@文章{info:doi/ 10.296 /36775，作者=“Mercadal Rotger, Josep and Cabr{\ e}， Victor”，标题=“在线和面对面心理治疗的治疗联盟:比较研究”，期刊=“JMIR Ment Health”，年=“2022”，月=“5”，日=“2”，卷=“9”，号=“5”，页=“e36775”，关键词=“在线心理干预;联合治疗;数字健康;心理健康;心理健康教育;心理健康治疗;卫生干预措施;卫生专业;在线健康;基于网络的健康; intervention modality", abstract="Background: Since the COVID-19 pandemic, the number of online mental health treatments have grown exponentially. Additionally, it seems inevitable that this technical resource is here to stay at health centers. However, there is still very little scholarly literature published on this topic, and therefore, the impact of the changes that have had to be dealt with in this regard has not been studied. Objective: This study aims to evaluate the differences in the establishment of the therapeutic alliance (TA) based on the intervention modality (online or face-to-face), the type of attachment, and diagnosis. Methods: A total of 291 subjects participated in the study, 149 (51.2{\%}) of whom were men and 142 were (48.8{\%}) women between the ages of 18 and 30 years. The instruments used were sociodemographic data, SOFTA-o (System for Observing Family Therapeutic Alliances---observational), and Relationship Questionnaire. Results: The results show that the treatments conducted face-to-face obtain significantly better scores in the creation of the TA than those conducted online (t=--42.045, df=289, P<.001). The same holds true with attachment, in that users with secure attachment show a better TA than those with insecure attachment (t=6.068, P<.001,), although there were no significant differences with the diagnosis (F=4.566, P=.44), age (r=0.02, P=.70), and sex (t=0.217, P=.33). Conclusions: We believe that professionals are not yet prepared to conduct remote treatment with a degree of efficacy similar to that of face-to-face. It is essential for professionals to receive training in this new technical resource and to understand and incorporate the variants it entails into their daily practice. ", issn="2368-7959", doi="10.2196/36775", url="https://mental.www.mybigtv.com/2022/5/e36775", url="https://doi.org/10.2196/36775", url="http://www.ncbi.nlm.nih.gov/pubmed/35499910" }