Search

Online markets for mental health care (OMMH) allow clients to connect remotely with counselors to receive psychological therapy. Rooted in signaling theory and in the specific context of an OMMH, we theorize relative credibility of signals as the boundary condition that determines whether the demonstration signal of responsiveness to client questions substitutes or complements the two description signals of professional qualifications and counseling style in predicting market demand for counselors from new clients in an OMMH. Based on a panel dataset of 823 observations from 309 counselors participating on YiXinLi, a leading OMMH in China, we tested our hypotheses using linguistic and sentiment analysis methods and zero-inflated negative binomial models. We found broad support for nine out of ten hypotheses. Findings are robust with respect to different measures of variables, potential endogeneity from the simultaneity of responsiveness and counselor demand, and potential selection bias from both observable and endogenous covariates. Our study extends the literature on signaling in online markets in the unique context of OMMH by showing that: (1) relative credibility of signals is the boundary condition that determines when a demonstration signal will complement and when it will substitute for a description signal, (2) previous clients’ feedback on counselors’ empathy and warmth was deemed not credible by new clients in the context of online counseling, and (3) responsiveness to client questions is the most influential predictor of market demand from new clients in an OMMH. [ABSTRACT FROM AUTHOR]

This study aimed to reflect on mental health professionals' experiences with online counseling during the COVID-19 pandemic, as well as their perceptions and recommendations for the future. The method of qualitative research with semi-structured interviews was used. The sample consisted of 17 mental health professionals working in the public or private sectors. A framework analysis revealed four main themes, namely (a) the evaluation of online counseling; (b) comparing in-person and online counseling; (c) factors influencing the effectiveness of online counseling; and (d) suggestions for the future use of online counseling. Most therapists reported that their overall experience with online counseling was positive. The main advantages cited were the accessibility for everyone and the reductions in time, money, and distance. Its primary drawbacks included less nonverbal communication, the inability to employ certain therapeutic tools, problems with confidentiality, lack of experience, and technical difficulties during online sessions. Its effectiveness depends on contextual factors and factors related to the therapeutic process itself. Organizational planning, training, and a solid implementation strategy may help ensure that this communication medium is used to its fullest potential. In addition, the possible utilization of remote counseling combined with in-person psychotherapeutic intervention methods will provide solutions for the future, especially in crisis situations. [ABSTRACT FROM AUTHOR]

The level of moral reasoning is very important for children to influence ethics. A student's moral reasoning can increase the desire to apply good morals to students. This study discusses online counseling to improve moral reasoning. The purpose of this study was to explain students' perceptions and preferences for online counseling services to help improve moral reasoning. The systematic review was carried out by the Systematic Review and Meta Analysis (PRISMA) approach. Initially there were 80 articles from three databases as follows: PubMed (6 articles), CINAHL (71 articles), and SINTA (3 articles). After reading the title and abstract, 72 articles were eliminated because the title was not in accordance with the purpose of the study, and one abstract was irrelevant in content. So, six articles (five articles in the Indonesian context and one article in the Malaysian context) were analyzed. [ABSTRACT FROM AUTHOR]

Copyright of Psychotherapie Forum is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In recent years, COVID-19 has led to a blossoming of online counseling (OC) as an important and alternative way to help people in need. In this regard, the present study aims to explore and clarify therapists' practical implementation and preparation of OC in the post-pandemic era by developing scales. In total, 306 Taiwanese licensed therapists participated in this study and filled out the developed scales (75 males and 231 females, 246 of whom have provided OC to clients). The psychometric analysis revealed that the two scales developed in this study, the implementation of OC scale and the preparation of OC scale, have positive reliability and validity. The former consists of three factors: standardized process, presence of infrastructure, and similarity in practice, and the latter comprises two factors: intent to conduct OC and perceived benefits for clients. In addition, the results indicated that therapists who are elder, more experienced, or working in community mental health facilities showed better practical implementation and preparation of OC. Findings from this study carry useful reference for strengthening therapists' preparation for and the effectiveness of OC. [ABSTRACT FROM AUTHOR]

Sixteen participants were selected for this study. Eight engaged in an 8-week online counseling program (Online Group) that involved two 30-minute sessions per week, while the remaining 8 athletes formed the Control Group (CG) and continued their regular practice routines without counseling. The data were collected before their first real match (M1) and again before their second real match (M2). The study focused on evaluating cognitive reappraisal skills and physiological responses related to emotions, including heart rate, blood pressure, and neurological signals. Comparing the Online Group to the Control Group, the results revealed no statistically significant differences in cognitive reappraisal skills, diastolic blood pressure, beta wave activity, and alpha wave activity. However, the Online Group did demonstrate significantly lower diastolic blood pressure and heart rate at a significance level of 0.05. These initial findings suggest that online sport counseling did not lead to improvement in cognitive reappraisal skills but did have a notable impact on reducing diastolic blood pressure and heart rate. Thus, the intervention may influence the athletes' responses during moments of acute stress but may not affect the specific skills they employ during intense real matches. [ABSTRACT FROM AUTHOR]

An increase in demand for mental health services has been prominent in recent years, and digital technology has been found to be beneficial in the delivery of mental health services. In line with this, the current study explored the experiences of 10 registered guidance counselors who integrated technology into their practice of online counseling. The main purpose of this study was to explore the counselors' experiences, feelings, challenges, coping mechanisms, and the meanings they ascribed to their experiences. To achieve these, the researchers employed a qualitative phenomenological approach using interpretative phenomenological analysis. The ten registered guidance counselors who worked in school settings were residents of the province of Antique and engaged in online counseling during the COVID-19 pandemic. The participants were selected through purposive and snowball sampling, and data were collected using a semistructured interview. Based on the transcripts of the participants, four major themes emerged, namely: (i) perceived benefits of online counseling, (ii) ethical issues, (iii) challenges encountered during online counseling, and (iv) ways of coping. Counselors reported online counseling to be helpful, particularly because the integration of technology could facilitate greater accessibility to services. However, due to technological disruptions and the potential blurring of professional boundaries, online counseling may involve ethical considerations that negatively impact the therapeutic relationship. The findings provide preliminary qualitative evidence that online therapy can be a useful adjunct to traditional forms of face-to-face counseling. However, counselors require more explicit training in implementing online counseling. [ABSTRACT FROM AUTHOR]

Objective: With its anonymity and accessibility, text-based online counseling has shown great potential in reaching people with mental health needs. One strategy adopted to meet the service gap is concurrent counseling, that is, each counselor attending to more than one client at a time. To date, there is no reported evidence supporting its rationality and effectiveness. This study investigated the potential opportunities, effectiveness, and caveats in concurrent service delivery and identified the optimal cutoff number of concurrent sessions while maintaining the quality of service at or above a set threshold. Method: We analyzed the transcript of 54,716 online counseling sessions from Open Up, a free, 24/7 text-based counseling service, to develop an attention score that measures the attention allocation of counselors and examined the impact of the counselor's attention allocation on client satisfaction and service outcomes. Results: On average, compared to nonconcurrent sessions, concurrent sessions were longer, more likely to end prematurely, and had lower client satisfaction. We also identified an optimal attention score of approximately 0.4 (out of 1.0, which denotes full attention), which translates to two to three concurrent sessions. Conclusions: This study provides empirical evidence for the feasibility of conducting multiple text-based sessions concurrently without compromising service quality and client experience. Our method of measuring the counselor attention allocation offers a way to systematically assess and evaluate concurrent sessions. What is the public health significance of this article?: The rapid increase in the availability of online counseling services continues to be outpaced by the growth in their demand. This study is the first to provide evidence for the possibility and effectiveness of concurrent counseling, that is, treating more than one client at a time. It highlights the feasibility of reaching more people with psychological distress without substantially sacrificing the service quality. The resulting attention score calculation is potentially relevant to a wide range of contexts. [ABSTRACT FROM AUTHOR]

Studies have demonstrated the importance of online activities to wellbeing, especially in later life. The present study seeks to determine whether and how online religious counseling can improve the wellbeing of older believers. A six-month qualitative study was conducted with a group of Orthodox Jewish older adults (N = 26, aged 70-96) who manifest various types of age-related distress. The participants were home trained to use a dedicated, accessible online platform featuring religious questions and answers (Q&A). Data were collected through netnographic observation, monthly online inquiry and in-depth interviews with counselees and counselors alike. Analysis indicated that online spiritual Q&A for the elders are characterized by unique content, types and styles of discourse. Their variety reflects the heterogeneity of needs, areas of interest and worldviews among older religious adults. Participation in online religious counseling provided them with numerous religious, intellectual and social rewards. At the same time, their counselors—six rabbis that volunteered in this project—gained religious, communal, professional and psychological benefits from the opportunity to share their knowledge and advice. Anonymity, asynchronicity, digital literacy and types of questions were identified as issues that may have opposite effects on the experiences of participants and counselors, respectively. Although some factors may delay and/or diminish positive contributions, involvement in online religious counseling appears to promote wellbeing in later life. This service is particularly beneficial to Orthodox older adults with detrimental health conditions whose use of online religious Q&A helps them cope with the difficulties they face and maintain their enjoyment of life.

Abstract Background Breast cancer, as the most prevalent malignancy among women globally and in Iran, affects important aspects of the lives of the survivors of this condition, especially the quality of sexual life. Solution-focused brief therapy is one of the therapeutic counseling approaches used in various fields, including sexual function problems. In recent years, online and internet-mediated counseling methods have received more attention. Objective This study investigated the effect of online counseling based on a solution-focused approach in improving the sexual quality of life (SQL) of women with breast cancer. Materials & methods In this clinical trial, the research population consisted of women with a history of breast cancer with a recorded file in Shahid Ramazanzadeh Radiation Oncology Center in Yazd and at least 6 months had elapsed since the end of their treatment. After selecting 80 samples based on the random numbers table, they were assigned into two groups of 40, i.e., active control and intervention, using random allocation software. Participants in the intervention group were given online counseling through the Skyroom space with a solution-focused approach. Eight weekly sessions were held each lasting 60–90 min. The active control group received an educational file to improve the SQL. All participants in two groups completed the SQL questionnaire at the beginning of the study, at the end of the study, and 1 month after the study. Data were analyzed with SPSS18 using descriptive and inferential statistics. Results Finally, the data of 33 participants in the intervention group and 32 participants in the active control group were analyzed. The mean score of the SQL in the intervention group increased from 68.57 ± 18.63 before the intervention to 78.84 ± 12.7 immediately after the intervention (P = 0.015), and to 79.60 ± 19.88 1 month after the intervention (P = 0.012). The mean score of the SQL in the active control group increased from 64.45 ± 22.76 before the intervention to 67.20 ± 20.29 immediately after the intervention (P = 0.33), and to 68.70 ± 20.76 1 month after the intervention (P = 0.62). The difference in the mean score of the SQL before and after the intervention between the two groups was statistically significant (P = 0.007). Conclusion It seems that the use of counseling with a solution-focused approach in women with a history of breast cancer improves the SQL. Thus, considering the effectiveness of this type of training, it is recommended that this method be used as a sexual health counseling method in medical centers. Trial registration This clinical trial is registered in Iranian registry center of clinical trials (IRCT) by registration code of IRCT20201221049784N1 in 06/03/2021.

Objectives: To explore the ethical experience and confusion encountered by counselors during the process of online counseling. Methods: Eleven interviewees engaged in online counseling were recruited openly (including 2 pre-interviewees), and a semi-structured interview outline was developed based on the existing research literature related to the ethics of online counseling combined with the purpose of the study, and the primary data were analyzed and refined using the method of thematic analysis. Results: Three kinds of first order themes of ethical issues of online counseling (general ethical issues of online counseling, specific ethical issues of online counseling, and counselors' views on ethics of online counseling) were extracted, including 12 kinds of second order themes, namely counseling relationship, informed consent, privacy and confidentiality, professional competence, handling of crisis situations, ethical issues related to online counseling platforms, technical failures, ethical issues of counselors using social media, the clients breaking out of settings, similarities and differences compared to ethics of face-to-face counseling, and evaluation and recommendations for domestic code of ethics for online counseling. Conclusion: In online counseling, the general ethical issues are more complex and varied, and the special ethical issues are prominent and need more attention. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Higher Education & Science / Yüksekögretim ve Bilim Dergisi is the property of Zonguldak Bulent Ecevit Universitesi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Care and attention to people's health is an objective of professionals in this area. Comprehensive strategies are being sought to reduce the alarming prevalence of obesity in populations around the world, coupled with the restructuring of the health system that came as a consequence of the COVID-19 pandemic, different tools, such as online nutrition counseling, have been incorporated to embrace the needs and provide a service in favor of the population. Objective: To evaluate the effect of online nutrition counseling on anthropometric parameters of overweight and obese adults. Methodology: Thirty individuals were enrolled in an online nutritional intervention and followed a weight control diet for 8 weeks. Every 15 days, the participants received nutritional counseling through virtual platforms. Anthropometric parameters were evaluated at the beginning, middle and end of the intervention, the physical activity performed by the participants was calculated, and an emotional eating questionnaire was applied. Results: Significant changes were observed in baseline versus final anthropometric parameters. 30% of participants reported an increase in the physical activity performed, and 31% indicated improvements in the influence of emotions on their eating habits. Conclusion: Online nutrition counseling is a feasible and reliable strategy to provide and receive nutritional care remotely. [ABSTRACT FROM AUTHOR]

Background: Breast cancer, as the most prevalent malignancy among women globally and in Iran, affects important aspects of the lives of the survivors of this condition, especially the quality of sexual life. Solution-focused brief therapy is one of the therapeutic counseling approaches used in various fields, including sexual function problems. In recent years, online and internet-mediated counseling methods have received more attention. Objective: This study investigated the effect of online counseling based on a solution-focused approach in improving the sexual quality of life (SQL) of women with breast cancer. Materials & methods: In this clinical trial, the research population consisted of women with a history of breast cancer with a recorded file in Shahid Ramazanzadeh Radiation Oncology Center in Yazd and at least 6 months had elapsed since the end of their treatment. After selecting 80 samples based on the random numbers table, they were assigned into two groups of 40, i.e., active control and intervention, using random allocation software. Participants in the intervention group were given online counseling through the Skyroom space with a solution-focused approach. Eight weekly sessions were held each lasting 60–90 min. The active control group received an educational file to improve the SQL. All participants in two groups completed the SQL questionnaire at the beginning of the study, at the end of the study, and 1 month after the study. Data were analyzed with SPSS18 using descriptive and inferential statistics. Results: Finally, the data of 33 participants in the intervention group and 32 participants in the active control group were analyzed. The mean score of the SQL in the intervention group increased from 68.57 ± 18.63 before the intervention to 78.84 ± 12.7 immediately after the intervention (P = 0.015), and to 79.60 ± 19.88 1 month after the intervention (P = 0.012). The mean score of the SQL in the active control group increased from 64.45 ± 22.76 before the intervention to 67.20 ± 20.29 immediately after the intervention (P = 0.33), and to 68.70 ± 20.76 1 month after the intervention (P = 0.62). The difference in the mean score of the SQL before and after the intervention between the two groups was statistically significant (P = 0.007). Conclusion: It seems that the use of counseling with a solution-focused approach in women with a history of breast cancer improves the SQL. Thus, considering the effectiveness of this type of training, it is recommended that this method be used as a sexual health counseling method in medical centers. Trial registration: This clinical trial is registered in Iranian registry center of clinical trials (IRCT) by registration code of IRCT20201221049784N1 in 06/03/2021. [ABSTRACT FROM AUTHOR]

The article discusses self-regulatory resources that can be used when working with clients of a psychological support service. The present study sought to examine the characteristics of self-regulatory resources in clients of an online psychological support service (Tomsk State University). The sample was collected using online measures from the clients who at that moment were solving their problems or had already solved them. To analyze self-regulatory resources we diagnosed the style of self-regulation, coping behavior, tolerance for uncertainty, basic assumptions of an individual and studied text messages from the clients. The correlation and cluster analysis revealed numerous correlations of self- regulation and other resources. It allowed us to identify groups of clients with dominant typological relationships between the self-regulatory features, strategies for coping with stress, ambiguity tolerance, and primary assumptions. We discussed the results, taking into account the current level of self-regulatory activity and personal resources.

This study aimed to reflect on mental health professionals’ experiences with online counseling during the COVID-19 pandemic, as well as their perceptions and recommendations for the future. The method of qualitative research with semi-structured interviews was used. The sample consisted of 17 mental health professionals working in the public or private sectors. A framework analysis revealed four main themes, namely (a) the evaluation of online counseling; (b) comparing in-person and online counseling; (c) factors influencing the effectiveness of online counseling; and (d) suggestions for the future use of online counseling. Most therapists reported that their overall experience with online counseling was positive. The main advantages cited were the accessibility for everyone and the reductions in time, money, and distance. Its primary drawbacks included less nonverbal communication, the inability to employ certain therapeutic tools, problems with confidentiality, lack of experience, and technical difficulties during online sessions. Its effectiveness depends on contextual factors and factors related to the therapeutic process itself. Organizational planning, training, and a solid implementation strategy may help ensure that this communication medium is used to its fullest potential. In addition, the possible utilization of remote counseling combined with in-person psychotherapeutic intervention methods will provide solutions for the future, especially in crisis situations.

Objective: [U25] Germany is a low-threshold, anonymous and free-of-charge online suicide prevention service for people up to 25 years of age. Its special feature is that counseling is provided by trained and continuously supervised voluntary peers. This study addresses the following research questions: (1) Which life adversities are reported by the clients of [U25]? (2) Are the life adversities intercorrelated? (3) According to patients, do life adversities change during the counseling process? (4) What are the associations between life adversities and outcome measures (e.g., reduction in suicidality or improvement in general situation)? Method: Data was collected through an online survey (n = 318). To measure psychological burden, the presence of 16 life adversities (e.g., problems in relationships) was assessed retrospectively. As the dependent variable, the change in suicidality was measured by means of three newly created items. In addition, a short form of the Bochum Change Questionnaire 2000 (BCQ 2000) was used to assess the patients’ subjectively perceived change due to counseling. Results: Regarding life adversities, the clients were heavily burdened. Throughout the course of counseling, many clients’ situations improved, at least concerning several adversities. Some life adversities significantly correlate with each other, but the correlation is mostly small to moderate. Suicidality is positively correlated with self-harming behaviors and loss of someone close to the advice seekers. Conclusions: Possible starting points for improving online counseling for suicidal adolescents and young adults are discussed. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is prevalent and has devastating consequences for college students. Online counseling (OC) may be a way to decrease barriers to help. This study seeks to determine openness to OC compared to face-to-face counseling (F2F) by examining: (1) How openness to OC varies depending on college students' personal and IPV characteristics and (2) How these characteristics vary compared to college non-IPV survivors. Two linear regressions were conducted using a sample from a cross sectional survey. First with the entire sample of college students (N = 1,518) to examine characteristics of those more open to OC and second with only those that identified as experiencing IPV (n = 1,211). The results demonstrated that IPV survivors are less open to OC than to F2F counseling (b = -.23, p <.01). For the model with all college students, those who were significantly more open to OC were female (b = -.39, p <.001), identified as LGBT (b =.23, p <.05), or Asian/Pacific Islander (API) (b =.26, p <.05), and had a physical health issue (b = -.19, p <.05). For the model that only analyzed IPV survivors, the same characteristics were shown to be significantly related to openness to OC. More research is needed to explore why IPV survivors are less open to OC compared to F2F counseling. Exploring why characteristics of female, LGBT, and physical health issues lead to openness to OC could help understand what barriers need to be addressed for wider use. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the level of attitudes of trainees' counselors towards the use of online counseling in their training places during the Corona pandemic, according to the variables of the place of training and GPA. The study followed the survey descriptive approach. The study sample comprised of (166) trainee counselors from four Jordanian universities (Jordan University, Yarmouk University, Mutah University, The World Islamic Sciences and Education University. For the study purpose, the researchers developed a rating scale of online counseling attitudes (31) items. The questionnaire showed accepted psychometric properties indicators. The results of the study showed that the attitudes towards the use of Online Counseling in a medium level. There are no significant differences in the level of attitudes towards the use of Online Counseling, based on the place of training and GPA. The study recommends that Jordanian universities should include in their psychological counseling programs courses and trainings on online counseling, its techniques and forms. [ABSTRACT FROM AUTHOR]

This study aimed to reflect on counselors' experiences and the adaptation processes in university counseling centers during the COVID-19 pandemic. Accordingly, 15 counselors and psychologists working at different counseling centers were reached and interviewed. Thematic analysis showed that participants had to adapt to changes brought by the pandemic to continue their services. The adaptation of counseling centers to online practices showed differences according to administrative decisions and technical capacities. As a result of the urgent need to continue providing psychological help, participants moved to online practices, which caused professional and social life changes. Participant attitudes to online counseling were mainly positive. Since students had to move back to their family homes during the pandemic, limited confidentiality was the main problem aside from technological glitches in online sessions. Counselors encountered personal and professional challenges as a result of the ongoing counseling sessions and listed the self-care activities they used. [ABSTRACT FROM AUTHOR]

Internal counselor competence refers to the metacognition skills to manage all their mental experiences and internal conditions. These are in the form of mind skills. In particular, in the industrial revolution 4.0 and the COVID-19 pandemic situation, online counselors face many unpredictable and unfamiliar conditions. This study aims to identify the state level of the counselor's mind skills during online counseling sessions. This research method uses survey research methods of 181 online counselors in various regions in Indonesia. A mind skills journal is the instrument used for data collection to assess the four levels of counselor metacognition (reflective, strategic, aware, and tacit). The analysis used basic statistics and graphs. The results showed the overall score of the mind skills level was 78.166%, which was in the strategic use level. The mind skills contribution can be counselor self-regulation, counselor assessment, verbalization, information visualization description, causal analysis, and predictive planning. Suggestions based on research results are the need for an alternative to improve mind skills through reflective learning of prospective counselors and reflective supervision activities of counselors in the field. [ABSTRACT FROM AUTHOR]

Objective: [U25] Germany is a low-threshold, anonymous and free-of-charge online suicide prevention service for people up to 25 years of age. Its special feature is that counseling is provided by trained and continuously supervised voluntary peers. This study addresses the following research questions: (1) Which life adversities are reported by the clients of [U25]? (2) Are the life adversities intercorrelated? (3) According to patients, do life adversities change during the counseling process? (4) What are the associations between life adversities and outcome measures (e.g., reduction in suicidality or improvement in general situation)? Method: Data was collected through an online survey (n = 318). To measure psychological burden, the presence of 16 life adversities (e.g., problems in relationships) was assessed retrospectively. As the dependent variable, the change in suicidality was measured by means of three newly created items. In addition, a short form of the Bochum Change Questionnaire 2000 (BCQ 2000) was used to assess the patients’ subjectively perceived change due to counseling. Results: Regarding life adversities, the clients were heavily burdened. Throughout the course of counseling, many clients’ situations improved, at least concerning several adversities. Some life adversities significantly correlate with each other, but the correlation is mostly small to moderate. Suicidality is positively correlated with self-harming behaviors and loss of someone close to the advice seekers. Conclusions: Possible starting points for improving online counseling for suicidal adolescents and young adults are discussed.

Online counseling is widely regarded as a cost-effective and convenient means to provide basic counseling services, and it is increasingly being used in university treatment. However, it is unclear what amount of information and attitude students have about online counseling in colleges of education. This study looked at students' views toward and likelihood of using online counseling towards help information seeking and dissemination to see if it has the potential to increase overall service consumption. A survey was conducted and responded to by 411 students from two Ghanaian colleges of education and based on the Theory of Planned Behaviour, students' attitudes and intentions to use online counseling were investigated. The paucity of online counseling systems in the colleges of education is shown in the study, yet 94% of participants said they would use online counseling services if given the opportunity. Based on these findings, it is recommended that providing online counseling in parallel to face-to-face counseling could be an effective strategy for counseling units in colleges of education to boost service delivery and so better serve their students.

An accelerated need for effective and accessible therapy for children has become more evident in 2020 by the novel coronavirus SARS-CoV2 (COVID-19) pandemic. This global health crisis has exacerbated an existing mental health care crisis for children, particularly for those of color and low income who have a history of being disproportionately underserved. Teletherapy may address some of the barriers that prevent many children from receiving mental health services. Play-based strategies can be creatively integrated in teletherapy to maintain a relational, developmentally appropriate, and evidence-based approach to working with children in a virtual setting. In this article, creative ways to facilitate virtual play-based strategies are provided. Specific information about set-up, accessibility, selectability, scaffolding technology, developmental and cultural considerations, limit setting, and documentation for virtual sessions is discussed. Access to creative and theoretically informed teletherapy practices will strengthen the mental health response needed to reduce disparities in care. [ABSTRACT FROM AUTHOR]

Copyright of E-Beratungsjournal is the property of E-beratungsjournal.net and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Two years ago, the sudden transition to online education mandated a transformation of counseling services into remote work. This non-experimental quantitative research study was conducted to examine college students' preferences and attitudes toward counseling services in the United Arab Emirates (UAE) and investigate the continuation of receiving online counseling sessions based on the attitude toward face-to-face counseling. A sample of 416 college students was surveyed using the Face-to-Face Counseling Attitudes Scale (FCAS) and the Online Counseling Attitudes Scale (OCAS) (Rochlen et al., 2004). The results showed that higher education students in the UAE have positive attitudes towards both face-to-face and online counseling, with a higher preference for face-to-face counseling over online one. In addition, results showed that online counseling and face-to-face counseling are positively related and students' attitudes towards face-to-face can predict the continuation of receiving the counseling services with 19% attribution to attitudes towards the face-to-face counseling. [ABSTRACT FROM AUTHOR]

A growing problem among university students is academic burnout, and it has become more prevalent in recent years. With the increasing demand for school mental health services, online counseling interventions are gradually being regarded as a reasonable way to provide assistance to students with regard to burnout reduction. It was the researcher's aim to find out whether an online counseling intervention would be able to reduce academic burnout in a Nigerian undergraduate sample. A total of 80 Nigerian undergraduates were participants of this study. In this study, the participants were randomly assigned to the intervention group (n=40) and to the control group (n=40) by using a simple randomization procedure. For the collection of data, the Oldenburg Burnout Inventory for Students and the Students School Burnout Inventory were utilised. The researcher applied repeated measures ANOVA to examine within and between groups' mean differences, reported η² to establish treatment effect size, and conducted posthoc analyses where mean differences existed using Holm's approach. The results of the study demonstrate that the online counseling intervention for academic burnout was effective in reducing the level of academic burnout among Nigerian undergraduates.As online counseling can help students reduce academic burnout, this finding opens the door to reach a larger number of burned-out students, such as those who live off-campus or are afraid of social stigma when seeking mental health care. This intervention has the potential to significantly improve student mental health related to burnout in other higher education settings like polytechnics. It is recommended that students should be encouraged to receive psychological supports and care from the university's counseling centre, not just during crises, but as a regular process of mental health support.

The present study examines the impact of fear of COVID-19 on attitudes and intentions towards online and face-to-face counseling. A total of 526 adults participated in this study. The path analysis results indicated that attitude towards online and face-to-face counseling differentially mediated the relationship between COVID-19 fear and both counseling intentions, even when controlling for other covariates. Specifically, fear of COVID-19 predicted positive attitudes towards online counseling (value of counseling), which in turn, predicted online counseling intention. On the other hand, COVID-19 fear affected negative attitudes towards face-to-face counseling (discomfort with counseling), resulting in a decrease in face-to-face counseling intention. [ABSTRACT FROM AUTHOR]

Although the popularity of Videoconferencing Psychotherapy (VCP) is rapidly growing as a result of the global COVID-19 pandemic, research findings on the actual status of VCP use in Japan and on the factors predicting dropout from VCP are insufficient. Specifically, no research has been conducted on the early stages of VCP. In this study, we used VCP data (4,921 to 3,470 participants) from a private company to assess the actual status of VCP use. We then conducted a hierarchical logistic regression analysis to explore explanatory variables that predict dropout and continuation between the first and second sessions. The results indicated that therapists with longer clinical experience were more likely to continue the counseling sessions and clients were less likely to continue when they felt the effects of psychotherapy in the first evaluation session, and more likely to continue when they had expectations of psychotherapy being effective. [ABSTRACT FROM AUTHOR]

There is a growing need for high-quality evidence to support the efficacy of online counseling and peer support via social networking sites (SNSs) as an intervention to reduce mental health symptoms in young people. This article presents Phase 2 of Kids Helpline (KHL) Circles, which used mixed methods to assess the acceptability, safety, user experience, and mental health benefits of a purpose-built, counselor-facilitated SNS. Young people aged 13–25 years (n = 552) were recruited to participate in one of six 8-week "Circles." Of those, 154 participants completed study surveys at three timepoints (baseline, midpoint, endpoint). Significant reductions in depression, anxiety, stress, and general distress symptoms were reported at the midpoint of the intervention, with further significant reductions in depression and stress symptoms by the endpoint. More than half said that their mental health improved as a direct result of KHL Circles, and most felt less mental health stigma and would be more willing to seek help for mental health issues in the future. These results contribute to increasing the evidence base for SNS interventions to reduce mental health symptoms. Adjustments are necessary for the ongoing evolution of this service to ensure it is user-centered and scientifically rigorous. [ABSTRACT FROM AUTHOR]

Copyright of Istanbul Commerce University Journal of Social Sciences / İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi is the property of Istanbul Commerce University Journal of Social Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of IUG Journal of Educational & Psychological Studies is the property of Islamic University of Gaza and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The social question answering based online counseling (SQA-OC) is easy access for people seeking professional mental health information and service, has become the crucial pre-consultation and application stage toward online counseling. However, there is a lack of efforts to evaluate and explain the counselors' service quality in such an asynchronous online questioning and answering (QA) format efficiently. This study applied the notion of perceived helpfulness as a public's perception of counselors' service quality in SQA-OC, used computational linguistic and explainable machine learning (XML) methods suited for large-scale QA discourse analysis to build an predictive model, explored how various sources and types of linguistic cues [i.e., Linguistic Inquiry and Word Count (LIWC), topic consistency, linguistic style similarity, emotional similarity] contributed to the perceived helpfulness. Results show that linguistic cues from counselees, counselors, and synchrony between them are important predictors, the linguistic cues and XML can effectively predict and explain the perceived usefulness of SQA-OC, and support operational decision-making for counselors. Five helpful counseling experiences including linguistic styles of “talkative”, “empathy”, “thoughtful”, “concise with distance”, and “friendliness and confident” were identified in the SQA-OC. The paper proposed a method to evaluate the perceived helpfulness of SQA-OC service automatically, effectively, and explainable, shedding light on the understanding of the SQA-OC service outcome and the design of a better mechanism for SQA-OC systems.

This article is delivered to the readers with three important objectives: (1) to enhance understanding of online counseling in terms of meaning, historical background, categories and components ; (2) to present the advantages and limitations of online counseling, and (3) to inform readers of the results of recent online counseling research studies in order to shed light on trends or directions of current and future research in this stream of social, economic, political, catastrophic volatilityand COVID-19 pandemic. The authors synthesized the body of knowledge from books, textbooks, documents and relevant research integrating with personal experiences in conducting online counseling research. At the beginning of this article, the authors present important content of online counseling. More information on advantages and limitations of online counseling are detailed at the middle of the article. In the final part, the authors show an example of online counseling research to guide readers including psychologists, mental health providers, and psychiatric practitioners with information for further personal improvement in order to gain readiness for online services. This article will also be beneficial to individuals with stress and anxiety who are seeking initial help. They can use this primary information to aid the decision for obtaining online psychological services to alleviate mental health issues and continue further treatment process in a medical care unit.

Background: COVID-19 has triggered public health crises all around the globe. It has caused mental health issues not only in infected cases but also in uninfected cases. The world was put under strict/restricted lockdown to contain the transmission of COVID-19 diseases. All important aspects of life including therapies and counseling went online. “EmoAid” is one such online mental health program started during the COVID-19 to ease psychological distress. Aim: The current study assessed the efficacy of “EmoAid” program. Methods: One hundred and twenty-two participants completed depression, anxiety, and stress scale-21 online at three time periods; before the program (T1), after the program (T2), and 3 weeks after the program to study the maintenance effect (T3). Results: The results suggested that the program was successful in decreasing symptoms of depression, anxiety, and stress among participants. The maintenance effect of the program was also observed. Conclusion: The results highlight the importance of “EmoAid,” an online mental health program in lowering the levels of psychological distress during the pandemic, however, a randomized controlled study is required to validate the results.

Group counseling is one intervention that seems to be perceived as less valuable than individual ones in helping professions. In countries where counseling is still in an emerging stage, there is sometimes little to no specific training in group skills for future counselors. This paper addresses the history of group work in helping professions, the types of groups in career settings, the benefits and limitations of group interventions, and the opportunity offered by increasing interest and access to online interventions. The study covers the implications of the social and psychological outcomes of the COVID-pandemic on school and career counseling interventions. Challenges for practitioners and educators in countries where counseling is not a recognized profession are analyzed. [ABSTRACT FROM AUTHOR]

Copyright of E-Beratungsjournal is the property of E-beratungsjournal.net and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: COVID-19 has triggered public health crises all around the globe. It has caused mental health issues not only in infected cases but also in uninfected cases. The world was put under strict/restricted lockdown to contain the transmission of COVID-19 diseases. All important aspects of life including therapies and counseling went online. "EmoAid" is one such online mental health program started during the COVID-19 to ease psychological distress. Aim: The current study assessed the efficacy of "EmoAid" program. Methods: One hundred and twenty-two participants completed depression, anxiety, and stress scale-21 online at three time periods; before the program (T1), after the program (T2), and 3 weeks after the program to study the maintenance effect (T3). Results: The results suggested that the program was successful in decreasing symptoms of depression, anxiety, and stress among participants. The maintenance effect of the program was also observed. Conclusion: The results highlight the importance of "EmoAid," an online mental health program in lowering the levels of psychological distress during the pandemic, however, a randomized controlled study is required to validate the results. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to develop a reliable tool for the abstraction of data from crisis chat transcripts; to describe chatters' suicide risk status and selected counselor behaviors; and to examine the relationship of chatters' self‐reported pre‐chat suicidal thoughts to counselor behaviors and to chatters' disclosures of suicide risk during the chat conversation. Methods: Coders used an instrument developed for this study to abstract data from 1034 crisis chats handled by the National Suicide Prevention Lifeline Crisis Chat network in 2015. The relationship of transcript coding data to data from an automated pre‐chat survey (PCS) was examined. Results: Lifeline Crisis Chat serves a young (median age = 21), high‐risk population: 84.0% of chats (869/1034) came from chatters endorsing current or recent suicidal thoughts on the PCS. Counselors engaged in rapport‐building on 93.3%, problem‐solving on 70.1%, and suicide risk assessment on 67.7% of these 869 chats. Counselor risk assessment behavior, and the availability of information on suicide risk in the chat transcript, varied significantly by the chatter's PCS response. Conclusion: Crisis counselors are able to implement keystones of Lifeline's crisis intervention model over the medium of online chat. Additional efforts are needed to ensure that suicide risk is assessed on every chat. [ABSTRACT FROM AUTHOR]

Copyright of Mediterranean Educational Research Journal / Akdeniz Eğitim Araştırmaları Dergisi is the property of Turkish Educational Research Association (TERA) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective This study compared online, synchronous video counseling to in-person counseling using solution-focused brief therapy for college students with mild to moderate anxiety. Participants: Participants were 49 undergraduate students who were seeking counseling for mild to moderate anxiety. The study was conducted from November, 2017 to December 2018. Methods: In a randomized, non-inferiority design, undergraduate participants were randomly assigned to online, synchronous video counseling or in-person treatment for anxiety using solution-focused brief therapy (SFBT). Participants completed the Beck's Anxiety Inventory (BAI) and College Counseling Assessment of Psychological Symptoms (CCAPS) to assess outcomes. Results: The results showed significant changes in scores on the BAI and the CCAPS Generalized Anxiety and Social Anxiety subscales for participants in both study conditions, and no significant differences in effectiveness of the two delivery methods. Conclusions: The findings provide support for the treatment of college students with anxiety with SFBT through online, synchronous video counseling. Limitations related to sample size and diversity are discussed. [ABSTRACT FROM AUTHOR]

The outbreak of the COVID-19 pandemic has accelerated the need for online counseling to preserve therapeutic processes that have begun face to face and to provide service to others in need during lockdowns. Previous studies underscored the importance of providing updated training as counselors frequently hesitate to use technological advances in therapeutic sessions. This study aims at reducing such barriers by revealing personal characteristics of future professionals that might inhibit or encourage their openness toward providing online counseling. To this end, this study is focused on several precursors of openness to provide online counseling: preference to communicate emotions online, identification of emotional expressiveness advantages in providing online counseling, innovative behavior, creativity, and future problem-solving thinking skills. The question at focus is which constructs would be found contributive to students' openness to provide online counseling. The sample included 277 undergraduate students (future counselors) who filled out questionnaires. Data were analyzed using Partial Least Squares Structural Equation Modeling. Our findings pointed to the centrality of students' preference to communicate their emotions online in explaining their openness to conducting online counseling. This study might help pinpointing the adjustments curriculum designers should address to better reflect the intensive changes within the counseling field that necessitate transferring face-to-face skills to online settings. [ABSTRACT FROM AUTHOR]

[U25] is a German online-peer-counseling service for adolescents with suicidal ideation, who typically do not seek or receive adequate counseling. We conducted an online survey in order to compare persons who receive online counseling by [U25] compared to those who are visitors of [U25] websites but do not (yet) receive counseling. Via online survey, all visitors to the [U25] websites were invited to fill in a questionnaire on sociodemographic data, utilization reasons, and barriers. Our final sample consisted of n = 318 counseling clients, n = 1127 persons who have not yet sought help but intend to do so (“prospective clients”), and n = 444 persons who do not consider [U25] counseling for themselves (“refusers”). Clients were more often female and showed positive attitudes toward online counseling. Low perceived need for counseling was the most frequent barrier reported by the refusers, whereas fear of stigma and practical barriers were rarely reported; younger and male refusers reported needing to write down one’s problems as a barrier more often. Self-selection might reduce generalizability of our results. Online counseling can facilitate receiving psychosocial support for young persons with suicidal ideation, particularly if barriers are addressed.

The study aims to investigate counselors’ views about the Covid-19, performing in-person and online counseling, and receiving in-person and online training. The study group consists of a total of fifteen individuals, including ten master’s and five PhD students froma state university in İstanbul. A “Questionnaire” and a “Personal Information Form” were used as the data collection instruments. The counselors’ responses to the Questionnaire were subjected to descriptive analysis as part of qualitative analysis. In addition, percentage and frequency values were computed for quantitative analysis. In their responses, the counselors stated that the Covid-19 is dangerous, individual and social precautions should be taken against it, and it is a demanding process which is harming and can be taken under control through specific measures. They noted that the Covid-19 caused various emotions for them, including fear, anxiety, sorrow, anger, distress, confusion, exasperation, and hope. They also expressed their happiness to be able to spend more time with their families and for themselves in the process. As part of the study results, the counselors stated that performing inperson counseling is more effective in that it makes it easier to focus on the client’s gestures and facial expressions, accelerates the therapeutic relationship, and is effective in ensuring privacy and control; however, it is not economical. The counselors also stated that performing online counseling is economical and surprisingly efficient. Yet, they also noted that online counseling might create technological problems and raise privacy issues and is not sufficient on its own. According to the study findings, nearly all of the counselors stated that receiving in-person training is efficient and good for socializing but is not economical. On the other hand, efficiency in online training depends on the instructor and online training is cost-effective but has technological setbacks, is tiring and mechanical. The study results are discussed in the light of the literature.

The outbreak of the COVID-19 pandemic has accelerated the need for online counseling to preserve therapeutic processes that have begun face to face and to provide service to others in need during lockdowns. Previous studies underscored the importance of providing updated training as counselors frequently hesitate to use technological advances in therapeutic sessions. This study aims at reducing such barriers by revealing personal characteristics of future professionals that might inhibit or encourage their openness toward providing online counseling. To this end, this study is focused on several precursors of openness to provide online counseling: preference to communicate emotions online, identification of emotional expressiveness advantages in providing online counseling, innovative behavior, creativity, and future problem-solving thinking skills. The question at focus is which constructs would be found contributive to students’ openness to provide online counseling. The sample included 277 undergraduate students (future counselors) who filled out questionnaires. Data were analyzed using Partial Least Squares Structural Equation Modeling. Our findings pointed to the centrality of students’ preference to communicate their emotions online in explaining their openness to conducting online counseling. This study might help pinpointing the adjustments curriculum designers should address to better reflect the intensive changes within the counseling field that necessitate transferring face-to-face skills to online settings.

Online counseling is gradually finding its way into therapy in universities in Ghana. The recent outbreak of COVID-19 accompanied by uncertainties and the fears of physical contact signaled a consideration of complete acceptability of online counseling, in addition to face-to-face counseling. Nonetheless, the level of counselors, counselor educators and counselor trainees' knowledge, attitude, and usage of online counseling in Ghanaian universities is unclear. Thus, this study used an explanatory sequential mixed-method design to assess the perception of sampled respondents' and participants' viewpoints on online counseling available at a public university. Amid findings that counselors, counselor educators and counselor trainees have little awareness of online counseling and share a generally negative attitude towards it, the study concluded that online counseling is a highly unexplored option available on the university campus. Suggestions for augmented online counseling opportunities to assist students to resolve their difficulties on the university campus were also made. [ABSTRACT FROM AUTHOR]

Copyright of E-Beratungsjournal is the property of E-beratungsjournal.net and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)