{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T18:11:17Z","timestamp":1789582277674,"version":"build-2803163510"},"reference-count":50,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Ment Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telemedicine has played a vital role in providing psychiatric treatment to patients during the rapid transition of services during the COVID-19 pandemic. Furthermore, the use of telemedicine is expected to expand within the psychiatric field. The efficacy of telemedicine is well described in scientific literature. However, there is a need for a comprehensive quantitative review that analyzes and considers the different clinical outcomes and psychiatric diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This paper aimed to assess whether individual psychiatric outpatient treatment for posttraumatic stress disorder, mood disorders, and anxiety disorders in adults using telemedicine is equivalent to in-person treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of randomized controlled trials was conducted using recognized databases for this review. Overall, 4 outcomes were assessed: treatment efficacy, levels of patient satisfaction, working alliance, and attrition rate. The inverse-variance method was used to summarize the effect size for each outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 7414 records were identified, and 20 trials were included in the systematic review and meta-analysis. The trials included posttraumatic stress disorder (9 trials), depressive disorder (6 trials), a mix of different disorders (4 trials), and general anxiety disorder (1 trial). Overall, the analyses yielded evidence that telemedicine is comparable with in-person treatment regarding treatment efficacy (standardized mean difference \u22120.01, 95% CI \u22120.12 to 0.09; P=.84; I2=19%, 17 trials, n=1814), patient satisfaction mean difference (\u22120.66, 95% CI \u22121.60 to 0.28; P=.17; I2=44%, 6 trials, n=591), and attrition rates (risk ratio 1.07, 95% CI 0.94-1.21; P=.32; I2=0%, 20 trials, n=2804). The results also indicated that the working alliance between telemedicine and in-person modalities was comparable, but the heterogeneity was substantial to considerable (mean difference 0.95, 95% CI \u22120.47 to 2.38; P=.19; I2=75%, 6 trials, n=539).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This meta-analysis provided new knowledge on individual telemedicine interventions that were considered equivalent to in-person treatment regarding efficacy, patient satisfaction, working alliance, and attrition rates across diagnoses. The certainty of the evidence regarding efficacy was rated as moderate. Furthermore, high-quality randomized controlled trials are needed to strengthen the evidence base for treatment provided via telemedicine in psychiatry, particularly for personality disorders and a range of anxiety disorders where there is a lack of studies. Individual patient data meta-analysis is suggested for future studies to personalize telemedicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO International Prospective Register of Systematic Reviews CRD42021256357; https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?RecordID=256357<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/44790","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T17:51:23Z","timestamp":1684777883000},"page":"e44790","source":"Crossref","is-referenced-by-count":48,"title":["Psychiatric Treatment Conducted via Telemedicine Versus In-Person Modality in Posttraumatic Stress Disorder, Mood Disorders, and Anxiety Disorders: Systematic Review and Meta-Analysis"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9912-5134","authenticated-orcid":false,"given":"Ali Abbas","family":"Shaker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5988-0565","authenticated-orcid":false,"given":"Stephen F","family":"Austin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0204-7745","authenticated-orcid":false,"given":"Ole Jakob","family":"Storeb\u00f8","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1283-4024","authenticated-orcid":false,"given":"Julie Perrine","family":"Schaug","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7484-8002","authenticated-orcid":false,"given":"Alaa","family":"Ayad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-2292","authenticated-orcid":false,"given":"John Aasted","family":"S\u00f8rensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0901-855X","authenticated-orcid":false,"given":"Kristine","family":"Tarp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6463-4764","authenticated-orcid":false,"given":"Henrik","family":"Bechmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6134-2392","authenticated-orcid":false,"given":"Erik","family":"Simonsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v5.i3.286"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v6.i2.269"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2315"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2019.04.018"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.080609"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1037\/int0000217"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159\/000507376"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22573"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2196\/24087"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2196\/24785"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2016.03.007"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101944"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0294"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-060690"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"ref16","unstructured":"Clarivate version: EndNote X9 type: 64 bitEndNote20132023-04-15https:\/\/endnote.com\/downloads"},{"key":"ref17","unstructured":"Veritas Health InnovationCovidence2023-04-15https:\/\/www.covidence.org\/"},{"key":"ref18","unstructured":"Review manager (RevMan)Cochrane Collaboration20202023-04-15https:\/\/training.cochrane.org\/online-learning\/core-software\/revman"},{"key":"ref19","unstructured":"HigginsJThomasJChandlerJCumpstonMLiTPageMCochrane handbook for systematic reviews of interventions. 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