{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:08:34Z","timestamp":1782846514864,"version":"3.54.5"},"reference-count":32,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>China faces a high prevalence of mental disorders but low treatment uptake, a gap driven by limited awareness and unevenly distributed mental health resources. While online psychotherapy has the potential to expand access, patient willingness remains insufficiently explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the willingness of Chinese patients with mental disorders to engage in online psychotherapy and to identify associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter, cross-sectional survey was conducted using a structured questionnaire to assess the attitudes and willingness of patients with mental disorders in China to engage in online psychotherapy. Willingness to engage in online psychotherapy was assessed using a 0 to 100 rating scale, with higher scores indicating greater willingness. Univariate analysis, correlation analysis, and multivariate linear regression analyses were used to identify factors influencing willingness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 361 eligible participants, the mean willingness score for online psychotherapy was 70 (SD 28.56). In total, 86.4% (n=312) of participants preferred short-term therapy (1 to 10 sessions), while 92.5% (n=334) expected the cost per session to remain less than CNY \u00a5400 (US $55.50). Participants most preferred therapist-guided online individual therapy (n=142, 39.3%). Convenience (124\/361, 34.3%) and perceived anonymity (\u201cno one will know about the illness\u201d; 119\/361, 33.0%) were the 2 most commonly reported perceived benefits of online psychotherapy. The leading barrier was concerns about data security and privacy (108\/303, 35.6%), followed by difficulty in establishing therapeutic rapport (60\/303, 19.8%). The regression analysis revealed that age, self-stigma, satisfaction with current psychiatric medications, and satisfaction with previous online psychotherapy significantly influenced patients\u2019 willingness to seek online psychotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This multicenter study reveals a high level of willingness to engage in online psychotherapy among Chinese patients, with self-stigma as a key barrier. These findings support the development of tailored services, stigma reduction interventions, and infrastructure investment to enhance mental health care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/83299","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T19:55:06Z","timestamp":1775591706000},"page":"e83299","source":"Crossref","is-referenced-by-count":1,"title":["Willingness of Patients With Mental Disorders to Engage in Online Psychotherapy: Multicenter Cross-Sectional 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