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
International Journal of Applied Behavioral Sciences,
Vol. 12 No. 1 (2025),
15 March 2025
,
Page 1-11
https://doi.org/10.22037/ijabs.v12i1.46953
Abstract
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.
- COVID-19
- Psychological Distress
- Resilience
- In-Person Cognitive-Behavioral Therapy
- Telehealth Cognitive-Behavioral Therapy
How to Cite
References
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