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

Published online by Cambridge University Press:  13 August 2021

A. Palin ,
N. Shilko ,
A. Pozharskaya ,
L. Burygina  and
N. Semenova
A. Palin
Affiliation:
Psychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian Federation
N. Shilko
Affiliation:
Psychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian Federation
A. Pozharskaya
Affiliation:
Psychotherapy Center, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian Federation
L. Burygina
Affiliation:
Administration, State Budgetary Health Organization Psychiatric Clinical Hospital №4 named after P.B. Gannushkin, Moscow, Russian Federation
N. Semenova*
Affiliation:
Psychiatry, Moscow Research Institute of Psychiatry – a branch of V.Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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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.

Keywords

COVID-19Rehabilitation programsPatients’ needsOnline psychosocial treatment
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S678
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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