Psychology, Interamerican
Telepsychology for psychotherapists: lessons learned in times of Covid-19
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Palavras-chave

Telepsicología
Telesaludmental
Telepsicoterapia
COVID-19

Como Citar

Rojas-Jara, C., Polanco-Carrasco, R., Caycho-Rodríguez, T., Muñoz-Vega, C., Muñoz-Marabolí, M., Luna-Gómez, T., & Muñoz-Torres, T. (2022). Telepsychology for psychotherapists: lessons learned in times of Covid-19. Revista Interamericana De Psicología/Interamerican Journal of Psychology, 56(2), e1733. https://doi.org/10.30849/ripijp.v56i2.1733

Resumo

As medidas sanitárias necessárias propostas para mitigar a propagação viral da SRA-CoV-2, tais como distanciamento físico e quarentenas, tiveram um impacto não apenas na saúde mental da população, mas também forçaram mudanças na prestação de serviços psicológicos. O presente estudo visa reunir informações essenciais sobre o conceito, vantagens, desvantagens, usos e recomendações da telepsicologia nos tempos da COVID-19. Para este fim, foi realizada uma revisão sistemática das evidências científicas disponíveis nos bancos de dados Scopus, PubMed e Web of Science. Entre os resultados, destacam-se a acessibilidade, a redução do estigma e a flexibilidade em sua aplicação. Limitações como a insegurança da privacidade dos dados, barreiras ao acesso e baixo treinamento clínico nas habilidades necessárias para este formato também são mencionadas. Por outro lado, foram encontradas evidências favoráveis para seu uso no tratamento de transtorno de estresse pós-traumático, pânico e agorafobia, ansiedade generalizada e trauma. Conclui-se que a intervenção psicoterapêutica através da telepsicologia, em consideração a certas recomendações e sugestões críticas, pode oferecer resultados satisfatórios para o paciente e o terapeuta e ser adequada para várias faixas etárias e distúrbios.

https://doi.org/10.30849/ripijp.v56i2.1733
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Referências

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

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Copyright (c) 2022 Claudio Rojas-Jara, Roberto Polanco-Carrasco, Tomás Caycho-Rodríguez, Catalina Muñoz-Vega, Mariela Muñoz-Marabolí, Tamara Luna-Gómez, Tamara Muñoz-Torres