Teletherapy dalam Pelayanan Kesehatan Mental

Efektivitas, Perbandingan dengan Terapi Tatap Muka, dan Implikasi Klinis

Authors

  • Rifqi Nurfadillah* Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Nusa Tenggara Barat, Indonesia
  • Ni Kadek Andining Vidya Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Nusa Tenggara Barat, Indonesia
  • I Made Yahudi Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Nusa Tenggara Barat, Indonesia
  • Adelia Kartika Mutiarasari Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Nusa Tenggara Barat, Indonesia
  • Azizatul Adni Departemen Psikologi, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Nusa Tenggara Barat, Indonesia

DOI:

https://doi.org/10.71456/jik.v5i1.2590

Keywords:

Terapi Perilaku Kognitif, Depresi, Layanan Kesehatan Mental, Telehealth, Teleterapi

Abstract

Gangguan kesehatan mental seperti depresi dan kecemasan terus meningkat secara global, sementara akses terhadap layanan kesehatan mental masih terbatas akibat hambatan geografis, biaya, dan keterbatasan tenaga profesional. Penelitian ini bertujuan untuk mengkaji efektivitas teletherapy, membandingkannya dengan terapi tatap muka, serta menganalisis implikasi klinisnya dalam pelayanan kesehatan mental. Penelitian menggunakan metode literature review dengan pendekatan deskriptif kualitatif. Data diperoleh dari PubMed, Scopus, dan Google Scholar menggunakan strategi pencarian berbasis PICO terhadap artikel tahun 2016–2026. Sebanyak 70 artikel teridentifikasi, kemudian diseleksi berdasarkan pedoman PRISMA 2020 hingga diperoleh 4 studi utama yang memenuhi kriteria inklusi. Instrumen penelitian berupa lembar ekstraksi data literatur, sedangkan analisis dilakukan secara deskriptif tematik. Hasil penelitian menunjukkan bahwa teletherapy efektif menurunkan gejala depresi dan kecemasan dengan efektivitas yang setara dengan terapi tatap muka. Teletherapy juga meningkatkan akses layanan, fleksibilitas terapi, efisiensi biaya, serta keterlibatan pasien. Kesimpulan penelitian ini adalah teletherapy dapat menjadi alternatif maupun pelengkap layanan kesehatan mental konvensional, meskipun implementasinya masih menghadapi tantangan terkait teknologi, privasi data, dan kesenjangan akses digital.

References

Abuyadek, R.M., Hammouda, E.A., Elrewany, E., Elmalawany, D.H., Ashmawy, R., Zeina, S., Gebreal, A., & Ghazy, R.M. (2024). Acceptability of tele-mental health services among users: A systematic review and meta-analysis. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18436-7

American Psychological Association. (2024). Proposed revision of guidelines for the practice of telepsychology. https://www.apa.org/about/policy/telepsychology-revisions

Andersson, G., et al. (2019). Internet-delivered psychological treatments: From innovation to implementation. World Psychiatry, 18(1), 20–28. https://doi.org/10.1002/wps.20610

Békés, V., Aafjes-van Doorn, K., Luo, X., Balarajan, S., & Hopwood, C.J. (2023). Mastery of teletherapy is related to better therapeutic relationship and presence in teletherapy: The development of the teletherapy intervention scale. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2023.1206960

Cecagno, P.O.M., Polesello, N.D., Duque-Cartagena, T., Luz, P.M., Mundstock, E., Dalla, M.B., Sato, D.K., & Mattiello, R. (2025). Efficacy of remote psychological interventions for patients with anxiety and depression symptoms: Systematic review and meta-analysis. Telemedicine and e-Health, 31(2). https://doi.org/10.1089/tmj.2024.0297

Chin, Y. (2024). Teletherapy: Transforming mental health care in a digital age. Journal of Speech Pathology & Therapy, 9(6), 277. https://doi.org/10.4172/2472-5005.1000277

Cowan, A., Johnson, R., & Close, H. (2020). Telepsychiatry in psychotherapy practice. Innovations in Clinical Neuroscience, 17(4–6), 23–26

Di Nuovo, S.F., & Narzisi, V. (2021). Telepsychology: Acceptability of online assessment and treatment in users and professional psychologists. Mediterranean Journal of Clinical Psychology, 9(3). https://doi.org/10.13129/2282-1619/mjcp-3261

Echelard, J.F. (2021). Use of telemedicine in depression care by physicians: Scoping review. JMIR Formative Research, 5(7). https://doi.org/10.2196/29159

Esfandiari, N., Mazaheri, M.A., Akbari-Zardkhaneh, S., Sadeghi-Firoozabadi, V., & Cheraghi, M. (2021). Internet-delivered versus face-to-face cognitive behavior therapy for anxiety disorders: Systematic review and meta-analysis. International Journal of Preventive Medicine, 12(1). https://doi.org/10.4103/ijpvm.ijpvm_208_21

Giovanetti, A.K., Punt, S.E.W., Nelson, E.L., & Ilardi, S.S. (2022). Teletherapy versus in-person psychotherapy for depression: A meta-analysis of randomized controlled trials. Telemedicine and e-Health, 28(8). https://doi.org/10.1089/tmj.2021.0294

Ip, V., Jegatheeswaran, S., Cheema, A., FitzGerald, M., Wakif, Z., Thind, J., Kyte, S., Yung, S., Raiker, R., Ansar, M., Ayub, M., Khan, A., & Naeem, A. (2026). Effectiveness and outcomes of digital telehealth third-wave cognitive behavioral therapy for depression and anxiety: A systematic review and meta-analysis. Cognitive Behaviour Therapy. https://doi.org/10.1080/16506073.2026.2623505

Keenan, A.J., Tsourtos, G., & Tieman, J. (2022). Promise and peril—Defining ethical telehealth practice from the clinician and patient perspective: A qualitative study. Digital Health, 8, 1–17

Kementerian Kesehatan Republik Indonesia. (2023). Menjaga kesehatan mental para penerus bangsa. https://kemkes.go.id/id/menjaga-kesehatan-mental-para-penerus-bangsa

Kementerian Kesehatan Republik Indonesia. (2026). Alarm kesehatan mental anak: CKG temukan ratusan ribu anak bergejala cemas dan depresi. https://kemkes.go.id/id/alarm-kesehatan-mental-anak-ckg-temukan-ratusan-ribu-anak-bergejala-cemas-dan-depresi

Kim, J., Aryee, L.M.D., Bang, H., Prajogo, S., Choi, Y.K., Hoch, J.S., & Prado, E.L. (2023). Effectiveness of digital mental health tools to reduce depressive and anxiety symptoms in low- and middle-income countries: Systematic review and meta-analysis. JMIR Mental Health, 10. https://doi.org/10.2196/43066

Langarizadeh, M., et al. (2017). Telemental health care, an effective alternative to conventional mental care: A systematic review. Acta Informatica Medica, 25(4), 240–246. https://doi.org/10.5455/aim.2017.25.240-246

Lenartowicz, R. (2023). Technology in mental health treatment: A review of teletherapy, mobile health apps, virtual reality, and artificial intelligence. Intersect, 17(1)

Luo, C., et al. (2020). A comparison of electronically-delivered and face-to-face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. EClinicalMedicine, 24. https://doi.org/10.1016/j.eclinm.2020.100442

McCord, C., Ullrich, F., Merchant, K.A.S., Bhagianadh, D., Carter, K.D., Nelson, E.L., Marcin, J.P., Law, K.B., Neufeld, J., Giovanetti, A., & Ward, M.M. (2022). Comparison of in-person vs. telebehavioral health outcomes from rural populations across America. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-04421-0

Molfenter, T., et al. (2021). Use of telehealth in mental health services during and after COVID-19. Community Mental Health Journal, 57, 1244–1251. https://doi.org/10.1007/s10597-021-00861-2

Myers, K., et al. (2017). American Telemedicine Association practice guidelines for telemental health with children and adolescents. Telemedicine and e-Health, 23(10), 779–804. https://doi.org/10.1089/tmj.2017.0177

Noon, P.L., Booth, C.M., Arroyo, E.I., Tarlow, K.R., & Kim, S.M. (2025). Working across contexts: Critical events in rural teletherapy in Alaska. Rural and Remote Health, 25(4)

Reay, R.E., Looi, J.C.L., & Keightley, P. (2020). Telehealth mental health services during COVID-19: Summary of evidence and clinical practice. Australasian Psychiatry, 28(5), 514–516. https://doi.org/10.1177/1039856220943032

Santomauro, D.F., Herrera, A.M.M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D.M., & Ferrari, A.J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700–1712. https://doi.org/10.1016/S0140-6736(21)02143-7

Shah, A.C., O’Dwyer, L.C., & Badawy, S.M. (2021). Telemedicine in pediatrics: Systematic review of randomized controlled trials. JMIR mHealth and uHealth, 9(7), e29619. https://doi.org/10.2196/29619

Sharma, G., & Devan, K. (2023). The effectiveness of telepsychiatry: Thematic review. BJPsych Bulletin, 47(2). https://doi.org/10.1192/bjb.2021.115

Shore, J.H., et al. (2018). Best practices in videoconferencing-based telemental health. Telemedicine and e-Health, 24(11), 827–832. https://doi.org/10.1089/tmj.2018.0237

Song, J., et al. (2023). Comparing message-based psychotherapy to once-weekly, video-based psychotherapy for moderate depression: Randomized controlled trial. Journal of Medical Internet Research. https://doi.org/10.2196/46052

Sultana, S., & Pagán, J.A. (2023). Use of telehealth to address depression and anxiety in low-income US populations: A narrative review. Journal of Primary Care and Community Health, 14. https://doi.org/10.1177/21501319231168036

Torous, J., et al. (2020). Digital mental health and COVID-19: Using technology today to accelerate access and quality. JMIR Mental Health, 7(3), e18848. https://doi.org/10.2196/18848

Tremain, H., McEnery, C., Fletcher, K., & Murray, G. (2020). The therapeutic alliance in digital mental health interventions for serious mental illnesses: Narrative review. JMIR Mental Health. https://doi.org/10.2196/17204

Tsou, C., et al. (2025). Perceived risks, mitigation strategies, and modifiability of telehealth in rural and remote emergency departments: A qualitative exploration study. JMIR Human Factors, 12, e58851

World Health Organization. (2016). Global diffusion of eHealth: Making universal health coverage achievable. https://www.who.int/publications/i/item/9789241511780

World Health Organization. (2022). Global strategy on digital health 2020–2025. https://www.who.int/publications/i/item/9789240020924

Wu, M., Li, C., Hu, T., Zhao, X., Qiao, G., Gao, X., Zhu, X., & Yang, F. (2024). Effectiveness of telecare interventions on depression symptoms among older adults: Systematic review and meta-analysis. JMIR mHealth and uHealth, 12(1). https://doi.org/10.2196/50787

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Published

2026-08-31

How to Cite

Nurfadillah, R., Vidya, N. K. A., Yahudi, I. M., Mutiarasari, A. K., & Adni, A. (2026). Teletherapy dalam Pelayanan Kesehatan Mental: Efektivitas, Perbandingan dengan Terapi Tatap Muka, dan Implikasi Klinis. JIKES : Jurnal Ilmu Kesehatan, 5(1), 435–445. https://doi.org/10.71456/jik.v5i1.2590