Here, it is precisely teleconsultations in mental health, and this model allows a small but significant reduction in symptoms of depression and anxiety, higher than consultations in physical presence. These online conclusions, with those of previous research carried out more widely in primary care, are the first to validate certain advantages of teleconsultation in mental health.
The study precisely tests a new model of video consultation in mental health (PROVIDE) for the treatment of symptoms of depression and anxiety, with 376 patients, aged on average 45 years, 63% women, consulting for depression or disorders anxious, moderate or severe, or both. Symptom severity was measured using the PHQ-ADS Anxiety and Depression Scale and participants were assigned to attend a traditional consultation or a teleconsultation.
- The PROVIDE model carried out over 8 weeks included 5 50-minute video teleconsultations integrating brief psychotherapy provided by a mental health specialist. “Usual” consultations were provided by a GP and included brief advice, medication and referral, if necessary, to a mental health specialist. Experience reveals that:
- the PROVIDE intervention allows slight reductions in depressive and anxiety symptoms at 6 months -vs standard care- and these positive effects are maintained for at least 12 months;
- this teleconsultation intervention also proves to be more effective in reducing psychological distress linked to physical (somatic) symptoms at 6 and 12 months, but does not provide any additional benefit for recovery;
- no serious adverse events were reported in the 2 treatment groups;
While further research is needed to help tailor interventions more effectively and maximize their public health impacts, they conclude: “The PROVIDE model shows promise as a scalable intervention that can collectively benefit population health in terms of depression and anxiety disorders. »
