There is a significant association between the caregiver's burden and their QoL. Regression analysis showed that the best predictors of QoL were caregiving burden, social support and professional support.

Background Since the COVID-19 pandemic, the number of online mental health treatments have grown exponentially. Additionally, it seems inevitable that this technical resource is here to stay at health centers. However, there is still very little scholarly literature published on this topic, and therefore, the impact of the changes that have had to be dealt with in this regard has not been studied. Objective This study aims to evaluate the differences in the establishment of the therapeutic alliance (TA) based on the intervention modality (online or face-to-face), the type of attachment, and diagnosis. Methods A total of 291 subjects participated in the study, 149 (51.2%) of whom were men and 142 were (48.8%) women between the ages of 18 and 30 years. The instruments used were sociodemographic data, SOFTA-o (System for Observing Family Therapeutic Alliances—observational), and Relationship Questionnaire. Results The results show that the treatments conducted face-to-face obtain significantly better scores in the creation of the TA than those conducted online (t=–42.045, df=289, P<.001). The same holds true with attachment, in that users with secure attachment show a better TA than those with insecure attachment (t=6.068, P<.001,), although there were no significant differences with the diagnosis (F=4.566, P=.44), age (r=0.02, P=.70), and sex (t=0.217, P=.33). Conclusions We believe that professionals are not yet prepared to conduct remote treatment with a degree of efficacy similar to that of face-to-face. It is essential for professionals to receive training in this new technical resource and to understand and incorporate the variants it entails into their daily practice.

This study evaluated the predictive relationship between the communicative openness and psychological adjustment of adopted adolescents, controlling for preplacement risk factors. One hundred Spanish international adoptees aged 12-18 took part in the study. Data were gathered with a structured interview, the Youth Self Report and the Adoption Communication Scale. A history of maltreatment prior to the adoption was associated with more closed communication between parents and children. Prenatal drug exposure shows a relationship with the presence of externalizing behaviors and attention problems in adolescents. Finally, a lower degree of communicative openness regarding the child's origins was significantly associated with the presence of all the adolescent behavioral problems studied.

Derechos reservados/Copyright de Clínica e investigación Relacional y los autores. Prohibida la reproducción total o parcial sin autorización expresa. Este material es para uso científico y profesional exclusivamente y puede contener información clínica sensible. Los editores no se responsabilizan de los contenidos de los autores. Dirigir las consultas sobre derechos y autorizaciones a ceir@psicoterapiarelacional.es PSICOTERAPIA ON LINE Escenario virtual para una relación real en el espacio intermediarioVictor Cabré y Josep Mercadal 1 Fundació Vidal i Barraquer, BarcelonaLos numerosos e importantes cambios sociales protagonizados por internet y el fenómeno on line, están provocando que la forma de comunicarnos, de relacionarnos y de establecer vínculos, no se parezca en nada a la de hace solo unos años atrás. Estas transformaciones han llegado a todos los estamentos de nuestra sociedad y tanto es así que desde la práctica clínica psicológica cada vez son más las demandas de tratamientos on line. Ésta, cómo otras tantas novedades que han aparecido a lo largo de la historia de la psicología, no debería incorporarse en el marco de trabajo sin analizar previamente cuáles pueden ser sus efectos. El presente trabajo reflexiona acerca de los elementos que, a partir de nuestra práctica clínica, pensamos que deben de tenerse especialmente en cuenta antes de empezar un tratamiento on line. La transferencia, el encuadre y la alianza terapéutica, son solo algunos de los aspectos que analizaremos, enfatizando aquellos en los que hemos detectado las diferencias más significativas entre la terapia presencial y la on line. Al no tratarse de dos tipos distintos de terapia sino de la utilización intencionada de una herramienta comunicativa diferente, se postulan las principales características con el objetivo de que no se vea afectado ni el correcto desarrollo del tratamiento ni su eficacia.Palabras clave: Psicoterapia on line, psicoterapia por internet, comunicación virtual, espacio intermediario, psicoanálisis relacional.The numerous and important social changes produced by Internet and the on line phenomenon makes a big difference in how we relate, communicate and link, than not so long ago. These transformations have arrived to entire states of our society in such a way that in the clinical psychology are more and more demands for on line treatment. This, like many other innovations that have appeared throughout the history of psychology, should not be incorporated to the work setting without first analyzing which might be the effects. This paper reflects on the elements that, from our clinical experience, we can think over and can take into account or consider before starting an on line treatment. The transfer, setting, and therapeutic alliance, are just some of the aspects that we are going to analyze, emphasizing those that we detected as the most significant differences between in-person and on line therapy. Since it is not about two different types of therapy but about the intentional use of a different communicative too...

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