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Atitudes face à terapia online durante a pandemia COVID-19:dois estudos com clientes e terapeutas

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Abstract(s)

INTRODUÇÃO: As atitudes face à terapia online são importantes preditores de adesão a esta. Com o início da pandemia COVID-19, a terapia online ganhou prominência, tornando-se essencial entender o papel atual e futuro desta modalidade. ESTUDO 1. Atitudes dos clientes portugueses face à terapia online. Objetivos: estudar as atitudes de clientes face à terapia online e a relação com caraterísticas sociodemográficas, clínicas e do processo terapêutico. Método: estudo comparativo com uma amostra de 80 clientes, recolhida em dois momentos da pandemia. As atitudes face à terapia online foram avaliadas pelo Online Counseling Attitudes Scale (OCAS). Resultados e Discussão: clientes demonstraram atitudes positivas face à terapia online e que a passagem teve um impacto neutro a ligeiramente negativo no processo terapêutico. Não se verificaram diferenças significativas nas atitudes para as variáveis sociodemográficas à exceção da idade, e observou-se uma associação positiva das atitudes com o tempo de acompanhamento online. ESTUDO 2. Atitudes dos terapeutas portugueses face à terapia online. Objetivos: estudar as atitudes de terapeutas face à terapia online, avaliando como se relacionam com caraterísticas sociodemográficas e profissionais, e as mudanças na prática terapêutica. Método: estudo comparativo com uma amostra de 542 terapeutas. As atitudes face à terapia online foram avaliadas pela escala OCAS (versão adaptada). Resultados e discussão: Os terapeutas clínicos evidenciaram atitudes razoavelmente positivas face à terapia online e mostraram-se no geral, satisfeitos com o aumento do trabalho à distância. As atitudes variaram significativamente, de acordo com o género, idade, facilidade de uso das tecnologias, formação em psicoterapia, orientação teórica e percentagem de clientes em terapia online. CONCLUSÃO: O meio online mostrou-se uma opção válida e segura para estabelecer terapia e tanto clientes como terapeutas, mostram-se abertos em continuar a utilizar a terapia online no futuro.
INTRODUCTION: Attitudes towards online therapy are important predictors of its adherence. With the beginning of the COVID-19 pandemic, online therapy gained prominence, becoming essential to understand the current and future role of this therapy modality. STUDY 1. Portuguese client’s attitudes towards online therapy. Objectives: evaluate client’s attitudes towards online therapy and its relationship with sociodemographic and clinical characteristics, as well regarding the therapeutic process. Method: comparative study with a sample of 80 clients, collected in two periods of the pandemic. Attitudes towards online therapy were measured by the Online Counseling Attitudes Scale (OCAS). Results and discussion: clients displayed positive attitudes towards online therapy and stated that the transition to this modality had a neutral to slightly negative impact on the therapeutic process. No significant differences were found in the relationship between attitudes and sociodemographic variables except for age, but a positive association was found between attitudes and the amount of experience with online therapy. STUDY 2. Portuguese therapist’s attitudes towards online therapy. Objectives: investigate therapist’s attitudes towards online therapy and how they relate to sociodemographic and professional characteristics, accessing also changes in the therapeutic practice. Method: comparative study with a sample of 542 therapists. Attitudes towards online therapy were measured by the OCAS scale (adapted version). Results and discussion: therapists showed reasonably positive attitudes towards online therapy and were in general, satisfied with the increase in remote work. Attitudes significantly varied according to gender, age, ease of technological use, psychotherapy training, theoretical orientation and percentage of clients receiving online therapy. CONCLUSION: the online environment proved to be a valid and secure option to establish therapy and both clients and therapists, seem open to continue using online therapy in the future.

Description

Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica.

Keywords

Atitudes Psicoterapia online Clientes Terapeutas Pandemia COVID 19 Attitudes Online psychotherapy Clients Therapists COVID-19 Pandemic

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