Comparing the Effectiveness of In-person and Telehealth Cognitive-Behavioral Therapy on Psychological Distress and Resilience in People Recovered from COVID-19: A Quasi-Experimental Study
نویسندگان
1 Behavioral Sciences Research Center, Life Style Institue, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2 Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 Department of Psychology, Abhar Branch, Islamic Azad University, Abhar, Iran.
doi
10.22037/ijabs.v12i1.46953چکیده
Background and Aim: Apart from the physical effects that COVID-19 causes, the disease is also associated with various psychological problems that required research and clinical attention. Purpose of this study was to compare the effectiveness of in-person and telehealth Cognitive-Behavioral Therapy (CBT) in people who have recovered from COVID-19. Materials and Methods: The present study was a quasi-experimental study with a pre-post design, a control group, and three-month follow-up. The statistical population consisted of patients who recovered from COVID-19 in Tehran between 2022-2023, of which 45 patients were selected using a convenience sampling method and randomly divided into three groups including the two study groups: in-person CBT and telehealth CBT group (15 patients for each) and a control group (15 patients). The in-person CBT group received 11 sessions, and the telehealth CBT group received 12 sessions. Research instruments included the Depression, Anxiety, and Stress Scale (DASS-21) and the Resilience Scale (RS). The data were analyzed using repeated measures analysis of variance. Results: The results showed that although both treatments led to improvements in psychological distress (P<0.01) and resilience (P< 0.01), the effectiveness of in-person CBT was greater and statistically significant. Between effects size for depression, anxiety, stress and resilience was 0.37, 0.38, 0.44, and 0.64, respectively. Conclusion: The study results show that both in-person and virtual CBT lead to improvements in psychological distress and resilience in patients with a COVID-19 background compared to the control group, and the improvement rate for in-person CBT is higher in compared to the virtual group. In fact, in-person CBT leads to significant improvements in psychological distress and resilience.