Evidence map›Paper›PMID 41661844›Full record

ArticlePLOS mental health2025

Why do psychotherapists use so little e-mental health in psychotherapy? Insights from a sample of psychotherapists in Germany.

Sarah Wüllner, Tobias Hecker, Pia Flottmann, Katharin Hermenau

Abstract read
In one paragraph

Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarah WüllnerUniversity Clinic of Child and Adolescent Psychiatry and Psychotherapy, Protestant Hospital Bethel, Bielefeld University, Medical School EWL, Bielefeld, Germany.ORCID https://orcid.org/0009-0007-7629-3451
Tobias HeckerInstitute for Interdisciplinary Conflict and Violence Research, Bielefeld University, Bielefeld, Germany.ORCID https://orcid.org/0000-0001-9272-0512
Pia FlottmannUniversity Clinic of Child and Adolescent Psychiatry and Psychotherapy, Protestant Hospital Bethel, Bielefeld University, Medical School EWL, Bielefeld, Germany.
Katharin HermenauUniversity Clinic of Child and Adolescent Psychiatry and Psychotherapy, Protestant Hospital Bethel, Bielefeld University, Medical School EWL, Bielefeld, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the COVID-19 pandemic, psychotherapists had to use e-mental health to continue their treatment and to stay in contact with patients. Even after the pandemic, many psychotherapists continued to use modern technologies such as videoconferencing. However, the pandemic did not lead to increased use of all types of e-mental health. The aim of the present study was to assess the usage of and potential association factors with e-mental health in a sample of German psychotherapists. We focused on the use of videoconferencing and mental health apps for e-mental health use. This was an online survey study. The participants were 159 German psychotherapists with an average age of 44.02 years (SD=13.18). The survey consisted of questions about the primary psychotherapeutic approach, treating minors or adults, attitudes toward e-mental health and the individual use of modern technologies and e-mental health in private and professional contexts. In the current sample, the utilization of mental health apps is far from being integrated into daily routines, with 82% of the psychotherapists not recommending mental health apps in psychotherapy. The majority of the psychotherapists had limited technical equipment available at their workplace. The psychotherapeutic approach, potential to augment psychotherapy and technical equipment available at work were significant correlates of the therapeutic range of e-mental health use. To address low e-mental health use, it is necessary to understand the correlates of e-mental health use within different levels of use.

Identifiers

PMID41661844
PMCPMC12798207

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.