clinical Journal of Pain, 31(6), 504–516. https://doi.org/10.1097/ajp.0000000000000176
• Chebli, J. L., Blaszczynski, A., & Gainsbury, S. M. (2016, March 22). Internet-Based Interventions for Addictive Behaviours: A Systematic Review. Journal of Gambling Studies, 32(4), 1279–1304. https://doi.org/10.1007/s10899-016-9599-5
• Cuijpers, P., van Straten, A., & Andersson, G. (2007, December 29). Internet-administered cognitive behavior therapy for health problems: a systematic review. Journal of Behavioral Medicine, 31(2), 169–177. https://doi.org/10.1007/s10865-007-9144-1
• de Bitencourt Machado, D., Braga Laskoski, P., Trelles Severo, C., Margareth Bassols, A., Sfoggia, A., Kowacs, C., Valle Krieger, D., Benetti Torres, M., Bento Gastaud, M., Stella Wellausen, R., Pigatto Teche, S., & Laks Eizirik, C. (2016, January 28). A Psychodynamic Perspective on a Systematic Review of Online Psychotherapy for Adults. British Journal of Psychotherapy, 32(1), 79–108. https://doi.org/10.1111/bjp.12204
• De Jaegere, E., van Landschoot, R., van Heeringen, K., van Spijker, B. A., Kerkhof, A. J., Mokkenstorm, J. K., & Portzky, G. (2019, August). The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention. Behaviour Research and Therapy, 119, 103406. https://doi.org/10.1016/j.brat.2019.05.003
• Dhelim, S., Chen, L., Ning, H., & Nugent, C. (2022, November 2). Artificial intelligence for suicide assessment using Audiovisual Cues: a review. Artificial Intelligence Review, 56(6), 5591–5618. https://doi.org/10.1007/s10462-022-10290-6
• Dölemeyer, R., Tietjen, A., Kersting, A., & Wagner, B. (2013, August 6). Internet-based interventions for eating disorders in adults: a systematic review. BMC Psychiatry, 13(1). https://doi.org/10.1186/1471-244x-13-207
• Donker, T., Bennett, K., Bennett, A., Mackinnon, A., van Straten, A., Cuijpers, P., Christensen, H., & Griffiths, K. M. (2013, May 13). Internet-Delivered Interpersonal Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults With Depressive Symptoms: Randomized Controlled Noninferiority Trial. Journal of Medical Internet Research, 15(5), e82. https://doi.org/10.2196/jmir.2307
• Fiske, A., Henningsen, P., & Buyx, A. (2019, May 9). Your Robot Therapist Will See You Now: Ethical Implications of Embodied Artificial Intelligence in Psychiatry, Psychology, and Psychotherapy. Journal of Medical Internet Research, 21(5), e13216. https://doi.org/10.2196/13216
• García, E., Di Paolo, E. A., & De Jaegher, H. (2021, August 13). Embodiment in online psychotherapy: A qualitative study. Psychology and Psychotherapy: Theory, Research and Practice, 95(1), 191–211. https://doi.org/10.1111/papt.12359
• Gasslander, N., Andersson, G., Boström, F., Brandelius, L., Pelling, L., Hamrin, L., Gordh, T., & Buhrman, M. (2022, May 9). Tailored internet-based cognitive behavioral therapy for individuals with chronic pain and comorbid psychological distress: a randomized controlled trial. Cognitive Behaviour Therapy, 51(5), 408–434. https://doi.org/10.1080/16506073.2022.2065528
• Guidelines for the practice of telepsychology. (2013, July 31). American Psychologist, 68(9), 791–800. https://doi.org/10.1037/a0035001
• Hamilton, S., Moore, A. M., Crane, D. R., & Payne, S. H. (2010, April 28). Psychotherapy dropouts: Differences by modality, license, and DSM-IV diagnosis. Journal of Marital and Family Therapy, 37(3), 333–343. https://doi.org/10.1111/j.1752-0606.2010.00204.x
• Hanley, T. (2020, December 29). Researching online counselling and psychotherapy: The past, the present and the future. Counselling and Psychotherapy Research, 21(3), 493–497. https://doi.org/10.1002/capr.12385
• Haque, A. (2020, August 11). Mental Health Laws and Reflections on Culture: The Case of United Arab Emirates. Journal of Muslim Mental Health, 14(1). https://doi.org/10.3998/jmmh.10381607.0014.103
• Hayes, S. C., Hofmann, S. G., & Ciarrochi, J. (2020, December). A process-based approach to psychological diagnosis and treatment:The conceptual and treatment utility of an extended evolutionary meta model. Clinical Psychology Review, 82, 101908. https://doi.org/10.1016/j.cpr.2020.101908
• Heponiemi, T., Jormanainen, V., Leemann, L., Manderbacka, K., Aalto, A. M., & Hyppönen, H. (2020, July 7). Digital Divide in Perceived Benefits of Online Health Care and Social Welfare Services: National Cross-Sectional Survey Study. Journal of Medical Internet Research, 22(7), e17616. https://doi.org/10.2196/17616
• Hesser, H., Gustafsson, T., Lundén, C., Henrikson, O., Fattahi, K., Johnsson, E., Westin, V. Z., Carlbring, P., Mäki-Torkko, E., Kaldo, V., & Andersson, G. (2012, August). A randomized controlled trial of internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. Journal of Consulting and Clinical Psychology, 80(4), 649–661. https://doi.org/10.1037/a0027021
• Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16. https://doi.org/10.1037/a0022186
• Impala, T., Dobson, K. S., & Kazantzis, N. (2021, July 1). Does the working alliance mediate the therapist competence-outcome relationship in cognitive behavior therapy for depression? Psychotherapy Research, 32(1), 126–138. https://doi.org/10.1080/10503307.2021.1946195
• Iwaya, L. H., Babar, M. A., Rashid, A., & Wijayarathna, C. (2022, November 8). On the privacy of mental health apps. Empirical Software Engineering, 28(1). https://doi.org/10.1007/s10664-022-10236-0
• Jokic-Begic, N., Lauri Korajlija, A., & Mikac, U. (2020, December 17). Cyberchondria in the age of COVID-19. PLOS ONE, 15(12), e0243704. https://doi.org/10.1371/journal.pone.0243704
• Jain, P. (2023). Improving Mental Health Treatment through Artificial Intelligence: Opportunities and Challenges. Transactions on Latest Trends in Artificial Intelligence4, 4(4). https://www.ijsdcs.com/index.php/TLAI/article/view/292
• Jorm, A. F. (2000, November). Mental health literacy. British Journal of Psychiatry, 177(5), 396–401. https://doi.org/10.1192/bjp.177.5.396
• Käll, A., Bäck, M., Welin, C., Åman, H., Bjerkander, R., Wänman, M., Lindegaard, T., Berg, M., Moche, H., Shafran, R., & Andersson, G. (2021). Therapist-Guided Internet-Based Treatments for Loneliness: A Randomized Controlled Three-Arm Trial Comparing Cognitive Behavioral Therapy and Interpersonal Psychotherapy. Psychotherapy and Psychosomatics, 90(5), 351–358. https://doi.org/10.1159/000516989
• Khan, S., Shapka, J. D., & Domene, J. F. (2021, May 26). Counsellors’ experiences of online therapy. British Journal of Guidance & Counselling, 50(1), 43–65. https://doi.org/10.1080/03069885.2021.1885009
• Knaevelsrud, C., & Maercker, A. (2006, December 19). Does the Quality of the Working Alliance Predict Treatment Outcome in Online Psychotherapy for Traumatized Patients? Journal of Medical Internet Research, 8(4), e31. https://doi.org/10.2196/jmir.8.4.e31
• Koelen, J., Vonk, A., Klein, A., de Koning, L., Vonk, P., de Vet, S., & Wiers, R. (2022, August). Man vs. machine: A meta-analysis on the added value of human support in text-based internet treatments (“e-therapy”) for mental disorders. Clinical Psychology Review, 96, 102179. https://doi.org/10.1016/j.cpr.2022.102179
• Kormilitzin, A., Tomasev, N., McKee, K. R., & Joyce, D. W. (2023, January). A participatory initiative to include LGBT+ voices in AI for mental health. Nature Medicine, 29(1), 10–11. https://doi.org/10.1038/s41591-022-02137-y
• Leichsenring, F., Sarrar, L., & Steinert, C. (2019, January 2). Drop‐outs in psychotherapy: a change of perspective. World Psychiatry, 18(1), 32–33. https://doi.org/10.1002/wps.20588
• Lindegaard, T., Berg, M., & Andersson, G. (2020, December). Efficacy of Internet-Delivered Psychodynamic Therapy: Systematic Review and Meta-Analysis. Psychodynamic Psychiatry, 48(4), 437–454. https://doi.org/10.1521/pdps.2020.48.4.437
• Lindqvist, K., Mechler, J., Midgley, N., Carlbring, P., Carstorp, K., Neikter, H. K., Strid, F., Von Below, C., & Philips, B. (2022, December 6). “I didn’t have to look her in the eyes”—participants’ experiences of the therapeutic relationship in internet-based psychodynamic therapy for adolescent depression. Psychotherapy Research, 1–15. https://doi.org/10.1080/10503307.2022.2150583
• Margraf, J. (2009). Therapieindikation. In Maragraf & Schneider, Lehrbuch der Verhaltenstherapie (3rd ed., Vol. 1, pp. 201–212). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-79541-4_11
• May, R., & Denecke, K. (2021, October 7). Security, privacy, and healthcare-related conversational agents: a scoping review. Informatics for Health and Social Care, 47(2), 194–210. https://doi.org/10.1080/17538157.2021.1983578
• Mechler, J., Lindqvist, K., Carlbring, P., Topooco, N., Falkenström, F., Lilliengren, P., Andersson, G., Johansson, R., Midgley, N., Edbrooke-Childs, J., Dahl, H. S. J., Sandell, R., Thorén, A., Ulberg, R., Bergsten, K. L., & Philips, B. (2022, August). Therapist-guided internet-based psychodynamic therapy versus cognitive behavioural therapy for adolescent depression in Sweden: a randomised, clinical, non-inferiority trial. The Lancet Digital Health, 4(8), e594–e603. https://doi.org/10.1016/s2589-7500(22)00095-4
• Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010, November). Dropout from Internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49(4), 455–471. https://doi.org/10.1348/014466509x472138
• Merhej, R. (2019, August 29). Stigma on mental illness in the Arab world: beyond the socio-cultural barriers. International Journal of Human Rights in Healthcare, 12(4), 285–298. https://doi.org/10.1108/ijhrh-03-2019-0025
• Naslund, J. A., Bondre, A., Torous, J., & Aschbrenner, K. A. (2020, April 20). Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice. Journal of Technology in Behavioral Science, 5(3), 245–257. https://doi.org/10.1007/s41347-020-00134-x
• Ostrowski, J., & Collins, T. P. (2016, October). A Comparison of Telemental Health Terminology Used Across Mental Health State Licensure Boards. The Professional Counselor, 6(4), 387–396. https://doi.org/10.15241/jo.6.4.387
• Peter, L., Reindl, R., Zauter, S., Hillemacher, T., & Richter, K. (2019, August 24). Effectiveness of an Online CBT-I Intervention and a Face-to-Face Treatment for Shift Work Sleep Disorder: A Comparison of Sleep Diary Data. International Journal of Environmental Research and Public Health, 16(17), 3081. https://doi.org/10.3390/ijerph16173081
• Podina, I. R., & Caculidis-Tudor, D. (2023). Increasing Well-Being and Mental Health Through Cutting-Edge Technology and Artificial Intelligence. Integrated Science, 347–364. https://doi.org/10.1007/978-3-031-15959-6_17
• Rautschka-Rücker, J. (2015). Internetpsychotherapie - Rechtslage, Einordnung, Regelungsbedarfe. Geht Die Psychotherapie Ins Netz?, 125–132. https://doi.org/10.30820/9783837969290-125
• Rheinland-Pfalz, L. (2020, March). Neue LPK-Broschüre: LPK RLP. Retrieved May 11, 2023, from https://www.lpk-rlp.de/fileadmin/user_upload/LPK_Digitalisierungsbroschuere_Downloaddatei_final.pdf
• Richards, P., Simpson, S., Bastiampillai, T., Pietrabissa, G., & Castelnuovo, G. (2018, July 1). The impact of technology on therapeutic alliance and engagement in psychotherapy: The therapist’s perspective. Clinical Psychologist, 22(2), 171–181. https://doi.org/10.1111/cp.12102
• Rochlen, A. B., Zack, J. S., & Speyer, C. (2004). Online therapy: Review of relevant definitions, debates, and current empirical support. Journal of Clinical Psychology, 60(3), 269–283. https://doi.org/10.1002/jclp.10263
• Salem, D. A., Bogat, G. A., & Reid, C. (1997, March). Mutual help goes on-line. Journal of Community Psychology, 25(2), 189–207. http://dx.doi.org/10.1002/(sici)1520-6629(199703)25:2<189::aid-jcop7>3.0.co;2-t
• Sander, J., Bolinski, F., Diekmann, S., Gaebel, W., Günther, K., Hauth, I., Heinz, A., Kleiboer, A., Riper, H., Trost, N., Vlijter, O., Zielasek, J., & Gerlinger, G. (2021, March 16). Online therapy: an added value for inpatient routine care? Perspectives from mental health care professionals. European Archives of Psychiatry and Clinical Neuroscience, 272(1), 107–118. https://doi.org/10.1007/s00406-021-01251-1
• Seidler, Z. E., Wilson, M. J., Kealy, D., Oliffe, J. L., Ogrodniczuk, J. S., & Rice, S. M. (2021, May). Men’s Dropout From Mental Health Services: Results From a Survey of Australian Men Across the Life Span. American Journal of Men’s Health, 15(3), 155798832110147. https://doi.org/10.1177/15579883211014776
• Silvestri, C., Carpita, B., Cassioli, E., Lazzeretti, M., Rossi, E., Messina, V., Castellini, G., Ricca, V., Dell’Osso, L., Bolognesi, S., Fagiolini, A., & Voller, F. (2023, January 5). Prevalence study of mental disorders in an Italian region. Preliminary report. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-022-04401-4
• Singh, O. (2023). Artificial intelligence in the era of ChatGPT - Opportunities and challenges in mental health care. Indian Journal of Psychiatry, 65(3), 297. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_112_23
• Siqueira, A., Da Conceição, A. F., & Rocha, V. (2021, April 26). Blockchains and Self-Sovereign Identities Applied to Healthcare Solutions: A Systematic Review. arXiv.org. https://arxiv.org/abs/2104.12298v1
• Situmorang, D. D. B. (2020, September 23). Online/Cyber Counseling Services in the COVID-19 Outbreak: Are They Really New? Journal of Pastoral Care & Counseling: Advancing Theory and Professional Practice Through Scholarly and Reflective Publications, 74(3), 166–174. https://doi.org/10.1177/1542305020948170
• Stofle, G. S. (2001). Choosing an online therapist: A step-by-step guide to finding professional help on the web. White Hat Communications.
• Stoll, J., Müller, J. A., & Trachsel, M. (2020, February 11). Ethical Issues in Online Psychotherapy: A Narrative Review. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00993
• Suby, C. (2013). Social Media in Health Care: Benefits, Concerns, and Guidelines for Use. Creative Nursing, 19(3), 140–147. https://doi.org/10.1891/1078-4535.19.3.140
• Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80(4), 547–559. https://doi.org/10.1037/a0028226
• Thorén, E. S., Öberg, M., Wänström, G., Andersson, G., & Lunner, T. (2014, April 22). A randomized controlled trial evaluating the effects of online rehabilitative intervention for adult hearing-aid users. International Journal of Audiology, 53(7), 452–461. https://doi.org/10.3109/14992027.2014.892643
• Tulbure, B. T., Szentagotai, A., David, O., Ștefan, S., Månsson, K. N. T., David, D., & Andersson, G. (2015, May 4). Internet-Delivered Cognitive-Behavioral Therapy for Social Anxiety Disorder in Romania: A Randomized Controlled Trial. PLOS ONE, 10(5), e0123997. https://doi.org/10.1371/journal.pone.0123997
• Vlaescu, G., Alasjö, A., Miloff, A., Carlbring, P., & Andersson, G. (2016, November). Features and functionality of the Iterapi platform for internet-based psychological treatment. Internet Interventions, 6, 107–114. https://doi.org/10.1016/j.invent.2016.09.006
• Vöhringer, M., Knaevelsrud, C., Wagner, B., Slotta, M., Schmidt, A., Stammel, N., & Böttche, M. (2020, January 23). Should I stay or must I go? Predictors of dropout in an internet-based psychotherapy programme for posttraumatic stress disorder in Arabic. European Journal of Psychotraumatology, 11(1). https://doi.org/10.1080/20008198.2019.1706297
• Williams, R., Bambling, M., King, R., & Abbott, Q. (2009, June). In-session processes in online counselling with young people: An exploratory approach. Counselling and Psychotherapy Research, 9(2), 93–100. https://doi.org/10.1080/14733140802490606
• Wolffe, T. A. M., Robinson, A., Clinton, A., Turrell, L., & Stec, A. A. (2023, January 10). Mental health of UK firefighters. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-022-24834-x
• Zarski, A. C., Baumeister, H., & Ebert, D. D. (2023). Technische Umsetzung, inhaltliche Gestaltung und Implementierungsmöglichkeiten. Digitale Gesundheitsinterventionen, 3–12. https://doi.org/10.1007/978-3-662-65816-1_1
• Zou, G. (2004, April 1). A Modified Poisson Regression Approach to Prospective Studies with Binary Data. American Journal of Epidemiology, 159(7), 702–706. https://doi.org/10.1093/aje/kwh090