Resumen
Las necesarias medidas sanitarias propuestas para mitigar la expansión viral del SARS-CoV-2, como el distanciamiento físico y las cuarentenas, han repercutido no solo en la salud mental de la población sino también ha forzado cambios en la prestación de servicios psicológicos. El presente estudio tiene como objetivo recopilar información esencial sobre el concepto, ventajas, desventajas, usos y recomendaciones de la telepsicología en tiempos de COVID-19. Para ello se realizó una revisión sistemática de la evidencia científica disponible en las bases de datos de Scopus, PubMed y Web of Science. Entre sus resultados se destaca la accesibilidad, la disminución del estigma y la flexibilidad en su aplicación. También se refieren limitaciones como la inseguridad en la privacidad de los datos, las barreras de acceso y la baja formación clínica en competencias necesarias para este formato. Por otra parte, se encontró evidencia favorable de su uso para el tratamiento del trastorno de estrés postraumático, pánico y agorafobia, ansiedad generalizada, y trauma. Se concluye que la intervención psicoterapéutica a través de la telepsicología, en consideración de ciertas recomendaciones y sugerencias críticas, puede ofrecer resultados satisfactorios para el paciente y terapeuta y ser apta para diversos rangos etarios y trastornos.
Citas
Alqahtani, M., Alkhamees, H. A., Alkhalaf, A. M., Alarjan, S. S., Alzahrani, H. S., AlSaad, G. F., Alhrbi, F. H., Wahass, S. H., Khayat, A. H., & Alqahtani, K. (2021). Toward establishing telepsychology guideline. Turning the challenges of COVID-19 into opportunity. Ethics, Medicine, and Public Health, 16, 100612. https://doi.org/10.1016/j.jemep.2020.100612
Anton, M., Ridings, L., Gavrilova, Y., Bravoco, O., Ruggiero, K., & Davidson, T. (2020). Transitioning a technology-assisted stepped-care model for traumatic injury patients to a fully remote model in the age of COVID-19. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1785393
Bernhard, P., & Camins, J. (2020). Supervision from afar: Trainees’ perspectives on telesupervision. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1770697
Bouchard, S., Allard, M., Robillard, G., Dumoulin, S., Guitard, T., Loranger, C., Green-Demers, I., Marchand, A., Renaud, P., Cournoyer, L., & Corno, G. (2020). Videoconferencing psychotherapy for panic disorder and agoraphobia: Outcome and treatment processes from a non-randomized non-inferiority trial. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.02164
Brooks, S., Webster, R., Smith, L., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395, 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Burgoyne, N., & Cohn, A. (2020). Lessons from the transition to relational teletherapy during COVID‐19. Family Process, 59. https://doi.org/10.1111/famp.12589
Calabrò, R. S., & Maggio, M. G. (2020). Telepsychology: A new way to deal with relational problems associated with the COVID-19 epidemic. Acta Biomedica, 91(4), e2020140. https://doi.org/10.23750/abm.v91i4.9941
Caycho-Rodríguez, T., Tomás, J. M., Vilca, L., García, C., Rojas-Jara, C., White, M., & Peña-Calero, B. N. (2021). Predictors of mental health during the COVID-19 pandemic in older adults: The role of socio-demographic variables and COVID-19 anxiety. Psychology, Health & Medicine. https://doi.org/10.1080/13548506.2021.1944655
Chen, C., Nehrig, N., Wash, L., Schneider, J., Ashkenazi, S., Cairo, E., Guyton, A., & Palfrey, A. (2020). When distance brings us closer: Leveraging tele-psychotherapy to build deeper connection. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1779031
Chu, D. K., Akl, E. A., Duda, S., Solo, K., Yaacoub, S., & Schünemann, H. (2020). Physical distancing, face mask, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: A systematic review and meta-analysis. Lancet, 395(10242), 1973-1987. https://doi.org/10.1016/s0140-6736(20)31142-9
Connolly, S. L., Miller, C. C., Miller, C., Lindsay, J., & Bauer, M. (2020). A systematic review of providers’ attitudes toward telemental health via videoconferencing. Clinical Psychology-science and Practice, 27. https://doi.org/10.1111/cpsp.12311
DeLuca, J. S., Andorko, N. D., Chibani, D., Jay, S. Y., Rakhshan Rouhakhtar, P. J., Petti, E., … Schiffman, J. (2020). Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemic. Journal of Psychotherapy Integration, 30(2), 304-331. http://dx.doi.org/10.1037/int0000211
Di Carlo, F., Sociali, A., Picutti, E., Pettorruso, M., Vellante, F., Verrastro, V., Martinotti, G., & Di Giannantonio, M. (2020). Telepsychiatry and other cutting-edge technologies in COVID-19 pandemic: Bridging the distance in mental health assistance. International journal of clinical practice, 75. https://doi.org/10.1111/ijcp.13716
Dolev-Amit, T., Leibovich, L., & Zilcha-Mano, S. (2020). Repairing alliance ruptures using supportive techniques in telepsychotherapy during the COVID-19 pandemic. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1777089
Figueroa, C., & Aguilera, A. (2020). The Need for a Mental Health Technology Revolution in the COVID-19 Pandemic. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00523
García-Iglesias, J. J., Gómez-Salgado, J., Martín-Pereira, J., Fagundo-Rivera, J., Ayuso-Murillo, D., Martínez-Riera, J. R., & Ruiz-Frutos, C. (2020). Impacto del SARS-CoV-2 (Covid-19) en la salud mental de los profesionales sanitarios: Una revisión sistemática. Revista Española de Salud Pública, 94, e202007088.
González-Peña, P., Torres, R., del Barrio, V., & Olmedo, M. (2017). Uso de las nuevas tecnologías por parte de psicólogos españoles y sus necesidades. Clínica y Salud, 28, 81-91. http://dx.doi.org/10.1016/j.clysa.2017.01.001
Hames, J. L., Bell, D. J., Perez-Lima, L. M., Holm-Denoma, J. M., Rooney, T., Charles, N. E., Thompson, S. M., Mehlenbeck, R. S., Tawfik, S. H., Fondacaro, K. M., Simmons, K. T., & Hoersting, R. C. (2020). Navigating uncharted waters: Considerations for training clinics in the rapid transition to telepsychology and telesupervision during COVID-19. Journal of Psychotherapy Integration, 30(2), 348-365. http://dx.doi.org/10.1037/int0000224
Hossain, M. M., Tasnim, S., Sultana, A., Faizah, F., Mazumder, H., Zou, L., McKyer, E., Ahmed, H. U., & Ma, P. (2020). Epidemiology of mental health problems in COVID-19: A review. F1000Research, 9, 636. https://doi.org/10.12688/f1000research.24457.1
Huremović, D. (2019). Psychiatry of pandemics: a mental health response to infection outbreak. Springer.
Inchausti, F., MacBeth, A., Hasson-Ohayon, I., & Dimaggio, G. (2020). Telepsychotherapy in the age of COVID-19: A commentary. Journal of Psychotherapy Integration, 30(2), 394-405. https://doi.org/10.1037/int0000222
Jobes, D. A., Crumlish, J. A., & Evans, A. D. (2020). The COVID-19 pandemic and treating suicidal risk: The telepsychotherapy use of CAMS. Journal of Psychotherapy Integration, 30(2), 226-237. http://dx.doi.org/10.1037/int0000208
Joint Task Force for the Development of Telepsychology Guidelines for Psychologists. (2013). Guidelines for the practice of telepsychology. American Psychologist, 68(9), 791-800. https://doi.org/10.1037/a0035001
Jurcik, T., Jarvis, E., Zeleskov, J., Krasavtseva, Y., Yaltonskaya, A., Ogiwara, K., Sasaki, J., Dubois, S., & Grigoryan, K. (2020). Adapting mental health services to the COVID-19 pandemic: Reflections from professionals in four countries. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1785846
Knott, V., Habota, T., & Mallan, K. (2020). Attitudes of Australian psychologists towards the delivery of therapy via video conferencing technology. Australian Psychologist, 55. https://doi.org/10.1111/ap.12464
Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gøtzsche, P.C., Ioannidis, J.P.A., Clarke, M., Deveraux, P.J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100
MacMullin, K., Jerry, P., & Cook, K., (2020). Psychotherapist experiences with telepsychotherapy: Pre COVID-19 lessons for a post COVID-19 world. Journal of Psychotherapy Integration, 30(2), 248-264. http://dx.doi.org/10.1037/int0000213
Madigan, S., Racine, N., Cooke, J., & Korczak, D. (2021). COVID-19 and telemental health: Benefits, challenges and future directions. Canadian Psychology/Psychologie Canadienne, 62(1), 5-11. http://dx.doi.org/10.1037/cap0000259
Martin, J. N., Millán, F., & Campbell, L. F. (2020). Telepsychology practice: Primer and first steps. Practice Innovations, 5(2), 114-127. https://doi.org/10.1037/pri0000111
Matheson, B., Bohon, C., & Lock, J. (2020). Family‐based treatment via videoconference: Clinical recommendations for treatment providers during COVID‐19 and beyond. International Journal of Eating Disorders, 53. https://doi.org/10.1002/eat.23326
McCord, C.E., Console, K., Jackson, K., Palmeire, D., Stickley, M., Williamson, M.L.C., & Armstrong, T.W. (2020). Telepsychology training in a public health crisis: a case example. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2020.1782842
McCord, C., Bernhard, P., Walsh, M., Rosner, C., & Console, K. (2020). A consolidated model for telepsychology practice. Journal of Clinical Psychology, 76(6), 1060-1082. https://doi.org/10.1002/jclp.22954
McGrath, J. (2020). ADHD and Covid-19: Current roadblocks and future opportunities. Irish Journal of Psychological Medicine, 37(3), 204-211. https://doi.org/10.1017/ipm.2020.53
Mohamadian, M., Chiti, H., Shoghli, A., Biglari, S., Parsamanesh, N., & Esmaeilzadeh, A. (2021). COVID-19: virology, biology and novel laboratory diagnosis. The Journal Of Gene Medicine, 23(2), e3303. https://doi.org/10.1002/jgm.3303
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & The PRISMA Group. (2009).Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Organización Mundial de la Salud. (2020a). Preguntas y respuestas sobre la enfermedad por coronavirus (COVID-19). https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses
Organización Mundial de la Salud. (2020b, 14 de mayo). Aumentar sustancialmente las inversiones para evitar una crisis de salud mental [Comunicado de prensa]. https://www.who.int/es/news-room/detail/14-05-2020-substantial-investmentneeded-to-avert-mental-health-crisis
Payne, L., Flannery, H., Kambakara Gedara, C., Daniilidi, X., Hitchcock, M., Lambert, D., Taylor, C., & Christie, D. (2020). Business as usual? Psychological support at a distance. Clinical Child Psychology and Psychiatry, 25(3), 672-686. https://doi.org/10.1177/1359104520937378
Perrin, P. B., Rybarczyk, B. D., Pierce, B. S., Jones, H. A., Shaffer, C., & Islam, L. (2020). Rapid telepsychology deployment during the COVID-19 pandemic: A special issue commentary and lessons from primary care psychology training. Journal of Clinical Psychology, 76(6), 1173-1185. https://doi.org/10.1002/jclp.22969
Pierce, B., Perrin, P., Tyler, C., McKee, G., & Watson, J. (2020). The COVID-19 telepsychology revolution: A national study of pandemic-bases changes in U.S. Mental health care delivery. American Psychologist. http://dx.doi.org/10.1037/amp0000722
Racine, N., Hartwick, C., Collin-Vézina, D., & Madigan, S. (2020). Telemental health for child trauma treatment during and post-covid-19: Limitations and considerations. Child Abuse & Neglect. https://doi.org/10.1016/j.chiabu.2020.104698
Ramalho, R., Adiukwu, F., Bytyci, D., El Hayek, S., Gonzalez, J., Larnaout, A., Grandinetti, P., Marwa, N., Pereira-Sanchez, V., Pinto de Costa, M., Ransing, R., Teixeira, A., Shalbafan, M., Soler-Vidal, J., Syarif, Z., & Orsolini, L. (2020). Telepsychiatry during the COVID-19 pandemic: Development of a protocol for telemental health care. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2020.552450
Rojas-Jara, C. (2020). Cuarentena, aislamiento forzado y uso de drogas. Cuadernos de Neuropsicología/Panamerican Journal of Neuropsychology, 14(1), 24-28. https://doi.org/10.7714/CNPS/14.1.203
Rooney, S., Webster, A., & Paul, L. (2020). Systematic review of changes and recovery in physical function and fitness after severe acute respiratory syndrome-related coronavirus infection: Implications for covid-19 rehabilitation. Physical Therapy, 100(10), 1717-1729. https://doi.org/10.1093/ptj/pzaa129
Rosen, C. S., Glassman, L. H., & Morland, L. A. (2020). Telepsychotherapy during a pandemic: A traumatic stress perspective. Journal of Psychotherapy Integration, 30(2), 174-187. http://dx.doi.org/10.1037/int0000221
Sahebi, B. (2020). Clinical supervision of couple and family therapy during COVID‐19. Family Process, 59. https://doi.org/10.1111/famp.12591
Saladino, V., Algeri, D., & Auriemma, V. (2020). The psychological and social impact of Covid-19: New perspectives of well-being. Frontiers in Psychology, 11, 577684. https://doi.org/10.3389/fpsyg.2020.577684
Sampaio, M., Haro, M., De Sousa, B., Melo, W. V., & Hoffman, H. G. (2021). Therapists make the switch to telepsychology to safely continue treating their patients during the COVID-19 pandemic. Virtual reality telepsychology may be next. Frontiers in Virtual Reality, 1, 576421. https://doi.org/10.3389/frvir.2020.576421
Saenz, J. J., Sahu, A., Tarlow, K., & Chang, J. (2020). Telepsychology: Training perspectives. Journal of Clinical Psychology, 76(6), 1101-1107. https://doi.org/10.1002/jclp.22875
Satti, K., & Ojugbele, O. (2020). Lessons learned: Pediatric telemental health in a rural medical center in the age of SARS-CoV-2. The Journal of Rural Health. https://doi.org/10.1111/jrh.12512
Scholten, H., Quezada-Scholz, V., Salas, G., Barria-Asenjo, N., Rojas-Jara, C., .... & Somarriva, F. (2020). Abordaje psicológico del COVID-19: Una revisión narrativa de la experiencia latinoamericana. Revista Interamericana de Psicología/Interamerican Journal of Psychology, 54(1), e1287. https://doi.org/10.30849/ripijp.v54i1.1287
Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281-282. https://dx.doi.org/10.1111%2Fpcn.12988
Simpson, S., Richardson, L., Pietrabissa, G., Castelnuovo, G., & Reid, C. (2020). Videotherapy and therapeutic alliance in the age of COVID‐19. Clinical psychology & psychotherapy. https://doi.org/10.1002/cpp.2521
Stoll, J., Müller, J. A., & Trachsel, M. (2020). Ethical issues in online psychotherapy: A narrative review. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00993
Sullivan, A. B., Kane, A., Roth, A. J., Davis, B. E., Drerup, M. L., & Heinberg, L. J. (2020). The COVID-19 crisis: A mental health perspective and response using telemedicine. Journal of Patient Experience, 7(3), 295-301. https://doi.org/10.1177/2374373520922747
Sun, T., Guo, L., Tian, F., Dai, T., Xing, X., Zhao, J., & Li, Q. (2020). Rehabilitation of patients with COVID-19. Expert Review of Respiratory Medicine, 14(12), 1249-1256. https://doi.org/10.1080/17476348.2020.1811687
Tarlow, K. R., McCord, C. E., Nelon, J. L., & Bernhard, P. A. (2020). Comparing in-person supervision and telesupervision: A multiple baseline single-case study. Journal of Psychotherapy Integration, 30(2), 383-393. http://dx.doi.org/10.1037/int0000210
Taylor, S. (2019). The psychology of pandemics: preparing for the next global outbreak of infectious disease. Cambridge Scholars Publishing.
Torales, J., O'Higgins, M., Castaldelli-Maia, J. M., & Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. The International Journal Of Social Psychiatry, 66(4), 317-320. https://doi.org/10.1177/0020764020915212
Umakanthan, S., Sahu, P., Ranade, A., Bukelo, M., Sushil, J., Abrahao-Machado, L., Dahal, S., Kumar, H., & KV, D. (2020). Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgraduate Medical Journal, 96, 753-758. http://dx.doi.org/10.1136/postgradmedj-2020-138234
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11), 507-511. https://doi.org/10.1016/j.medcli.2010.01.015
Urzúa, A., Vera-Villarroel, P., Caqueo-Urízar, A., Polanco-Carrasco, R. (2020). La psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Terapia Psicológica, 38(1), 103-118. http://dx.doi.org/10.4067/S0718-48082020000100103
Van Daele, T., Karekla, M., Kassianos, A. P., Compare, A., Haddouk, L., Salgado, J., Ebert, D., Trebbi, G., Bernaerts, S., Assche, E., & De Witte, N. A. J. (2020). Recommendations for policy and practice of telepsychotherapy and e-mental health in Europe and beyond. Journal of Psychotherapy Integration, 30(2), 160-173. http://dx.doi.org/10.1037/int0000218
Vindegaard, N., & Eriksen, M. (2020). COVID-19 pandemic and mental health consecuences: Systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531-542. https://doi.org/10.1016/j.bbi.2020.05.048
Wade, S. L., Gies, L. M., Fisher, A. P., Moscato, E. L., Adlam, A. R., Bardoni, A., Corti, C., Limond, J., Modi, A., & Williams, T. (2020). Telepsychotherapy with children and families: Lessons gleaned from two decades of translational research. Journal of Psychotherapy Integration, 30(2), 332-347. http://dx.doi.org/10.1037/int0000215
Waltman, S. H., Landry, J. M., Pujol, L. A., & Moore, B. A. (2020). Delivering evidence-based practices via telepsychology: Illustrative case series from military treatment facilities. Professional Psychology: Research and Practice, 51(3), 205-213. http://dx.doi.org/10.1037/pro0000275
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17, E1729. http://dx.doi.org/10.3390/ijerph17051729
Watts, S., Marchand, A., Bouchard, S., Gosselin, P., Langlois, F., Belleville, G., & Dugas, M. J. (2020). Telepsychotherapy for generalized anxiety disorder: Impact on the working alliance. Journal of Psychotherapy Integration, 30(2), 208-225. http://dx.doi.org/10.1037/int0000223
Wood, S., White, K., Peebles, R., Pickel, J., Alausa, M., Mehringer, J., & Dowshen, N. (2020). Outcomes of a Rapid Adolescent Telehealth Scale-Up during the COVID-19 pandemic. Journal of Adolescent Health, 67, 172-178. https://doi.org/10.1016/j.jadohealth.2020.05.025
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Derechos de autor 2022 Claudio Rojas-Jara, Roberto Polanco-Carrasco, Tomás Caycho-Rodríguez, Catalina Muñoz-Vega, Mariela Muñoz-Marabolí, Tamara Luna-Gómez, Tamara Muñoz-Torres