L’alliance thérapeutique lors d’une télépsychothérapie PAR VIDÉOCONFÉRENCE pour un trouble DU SPECTRE anxieux : Recension systématique deS ÉCRITS

Abstract

La présente recension des écrits a pour objectif d’évaluer s’il est possible de développer une alliance thérapeutique (AT) de qualité au cours d’une intervention psychologique individuelle administrée par vidéoconférence pour un trouble du spectre anxieux. Dix études sont recensées. Les résultats indiquent qu’une AT de qualité peut se construire lors d’une télépsychothérapie pour un trouble du spectre anxieux. Toutefois, davantage d’études se doivent d’être menées afin d’apporter un appui empirique supplémentaire à la question. Une meilleure compréhension des conditions pouvant favoriser l’établissement d’une relation thérapeutique à distance se doit également d’être visée afin d’orienter les professionnels de la santé vers une utilisation judicieuse de cette modalité d’intervention novatrice.This review assesses whether it is possible to build a strong therapeutic alliance (TA) during an individual psychological intervention administered by videoconference for the anxiety disorders spectrum. Ten studies were identified. Interventions were delivered by videoconference or through the Skype communication software. Results indicate that a good quality TA can emerge during telepsychotherapy for disorders of the anxiety spectrum. However, more studies need to be conducted to provide additional empirical support to this question. A better understanding of conditions promoting the establishment of a therapeutic relationship despite the distance also needs to be targeted to guide health professionals in a judicious use of this form of innovative intervention

The Role of Intolerance of Uncertainty and Working Alliance in the Outcome of Cognitive Behavioral Therapy for Generalized Anxiety Disorder Delivered by Videoconference: Mediation Analysis

“…Although several studies have examined the role of the working alliance in face-to-face therapy [ 13 ], only a handful of studies have examined the role of the working alliance in e-therapy (ie, VC, virtual reality, chat, or email) [ 23 , 24 ]. Overall, the results suggest that the use of VC-based psychotherapies does not interfere with the quality of the working alliance [ 25 - 27 ]. Although these results are encouraging, further studies are needed to understand the exact role of the working alliance and its components in telepsychotherapy.…”

Clients in Simulated Teletherapy via Videoconference Compensate for Altered Eye Contact When Evaluating Therapist Empathy

“…A number of meta-analyses and systematic reviews support the claim that treatments delivered through VC are as effective as analog in-person interventions [ 3 , 4 , 5 , 6 ]. Establishing strong therapeutic alliance is also possible in teletherapy compared to in-person treatments according to numerous systematic reviews [ 7 , 8 ]. However, a recent meta-analysis found alliance to be weaker in teletherapy when integrating the results of 12 comparative studies between teletherapy and in-person therapy [ 5 ].…”