Cognitive Processing Therapy for Posttraumatic Stress Disorder via Telehealth: Practical Considerations During the COVID-19 Pandemic
John C. Moring was supported by the National Institute of Health (NIH) Clinical and Translational Science Awards Program through the National Center for Advancing Clinical Translational Sciences (KL2 TR002646; PI: Tsevat). The study sponsor had no role in the writing of this report nor in the decision to submit the article for publication. The views expressed herein are solely those of the authors and do not reflect an endorsement by or the official policy or position of the NIH. Manuscript preparation for Debra Kaysen was supported by a grant from the Patient-Centered Outcomes Research Institute (PCORI-PCS-1406-19295; PIs: Fortney, Unützer). The statements in this article are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute, its Board of Governors, or its Methodology Committee. Manuscript preparation for Stefanie LoSavio was supported by grant #1I01CX001757 from the Clinical Sciences Research & Development Service of Department of Veterans Affairs Office of Research and Development (PI: Eric Dedert). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the VA or the United States government or any of the institutions with which the authors are affiliated.
Abstract
enThe global outbreak of COVID-19 has required mental health providers to rapidly rethink and adapt how they provide care. Cognitive processing therapy (CPT) is a trauma-focused, evidence-based treatment for posttraumatic stress disorder that is effective when delivered in-person or via telehealth. Given current limitations on the provision of in-person mental health treatment during the COVID-19 pandemic, this article presents guidelines and treatment considerations when implementing CPT via telehealth. Based on lessons learned from prior studies and clinical delivery of CPT via telehealth, recommendations are made with regard to overall strategies for adapting CPT to a telehealth format, including how to conduct routine assessments and ensure treatment fidelity.
Resumen
esSpanish Abstracts by Asociación Chilena de Estrés Traumático (ACET)
La Terapia de Procesamiento Cognitivo para el trastorno de estrés postraumático vía telesalud: consideraciones prácticas durante la pandemia de covid-19
TPC PARA TEPT DURANTE COVID-19
La epidemia mundial de COVID-19 ha requerido que los proveedores de salud mental reconsideren rápidamente cómo brindan atención. La terapia de procesamiento cognitivo (CPT por sus siglas en inglés) es una tratamiento para el trastorno de estrés traumático focalizada en el trauma y basada en la evidencia, la cual es efectiva cuando se hace presencialmente o por vía tele salud. Dada las limitaciones actuales en la provisión de tratamiento en salud mental presenciales durante la pandemia de COVID-19, este artículo presenta directrices y consideraciones en el tratamiento cuando se implementa CPT a través de tele salud. Basados en las lecciones aprendidas de previos estudios y de la entrega clínica de CPT a través de tele salud, se hacen recomendaciones con respecto a las estrategias generales para adaptar la CPT al formato de tele salud, incluida la forma de realizar evaluaciones de rutina y garantizar la fidelidad al tratamiento.
抽象
zhTraditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS)
簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯
Cognitive Processing Therapy for Posttraumatic Stress Disorder via Telehealth: Practical Considerations During the COVID-19 Pandemic
Traditional Chinese
標題: 以遙距方式進行針對創傷後壓力症的認知整理治療:在COVID-19疫情下的實際考慮
撮要: 2019冠狀病毒病(COVID-19)肆虐全球, 使心理治療師要迅速應變, 反思如何提供治療。認知整理治療(CPT)乃針對創傷後壓力症的聚焦創傷、實證為本的療法, 其以面對面或遙距的方式進行亦為有效。當前COVID-19疫情限制了面對面的心理治療進行。因此, 本論文就進行遙距的CPT提出一些指引及治療考慮。我們基於過往的遙距CPT研究及臨床所得經驗, 為以遙距形式進行CPT的整體策略提供建議, 內容包括如何進行例行評估及確保治療精準度。
Simplified Chinese
标题: 以遥距方式进行针对创伤后压力症的认知整理治疗:在COVID-19疫情下的实际考虑
撮要: 2019冠状病毒病(COVID-19)肆虐全球, 使心理治疗师要迅速应变, 反思如何提供治疗。认知整理治疗(CPT)乃针对创伤后压力症的聚焦创伤、实证为本的疗法, 其以面对面或遥距的方式进行亦为有效。当前COVID-19疫情限制了面对面的心理治疗进行。因此, 本论文就进行遥距的CPT提出一些指引及治疗考虑。我们基于过往的遥距CPT研究及临床所得经验, 为以遥距形式进行CPT的整体策略提供建议, 内容包括如何进行例行评估及确保治疗精准度。
