{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:30:25Z","timestamp":1792611025580,"version":"4.5.0"},"reference-count":101,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The COVID-19 pandemic has worsened global mental health, thereby burdening mental health services and raising burnout risk among professionals. Online therapy may be an optimal solution to reduce burnout risk, ensuring flexibility for psychotherapists and the continuity of care for patients. This study investigates the link between burnout and online therapy, focusing on environmental sensitivity and exploring tailored solutions to reduce burnout while maintaining healthcare performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were 95 French psychotherapists (89% females), aged from 24 to 59\u202fyears (<jats:italic>M<\/jats:italic>\u202f=\u202f37.13, SD\u202f=\u202f7.75). Participants were administered the Maslach Burnout Inventory, the Highly Sensitive Person Scale, and a questionnaire assessing their professional activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Digital psychotherapists reported lower levels of burnout compared to traditional psychotherapists who did not use online therapy. Specifically, they had lower depersonalization scores (mean difference of 0.37 points, <jats:italic>p<\/jats:italic>\u202f=\u202f0.038) and tent to have lower scores in emotional exhaustion (mean difference of 0.44 points, <jats:italic>p<\/jats:italic>\u202f=\u202f0.07). This association was more pronounced for those with high environmental sensitivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Online therapy ensures greater workplace flexibility, serving as a protective factor in reducing psychotherapists\u2019 burnout. Integrating digital health into public mental health services can enhance care delivery and support the wellbeing of professionals, especially those with high environmental sensitivity. Essential guidelines for online therapy use are needed to maximize benefits and ensure its effective implementation.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1510383","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T15:27:38Z","timestamp":1743521258000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["The effectiveness of online therapy in promoting wellbeing and reducing burnout among psychotherapists"],"prefix":"10.3389","volume":"16","author":[{"given":"Maria Valentina","family":"Cavarretta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugues","family":"Pellerin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ema","family":"Maurel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore Maria","family":"Anzalone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isis","family":"Truck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Ingoglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"20503121221086372","DOI":"10.1177\/20503121221086372","article-title":"A promising future for tele-mental health in Oman: a qualitative exploration of clients and therapists\u2019 experiences","volume":"10","author":"Al-Mahrouqi","year":"2022","journal-title":"SAGE Open Med."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1007\/s10880-011-9278-8","article-title":"Physician burnout and patient satisfaction with consultation in primary health care settings: evidence of relationships from a one-with-many design","volume":"19","author":"Anagnostopoulos","year":"2012","journal-title":"J. Clin. Psychol. Med. Settings"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1037\/a0027924","article-title":"Videoconferencing psychotherapy: a systematic review","volume":"9","author":"Backhaus","year":"2012","journal-title":"Psychol. Serv."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"101944","DOI":"10.1016\/j.cpr.2020.101944","article-title":"Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice","volume":"83","author":"Batastini","year":"2021","journal-title":"Clin. Psychol. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1037\/int0000214","article-title":"Psychotherapists\u2019 attitudes toward online therapy during the COVID-19 pandemic","volume":"30","author":"B\u00e9k\u00e9s","year":"2020","journal-title":"J. Psychother. Integr."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"705699","DOI":"10.3389\/fpsyg.2021.705699","article-title":"Psychotherapists\u2019 challenges with online therapy during COVID-19: concerns about connectedness predict therapists\u2019 negative view of online therapy and its perceived efficacy over time","volume":"12","author":"B\u00e9k\u00e9s","year":"2021","journal-title":"Front. Psychol."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1007\/2288-6729-7-2-15","article-title":"Differential susceptibility to environmental influences","volume":"7","author":"Belsky","year":"2013","journal-title":"Int. J. Child Care Educ. Policy"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1037\/a0017376","article-title":"Beyond diathesis stress: differential susceptibility to environmental influences","volume":"135","author":"Belsky","year":"2009","journal-title":"Psychol. Bull."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"556720","DOI":"10.3389\/fpubh.2020.556720","article-title":"Telemedicine across the globe-position paper from the COVID-19 pandemic health system resilience PROGRAM (REPROGRAM) international consortium (part 1)","volume":"8","author":"Bhaskar","year":"2020","journal-title":"Front. Public Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e70","DOI":"10.1192\/bjo.2021.29","article-title":"Experiences of mental health professionals supporting front-line health and social care workers during COVID-19: qualitative study","volume":"7","author":"Billings","year":"2021","journal-title":"BJPsych Open"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"591170","DOI":"10.3389\/fpsyg.2020.591170","article-title":"Psychotherapy during COVID-19: how the clinical practice of Italian psychotherapists changed during the pandemic","volume":"11","author":"Boldrini","year":"2020","journal-title":"Front. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"362","DOI":"10.3917\/eg.474.0362","article-title":"\u00ab\u202fD\u00e9serts m\u00e9dicaux\u202f\u00bb en France: \u00c9tat des lieux et perspectives de recherches: L\u2019Espace g\u00e9ographique","volume":"47","author":"Chevillard","year":"2018","journal-title":"Tome"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"10041","DOI":"10.3390\/ijerph181910041","article-title":"The impact of the COVID-19 pandemic on mental disorders. A critical review","volume":"18","author":"Clemente-Su\u00e1rez","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"S99","DOI":"10.1016\/j.encep.2020.05.005","article-title":"Appr\u00e9hender le COVID-19 au fil de l\u2019eau en tant que psychiatre d\u2019enfant et d\u2019adolescent","volume":"46","author":"Cohen","year":"2020","journal-title":"L'Enc\u00e9phale"},{"key":"ref9001","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1446846","article-title":"Editorial: Insights in adolescent and young adult psychiatry: 2023","volume":"15","author":"Cohen","year":"2024","journal-title":"Front. Psychiatry"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s10879-024-09620-2","article-title":"Digitization and its discontents: the promise and limitations of digital mental health interventions","volume":"54","author":"Conrad","year":"2024","journal-title":"J. Contemp. Psychother."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1007\/s00127-017-1471-0","article-title":"Vantage sensitivity: a framework for individual differences in response to psychological intervention","volume":"53","author":"De Villiers","year":"2018","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10879-020-09478-0","article-title":"From pandemic to progression: an educational framework for the implementation of virtual mental healthcare for children and youth as a response to COVID-19","volume":"51","author":"Doan","year":"2021","journal-title":"J. Contemp. Psychother."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1089\/cyber.2020.0370","article-title":"Mental health care Goes online: practitioners\u2019 experiences of providing mental health care during the COVID-19 pandemic","volume":"23","author":"Feijt","year":"2020","journal-title":"Cyberpsychol. Behav. Soc. Netw."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1002\/cpp.2594","article-title":"Live psychotherapy by video versus in-person: a meta-analysis of efficacy and its relationship to types and targets of treatment","volume":"28","author":"Fernandez","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"589536","DOI":"10.3389\/fpsyg.2021.589536","article-title":"Videoconferencing psychotherapy during the pandemic: exceptional times with enduring effects?","volume":"12","author":"Fern\u00e1ndez-\u00c1lvarez","year":"2021","journal-title":"Front. Psychol."},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9060635","article-title":"Anxiety, post-traumatic stress, and burnout in health professionals during the COVID-19 pandemic: comparing mental health professionals and other healthcare workers","volume":"9","author":"Franzoi","year":"2021","journal-title":"Healthcare"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s11920-020-1128-7","article-title":"Remote Telepsychiatry workforce: a solution to Psychiatry\u2019s workforce issues","volume":"22","author":"Gardner","year":"2020","journal-title":"Curr. Psychiatry Rep."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"2390","DOI":"10.1007\/s12144-020-00766-5","article-title":"Sense of coherence and burnout among school psychologists: the moderating role of loneliness","volume":"41","author":"George-Levi","year":"2020","journal-title":"Curr. Psychol."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.3389\/fpsyg.2020.01684","article-title":"The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study","volume":"11","author":"Giusti","year":"2020","journal-title":"Front. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"751350","DOI":"10.3389\/fpsyg.2021.751350","article-title":"Individual differences and susceptibility to burnout syndrome: sensory processing sensitivity and its relation to exhaustion and disengagement","volume":"12","author":"Golonka","year":"2021","journal-title":"Front. Psychol."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1037\/amp0000707","article-title":"Mental health and clinical psychological science in the time of COVID-19: challenges, opportunities, and a call to action","volume":"76","author":"Gruber","year":"2021","journal-title":"Am. Psychol."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1095217","DOI":"10.3389\/fpsyg.2023.1095217","article-title":"Outcome trajectories in a county mental health clinic before and after telemental health: a retrospective COVID-19 cohort study","volume":"14","author":"Harris","year":"2023","journal-title":"Front. Psychol."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/j.psychres.2004.08.012","article-title":"Burnout and psychiatric staff\u2019s feelings towards patients","volume":"145","author":"Holmqvist","year":"2006","journal-title":"Psychiatry Res."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e20","DOI":"10.1097\/JOM.0000000000002428","article-title":"The prevalence and work-related factors of burnout among public health workforce during the COVID-19 pandemic","volume":"64","author":"Ibrahim","year":"2022","journal-title":"J. Occup. Environ. Med."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1111\/papt.12413","article-title":"Changing to remote psychological therapy during COVID-19: psychological therapists\u2019 experience of the working alliance, therapeutic boundaries and work involvement","volume":"95","author":"James","year":"2022","journal-title":"Psychol. Psychother. Theory Res. Pract."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"777102","DOI":"10.3389\/fpsyg.2021.777102","article-title":"Psychodynamic Therapist\u2019s subjective experiences with remote psychotherapy during the COVID-19-pandemic\u2014a qualitative study with therapists practicing guided affective imagery, hypnosis and autogenous relaxation","volume":"12","author":"Jesser","year":"2022","journal-title":"Front. Psychol."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1111\/inm.12416","article-title":"Mental healthcare staff well-being and burnout: a narrative review of trends, causes, implications, and recommendations for future interventions","volume":"27","author":"Johnson","year":"2018","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"102300","DOI":"10.1016\/j.ajp.2020.102300","article-title":"Burnout: a risk factor amongst mental health professionals during COVID-19","volume":"54","author":"Joshi","year":"2020","journal-title":"Asian J. Psychiatr."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1080\/09515070.2020.1785846","article-title":"Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries","volume":"34","author":"Jurcik","year":"2020","journal-title":"Couns. Psychol. Q."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"e30359","DOI":"10.2196\/30359","article-title":"Opportunities and challenges for professionals in psychiatry and mental health care using digital technologies during the COVID-19 pandemic: systematic review","volume":"9","author":"Kane","year":"2022","journal-title":"JMIR Hum. Factors"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1360","DOI":"10.1186\/s12913-022-08776-8","article-title":"The impact of COVID-19 on psychiatric and mental health services in Europe: suffering experienced by professionals","volume":"22","author":"Kane","year":"2022","journal-title":"BMC Health Serv. Res."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1339869","DOI":"10.3389\/fpsyg.2024.1339869","article-title":"The COVID-19 pandemic, psychologists\u2019 professional quality of life and mental health","volume":"15","author":"Kercher","year":"2024","journal-title":"Front. Psychol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"118","DOI":"10.4306\/pi.2017.14.2.118","article-title":"Secondary traumatic stress and burnout of north Korean refugees service providers","volume":"14","author":"Kim","year":"2017","journal-title":"Psychiatry Investig."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"5308","DOI":"10.3390\/ijerph18105308","article-title":"Burnout in professional psychotherapists: relationships with self-compassion, work\u2013life balance, and telepressure","volume":"18","author":"Kotera","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s40359-023-01130-5","article-title":"Effects of the COVID-19 pandemic on mental health, anxiety, and depression","volume":"11","author":"Kupcova","year":"2023","journal-title":"BMC Psychol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/j.apnr.2016.01.001","article-title":"A meta-analysis of the effects of coping strategies on reducing nurse burnout","volume":"31","author":"Lee","year":"2016","journal-title":"Appl. Nurs. Res."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"750529","DOI":"10.3389\/fpubh.2021.750529","article-title":"Burnout among healthcare workers in the COVID 19 era: a review of the existing literature","volume":"9","author":"Leo","year":"2021","journal-title":"Front. Public Health"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"161","DOI":"10.3917\/th.802.0161","article-title":"The Maslach burnout inventory\u2013human services survey (MBI-HSS): factor structure, wording effect and psychometric qualities of known problematic items","volume":"80","author":"Lheureux","year":"2017","journal-title":"Le Travail Humain"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"112463","DOI":"10.1016\/j.paid.2023.112463","article-title":"Is environmental sensitivity a unique trait? A multi-sample study on the association between sensitivity, personality, and psychological adjustment","volume":"217","author":"Lionetti","year":"2024","journal-title":"Personal. Individ. Differ."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"113190","DOI":"10.1016\/j.psychres.2020.113190","article-title":"The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public \u2013 a systematic review and meta-analysis","volume":"291","author":"Luo","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref46","article-title":"Proximity and distance in teletherapy","volume-title":"Psychoanalysis online 4","author":"Manguel","year":"2019"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1146\/annurev.psych.52.1.397","article-title":"Job burnout","volume":"52","author":"Maslach","year":"2001","journal-title":"Annu. Rev. Psychol."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/S0022-4405(97)00053-8","article-title":"A prospective study of personality characteristics, occupational stressors, and burnout among school psychology practitioners","volume":"36","author":"Mills","year":"1998","journal-title":"J. Sch. Psychol."},{"key":"ref49","first-page":"121","article-title":"\u201cMuch more than second best\u201d: therapists\u2019 experiences of videoconferencing psychotherapy","volume":"10","author":"Mitchell","year":"2020","journal-title":"Eur. J. Qual. Res. Psychother."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.jad.2021.01.092","article-title":"Economic evaluations of internet-based psychological interventions for anxiety disorders and depression: a systematic review","volume":"284","author":"Mitchell","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1037\/pro0000501","article-title":"\u201cEach week feels like a mountain\u201d: the impact of COVID-19 on mental health providers\u2019 well-being and clinical work","volume":"54","author":"Mittal","year":"2023","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1177\/2167702618782194","article-title":"The personality trait of environmental sensitivity predicts Children\u2019s positive response to school-based Antibullying intervention","volume":"6","author":"Nocentini","year":"2018","journal-title":"Clin. Psychol. Sci."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1002\/cpp.2315","article-title":"Working alliance and outcome effectiveness in videoconferencing psychotherapy: a systematic review and noninferiority meta-analysis","volume":"25","author":"Norwood","year":"2018","journal-title":"Clin. Psychol. Psychother."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.eurpsy.2018.06.003","article-title":"Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants","volume":"53","author":"O\u2019Connor","year":"2018","journal-title":"Eur. Psychiatry"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1017\/ipm.2020.51","article-title":"Psychiatrist experience of remote consultations by telephone in an outpatient psychiatric department during the COVID-19 pandemic","volume":"38","author":"Olwill","year":"2021","journal-title":"Ir. J. Psychol. Med."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"98","DOI":"10.3390\/bs8110098","article-title":"Factors related to physician burnout and its consequences: a review","volume":"8","author":"Patel","year":"2018","journal-title":"Behav Sci"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"e100275","DOI":"10.1136\/gpsych-2020-100275","article-title":"Challenges and opportunities in mental health services during the COVID-19 pandemic","volume":"33","author":"Peng","year":"2020","journal-title":"General Psychiatry"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"1443750","DOI":"10.3389\/fpsyg.2024.1443750","article-title":"Editorial: education, training, and competency development for mental health-focused telehealth providers","volume":"15","author":"Perle","year":"2024","journal-title":"Front. Psychol."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/cdep.12120","article-title":"Individual differences in environmental sensitivity","volume":"9","author":"Pluess","year":"2015","journal-title":"Child Dev. Perspect."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1111\/jopy.12218","article-title":"Vantage sensitivity: environmental sensitivity to positive experiences as a function of genetic differences","volume":"85","author":"Pluess","year":"2017","journal-title":"J. Pers."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1037\/a0030196","article-title":"Vantage sensitivity: individual differences in response to positive experiences","volume":"139","author":"Pluess","year":"2013","journal-title":"Psychol. Bull."},{"key":"ref62","doi-asserted-by":"publisher","first-page":"104377","DOI":"10.1016\/j.jrp.2023.104377","article-title":"People differ in their sensitivity to the environment: an integrated theory, measurement and empirical evidence","volume":"104","author":"Pluess","year":"2023","journal-title":"J. Res. Pers."},{"key":"ref63","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1080\/09515070.2020.1769557","article-title":"Telepsychotherapy: a leaflet for psychotherapists in the age of COVID-19. A review of the evidence","volume":"34","author":"Poletti","year":"2021","journal-title":"Couns. Psychol. Q."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"559100","DOI":"10.3389\/fpsyg.2020.559100","article-title":"Being a psychotherapist in times of the novel coronavirus disease: stress-level, job anxiety, and fear of coronavirus disease infection in more than 1,500 psychotherapists in Austria","volume":"11","author":"Probst","year":"2020","journal-title":"Front. Psychol."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1037\/str0000158","article-title":"The impact of sensory processing sensitivity on stress and burnout in nurses","volume":"27","author":"Redfearn","year":"2020","journal-title":"Int. J. Stress. Manag."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/1468-5922.12317","article-title":"Tele-analysis: the use of media technology in psychotherapy and its impact on the therapeutic relationship","volume":"62","author":"Roesler","year":"2017","journal-title":"J. Anal. Psychol."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"1139260","DOI":"10.3389\/fpsyt.2023.1139260","article-title":"Coping with burnout and the impact of the COVID-19 pandemic on workers\u2019 mental health: a systematic review","volume":"14","author":"Rossi","year":"2023","journal-title":"Front. Psych."},{"key":"ref68","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1037\/pro0000251","article-title":"Self-care, stress, and well-being among practicing psychologists","volume":"50","author":"Rupert","year":"2019","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1037\/a0012538","article-title":"Work-family conflict and burnout among practicing psychologists","volume":"40","author":"Rupert","year":"2009","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref70","doi-asserted-by":"publisher","first-page":"1196907","DOI":"10.3389\/fpsyt.2023.1196907","article-title":"Determinants of psychotherapists\u2019 attitudes to online psychotherapy","volume":"14","author":"Rutkowska","year":"2023","journal-title":"Front. Psych."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1037\/a0036020","article-title":"Temperament traits, social support, and burnout symptoms in a sample of therapists","volume":"51","author":"Rzeszutek","year":"2014","journal-title":"Psychotherapy"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"577684","DOI":"10.3389\/fpsyg.2020.577684","article-title":"The psychological and social impact of Covid-19: new perspectives of well-being","volume":"11","author":"Saladino","year":"2020","journal-title":"Front. Psychol."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"576421","DOI":"10.3389\/frvir.2020.576421","article-title":"Therapists make the switch to telepsychology to safely continue treating their patients during the COVID-19 pandemic. Virtual reality telepsychology may be next","volume":"1","author":"Sampaio","year":"2021","journal-title":"Front. Virtual Real"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"1302442","DOI":"10.3389\/fpsyg.2024.1302442","article-title":"Impact of the COVID-19 pandemic on the work of clinical psychologists in Austria: results of a mixed-methods study","volume":"15","author":"Santillan-Ramos","year":"2024","journal-title":"Front. Psychol."},{"key":"ref75","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1002\/job.595","article-title":"How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism","volume":"30","author":"Schaufeli","year":"2009","journal-title":"J. Organ. Behav."},{"key":"ref76","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/s10879-021-09492-w","article-title":"Will we ever again conduct in-person psychotherapy sessions? Factors associated with the decision to provide in-person therapy in the age of COVID-19","volume":"51","author":"Shklarski","year":"2021","journal-title":"J. Contemp. Psychother."},{"key":"ref77","doi-asserted-by":"publisher","first-page":"469","DOI":"10.3109\/09540261.2015.1072086","article-title":"The evolution and history of telepsychiatry and its impact on psychiatric care: current implications for psychiatrists and psychiatric organizations","volume":"15","author":"Shore","year":"2015","journal-title":"Int. Rev. Psychiatry"},{"key":"ref78","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1037\/pst0000261","article-title":"Burnout as an ethical issue in psychotherapy","volume":"56","author":"Simionato","year":"2019","journal-title":"Psychotherapy"},{"key":"ref9002","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1080\/03069880902957007","article-title":"Psychotherapy via videoconferencing: A review","volume":"37","author":"Simpson","year":"2009","journal-title":"Br. J. Guid. Couns."},{"key":"ref9003","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1111\/ajr.12149","article-title":"Therapeutic alliance in videoconferencing psychotherapy: A review","volume":"22","author":"Simpson","year":"2014","journal-title":"The Australian Journal of Rural Health"},{"key":"ref79","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1002\/cpp.2521","article-title":"Videotherapy and therapeutic alliance in the age of COVID-19","volume":"28","author":"Simpson","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref80","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3390\/ijerph17196987","article-title":"A systematic review of job demands and resources associated with compassion fatigue in mental health professionals","volume":"17","author":"Singh","year":"2020","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref81","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1002\/cpp.2631","article-title":"The influence of maladaptive coping modes, resilience, and job demands on emotional exhaustion in psychologists","volume":"29","author":"Smout","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref82","doi-asserted-by":"publisher","first-page":"743430","DOI":"10.3389\/fpsyg.2021.743430","article-title":"Remote psychotherapy during the COVID-19 pandemic. Experiences with the transition and the therapeutic relationship. A longitudinal mixed-methods study","volume":"12","author":"Stefan","year":"2021","journal-title":"Front. Psychol."},{"key":"ref83","doi-asserted-by":"publisher","first-page":"1367516","DOI":"10.3389\/fpsyg.2024.1367516","article-title":"Patients\u2019 perspective on the therapeutic relationship and session quality: the central role of alliance","volume":"15","author":"Stefana","year":"2024","journal-title":"Front. Psychol."},{"key":"ref84","doi-asserted-by":"publisher","first-page":"993","DOI":"10.3389\/fpsyt.2019.00993","article-title":"Ethical issues in online psychotherapy: a narrative review","volume":"10","author":"Stoll","year":"2020","journal-title":"Front. Psych."},{"key":"ref85","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1176\/appi.focus.20180022","article-title":"The therapeutic Alliance: the fundamental element of psychotherapy","volume":"16","author":"Stubbe","year":"2018","journal-title":"Focus"},{"key":"ref86","doi-asserted-by":"publisher","first-page":"25602","DOI":"10.1007\/s12144-022-03663-1","article-title":"Psychological empowerment, work addiction, and burnout among mental health professionals","volume":"42","author":"Sun","year":"2023","journal-title":"Curr. Psychol."},{"key":"ref87","doi-asserted-by":"publisher","first-page":"1060961","DOI":"10.3389\/fpsyt.2023.1060961","article-title":"Tele-psychotherapy during the COVID-19 pandemic: a mini-review","volume":"14","author":"Tajan","year":"2023","journal-title":"Front. Psych."},{"key":"ref88","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s10879-021-09503-w","article-title":"Telepsychotherapy during the COVID-19 pandemic: the experience of Lebanese mental health professionals","volume":"51","author":"Tohme","year":"2021","journal-title":"J. Contemp. Psychother."},{"key":"ref89","doi-asserted-by":"publisher","first-page":"952783","DOI":"10.3389\/fpsyg.2022.952783","article-title":"Burnout status of healthcare workers in the world during the peak period of the COVID-19 pandemic","volume":"13","author":"Ulfa","year":"2022","journal-title":"Front. Psychol."},{"key":"ref90","doi-asserted-by":"publisher","first-page":"928191","DOI":"10.3389\/fpsyg.2022.928191","article-title":"Burnout and psychological wellbeing among psychotherapists: a systematic review","volume":"13","author":"Van Hoy","year":"2022","journal-title":"Front. Psychol."},{"key":"ref91","doi-asserted-by":"publisher","first-page":"200253","DOI":"10.1016\/j.mhp.2022.200253","article-title":"Psychological therapists\u2019 experiences of burnout: a qualitative systematic review and meta-synthesis","volume":"33","author":"Vivolo","year":"2024","journal-title":"Mental Health Prevent."},{"key":"ref92","doi-asserted-by":"publisher","first-page":"1301569","DOI":"10.3389\/fpsyg.2023.1301569","article-title":"Preparing mental health providers for the future: the case for moving beyond the elective telehealth course to integrating telehealth training throughout the curriculum","volume":"14","author":"Wibberly","year":"2024","journal-title":"Front. Psychol."},{"key":"ref93","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jpsychires.2019.12.015","article-title":"Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis","volume":"123","author":"Woo","year":"2020","journal-title":"J. Psychiatr. Res."},{"key":"ref94","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1037\/pst0000317","article-title":"Causes and consequences of burnout among mental health professionals: a practice-oriented review of recent empirical literature","volume":"57","author":"Yang","year":"2020","journal-title":"Psychotherapy"},{"key":"ref95","first-page":"749","article-title":"Rapid conversion of an outpatient psychiatric clinic to a 100% virtual Telepsychiatry Clinic in Response to COVID-19","volume-title":"Psychiatric services","author":"Yellowlees","year":"2020"},{"key":"ref96","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1002\/cpp.2629","article-title":"Therapeutic relationship and professional burnout in psychotherapists: a structural equation model approach","volume":"29","author":"Zarzycka","year":"2022","journal-title":"Clin. Psychol. Psychother."},{"key":"ref97","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1421\/78507","article-title":"Dentro o fuori la Strega? Per una \u201csoggettivit\u00e0 disciplinata\u201d in psicologia clinica","volume":"3","author":"Zavattini","year":"2014","journal-title":"Giornale Italiano di Psicologia, XXXVI"},{"key":"ref98","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1089\/tmj.2020.0068","article-title":"The role of telehealth in reducing the mental health burden from COVID-19","volume":"26","author":"Zhou","year":"2020","journal-title":"Telemed. E-Health"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1510383\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T15:27:45Z","timestamp":1743521265000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2025.1510383\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":101,"alternative-id":["10.3389\/fpsyg.2025.1510383"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2025.1510383","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,31]]},"article-number":"1510383"}}