On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak

Introduction The COVID-19 pandemic has challenged our model of face-to-face psychosocial treatment and rehabilitation format. To adapt to the current situation, as professionals, we have decided to transform the format into a virtual one that will offer the continuity of rehabilitation and therapy...

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Main Authors: A. Palin, N. Shilko, A. Pozharskaya, L. Burygina, N. Semenova
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821018009/type/journal_article
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author A. Palin
N. Shilko
A. Pozharskaya
L. Burygina
N. Semenova
author_facet A. Palin
N. Shilko
A. Pozharskaya
L. Burygina
N. Semenova
author_sort A. Palin
collection DOAJ
description Introduction The COVID-19 pandemic has challenged our model of face-to-face psychosocial treatment and rehabilitation format. To adapt to the current situation, as professionals, we have decided to transform the format into a virtual one that will offer the continuity of rehabilitation and therapy. Two clinical psychologists held online sessions and a special chat created in the IM messenger where patients could safely interact with each other. Objectives This pilot study aimed to evaluate the effect of online sessions in a sample of outpatients engaged in rehabilitation programs. Methods Data from 50 patients (F20-F25, aged from 25 to 45) treated with a new online psychosocial program, including i. psychoeducation, ii. learning skills of the behavior under the circumstances of isolation, iii. training skills of effective communication and emotional regulation, and assessed for depression, anxiety, hopelessness, hostility (BDI, STAI, BHS, BDHI), and self-esteem, were analyzed for this study. Motivational enhancement techniques were also used to engage the patients in this new treatment format. Results According to the preliminary data, we point out a statistically meaningful reduction in depression (p=0,003), anxiety (p=0,001), and hostility (р=0,001); self-esteem, evaluated with the Dembo-Rubinstein method, was improved (p=0,002); the T Wilcoxon criterion used for rating the magnitude. Conclusions Our results indicate that establishing a new online psychosocial program over the last few months positions us to respond effectively to such a new challenge and suggest that rehabilitative programs targeting patients’ needs may continue in this time of uncertainty. Disclosure No significant relationships.
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spelling doaj.art-2c16351bd5a0437991970f52e6b30cef2023-11-17T05:06:23ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S678S67810.1192/j.eurpsy.2021.1800On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreakA. Palin0N. Shilko1A. Pozharskaya2L. Burygina3N. Semenova4Psychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian FederationPsychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian FederationPsychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian FederationAdministration, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian FederationPsychiatry, Moscow Research Institute of Psychiatry – a branch of V.Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia, Moscow, Russian Federation Introduction The COVID-19 pandemic has challenged our model of face-to-face psychosocial treatment and rehabilitation format. To adapt to the current situation, as professionals, we have decided to transform the format into a virtual one that will offer the continuity of rehabilitation and therapy. Two clinical psychologists held online sessions and a special chat created in the IM messenger where patients could safely interact with each other. Objectives This pilot study aimed to evaluate the effect of online sessions in a sample of outpatients engaged in rehabilitation programs. Methods Data from 50 patients (F20-F25, aged from 25 to 45) treated with a new online psychosocial program, including i. psychoeducation, ii. learning skills of the behavior under the circumstances of isolation, iii. training skills of effective communication and emotional regulation, and assessed for depression, anxiety, hopelessness, hostility (BDI, STAI, BHS, BDHI), and self-esteem, were analyzed for this study. Motivational enhancement techniques were also used to engage the patients in this new treatment format. Results According to the preliminary data, we point out a statistically meaningful reduction in depression (p=0,003), anxiety (p=0,001), and hostility (р=0,001); self-esteem, evaluated with the Dembo-Rubinstein method, was improved (p=0,002); the T Wilcoxon criterion used for rating the magnitude. Conclusions Our results indicate that establishing a new online psychosocial program over the last few months positions us to respond effectively to such a new challenge and suggest that rehabilitative programs targeting patients’ needs may continue in this time of uncertainty. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821018009/type/journal_articleCOVID-19Rehabilitation programsPatients’ needsOnline psychosocial treatment
spellingShingle A. Palin
N. Shilko
A. Pozharskaya
L. Burygina
N. Semenova
On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
European Psychiatry
COVID-19
Rehabilitation programs
Patients’ needs
Online psychosocial treatment
title On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
title_full On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
title_fullStr On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
title_full_unstemmed On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
title_short On the continuity of rehabilitation and meeting the patients’ needs: Online psychosocial treatment during the COVID-19 outbreak
title_sort on the continuity of rehabilitation and meeting the patients needs online psychosocial treatment during the covid 19 outbreak
topic COVID-19
Rehabilitation programs
Patients’ needs
Online psychosocial treatment
url https://www.cambridge.org/core/product/identifier/S0924933821018009/type/journal_article
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