Abstract

The outbreak of the COVID-19 pandemic has caused changes in the provision of psychotherapy around the world. The common format of delivering in-person psychotherapy is replaced by psychotherapy via the Internet to a great extent. This study examined how well Austrian psychotherapists feel informed about the use of the Internet in psychotherapy, where additional information needs exist, and which software is used. A link to an online survey was sent to all psychotherapists providing a valid email address in the official list of licensed psychotherapists at the start of the COVID-19 lockdown in Austria. A total of 1547 people took part in the survey. The results show that psychotherapy via the Internet was primarily offered via Skype and Zoom during the COVID-19 pandemic and that the majority of the therapists felt well-informed about psychotherapy via the Internet; however, several therapists stated that they wish to have further information on data protection and security. Overall, the study shows that Austrian psychotherapists coped well with the rapid change from the provision of psychotherapy through personal contact to psychotherapy via the Internet. Security and data protection aspects of therapy via the Internet should be addressed in training and further education of psychotherapists. As this study was conducted online, it might have caused some respondent bias towards a higher participation of psychotherapists with higher preference for new technologies.

Highlights

  • The COVID-19 pandemic enhances psychological distress, resulting in an increased need for mental health care [1,2,3]

  • Psychotherapy via the Internet is rejected by the official Austrian guideline related to the Internet and psychotherapy, which was valid at the time of the COVID-19 situation [13]

  • Results for RQ2c: The wish for further information differed with respect to the format in which psychotherapy was provided during the first weeks of the COVID-19 lockdown (t (1545) = −4.879; p < 0.001

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Summary

Introduction

The COVID-19 pandemic enhances psychological distress, resulting in an increased need for mental health care [1,2,3]. In the Austrian general population, for example, depressive symptoms, anxiety symptoms and insomnia symptoms were higher during the COVID-19 lockdown than in previous studies before the lockdown [4]. A follow-up investigation of this Austrian sample showed that more individuals changed from not depressed in lockdown to depressed after lockdown (when restrictions had been lifted for some time) as compared to from depressed in lockdown to not depressed after lockdown [5]. The first COVID-19 cases in Austria were confirmed on the 25 February 2020. The Austrian government introduced obligatory COVID-19 lockdown measures on the 16 March 2020, which lasted. Res. Public Health 2020, 17, 8182; doi:10.3390/ijerph17218182 www.mdpi.com/journal/ijerph

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