The moderating and mediating role of telepresence and cognitive change in cognitive behaviour therapy delivered via videoconference
Abstract
In this study, we combined the results of two controlled trials and examined the relationships between working alliance, telepresence, cognitive change and treatment outcome. Sixty‐five participants with a primary diagnosis of generalized anxiety disorder (GAD) or panic disorder with agoraphobia (PDA) received cognitive behaviour therapy delivered via videoconference. Participants completed measures of working alliance and telepresence after three psychotherapy sessions. They also completed measures of treatment outcome and dysfunctional beliefs (cognitive change) specific to PDA and GAD at pretreatment and posttreatment. Results revealed that telepresence at the fifth session moderated the relationship between the working alliance at the first and fifth sessions. As telepresence increased, its impact on the working alliance diminished. Cognitive change mediated the relationship between the working alliance at the fifth session and treatment outcome.
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Telepresence facilitates the development of a sound working alliance, which in turn enables patients and therapists to work on changing the dysfunctional behaviors and mental associations with perceived threat that are required for the reduction in symptoms of anxiety disorders.
“Bouchard et al. [80] analyzed the role of working alliance in VCP and showed that telepresence (the feeling of being in the same psychotherapy room as the therapist) facilitates the development of a sound working alliance, which in turn enables patients and therapists to work on changing the dysfunctional behaviors and mental associations with perceived threat that are required for the reduction”
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“[80] analyzed the role of working alliance in VCP and showed that telepresence (the feeling of being in the same psychotherapy room as the therapist) facilitates the development of a sound working alliance, which in turn enables patients and therapists to work on changing the dysfunctional behaviors and mental associa…”
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- Authors
- Bouchard, S., Berthiaume, M., Robillard, G., Allard, M., Green‐Demers, I., Watts, S., Marchand, A., Gosselin, P., Langlois, F., Belleville, G., & Dugas, M. J.
- Affiliations
- University of Ottawa (CA)
- Innovation, Science and Economic Development Canada (CA)
- Université du Québec en Outaouais (CA)
- Université du Québec à Montréal (CA)
- Université de Sherbrooke (CA)
- Département de Psychologie Université du Québec à Trois‐Rivières (UQTR) Trois‐Rivières Quebec Canada
- Université Laval (CA)
- Corresponding author
- Bouchard, Stéphane
- ORCID
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2023-01-04
- Volume
- 30
- Issue
- 3
- Pages
- 575-586
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W4311202295
- Cited by
- 7
- References
- 64
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canada Research Chairs
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- telepresence, cognitive behavioral therapy, therapeutic relationship, cognitive change, generalized anxiety disorder, panic disorder with agoraphobia, treatment outcomes, dysfunctional attitudes, moderated mediation
- MeSH terms
- Agoraphobia, Anxiety Disorders, Cognition, Humans, Cognitive Behavioral Therapy, Treatment Outcome, Videoconferencing
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