Terapia cognitivo-conductual por videoconferencia para el trastorno de pánico en un médico afectado por Covid-19: Seguimiento de un año

Videoconference CBT for Panic Disorder

Autores/as

DOI:

https://doi.org/10.5944/rdp.v35i127.38496

Palabras clave:

Videoconferencia, TCC, Trastorno de pánico, Covid-19, Personal Sanitario, Estudio de caso

Resumen

En este trabajo se describe la aplicación y los resultados a un año de la terapia cognitivo-conductual (TCC) por videoconferencia (VC)  para tratar el trastorno de pánico (TP) con agorafobia en una residente de urgencias médicas de primera línea afectada por Covid-19. La terapia se aplicó en 19 sesiones, que se adaptaron a las vicisitudes a las que se enfrentó la residente durante la pandemia.  Los datos muestran que este tratamiento ayudó a reducir la frecuencia e intensidad de los síntomas de TP. Además, ayudó a disminuir o modificar los pensamientos catastróficos, las conductas de evitación y el uso innecesario de emergencias médicas. Los efectos descritos se mantuvieron durante las evaluaciones posteriores al tratamiento y los seguimientos a los tres, seis, nueve y doce meses. Se conluye que la TCC remota es una opción potencial para tratar el TP en trabajadores sanitarios de primera línea, aunque se necesita más investigación.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Referencias

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Bandelow, B., Reitt, M., Röver, C., Michaelis, S., Görlich, Y., & Wedekind, D. (2015). Efficacy of treatments for anxiety disorders: A meta-analysis. International Clinical Psychopharmacology, 30(4), 183-192. https://doi.org/10.1097/YIC.0000000000000078

Bandyopadhyay, S., Baticulon, R. E., Kadhum, M., Alser, M., Ojuka, D. K., Badereddin, Y., Kamath, A., Parepalli, S. A., Brown, G., Iharchane, S., Gandino, S., Markovic-Obiago, Z., Scott, S., Manirambona, E., Machhada, A., Aggarwal, A., Benazaize, L., Ibrahim, M., Kim, D., … Khundkar, R. (2020). Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Global Health, 5(12). https://doi.org/10.1136/bmjgh-2020-003097

Bhatia, M. S., Goyal, S., Singh, A., & Daral, A. (2020). COVID-19 Pandemic-Induced Panic Disorder. The Primary Care Companion for CNS Disorders, 22(3). https://doi.org/10.4088/PCC.20l02626

Craske, M., &y Barlow, D. (2007) Mastery of Your Anxiety and Panic: Therapist Guide—Oxford Clinical Psychology.

Danet Danet, A. (2021). Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Medicina Clinica (English Ed.). https://doi.org/10.1016/j.medcle.2020.11.003

Efron, G., & Wootton, B. M. (2021). Remote cognitive behavioral therapy for panic disorder: A meta-analysis. Journal of Anxiety Disorders, 79, 102385. https://doi.org/10.1016/j.janxdis.2021.102385

Foldes-Busque, G., Denis, I., Poitras, J., Fleet, R. P., Archambault, P., & Dionne, C. E. (2019). A closer look at the relationships between panic attacks, emergency department visits and non-cardiac chest pain. Journal of Health Psychology, 24(6), 717-725. https://doi.org/10.1177/1359105316683785

Furukawa, T. A., Katherine Shear, M., Barlow, D. H., Gorman, J. M., Woods, S. W., Money, R., Etschel, E., Engel, R. R., & Leucht, S. (2009). Evidence-based guidelines for interpretation of the Panic Disorder Severity Scale. Depression and anxiety, 26(10), 922–929. https://doi.org/10.1002/da.20532

Gong, K., Xu, Z., Cai, Z., Chen, Y., & Wang, Z. (2020). Internet Hospitals Help Prevent and Control the Epidemic of COVID-19 in China: Multicenter User Profiling Study. Journal of Medical Internet Research, 22(4), e18908. https://doi.org/10.2196/18908

Instituto Nacional de Salud y Excelencia Clínica (NICE) (2011). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care. London: The British Psychological Society and The Royal College of Psychiatrists. Available at: https://www.nice.org.uk/guidance/cg113/chapter/1-Guidance#stepped-care-for-people-with-panic-disorder [Accessed 29 April 2021].

Joint Task Force for the Development of Telepsychology Guidelines for Psychologists. (2013). Guidelines for the practice of telepsychology. American Psychologist, 68, 791– 800. http://dx.doi.org/10.1037/ a0035001

Ley, H., Skorniewska, Z., Harrison, P. J., & Taquet, M. (2023). Risks of neurological and psychiatric sequelae 2 years after hospitalisation or intensive care admission with COVID-19 compared to admissions for other causes. Brain, Behavior, and Immunity, 112, 85–95. https://doi.org/10.1016/j.bbi.2023.05.014

Lindner, D., Lacefield, K., Tantleff Dunn, S., & Dunn, M. E. (2014). The Use of Videoconference in the Treatment of Panic Disorder With Agoraphobia in a Housebound Woman: A Case Study. Clinical Case Studies, 13(2), 146–166. https://doi.org/10.1177/1534650113504292

Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303-315. https://doi.org/10.1037/pst0000193

Papola, D., Ostuzzi, G., Tedeschi, F., Gastaldon, C., Purgato, M., Del Giovane, C., Pompoli, A., Pauley, D., Karyotaki, E., Sijbrandij, M., Furukawa, T. A., Cuijpers, P., & Barbui, C. (2023). CBT treatment delivery formats for panic disorder: a systematic review and network meta-analysis of randomised controlled trials. Psychological Medicine, 53(3), 614–624. https://doi.org/10.1017/S0033291722003683

Robles, R., Rodríguez, E., Vega-Ramírez, H., Álvarez-Icaza, D., Madrigal, E., Durand, S., Morales-Chainé, S., Astudillo, C., Real-Ramírez, J., Medina-Mora, M. E., Becerra, C., Escamilla, R., Alcocer-Castillejos, N., Ascencio, L., Díaz, D., González, H., Barrón-Velázquez, E., Fresán, A., Rodríguez-Bores, L., Quijada-Gaytán, J. M., … Reyes-Terán, G. (2021). Mental health problems among healthcare workers involved with the COVID-19 outbreak. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 43(5), 494–503. https://doi.org/10.1590/1516-4446-2020-1346

Santacana, M., Fullana, M. A., Bonillo, A., Morales, M., Montoro, M., Rosado, S., Guillamat, R., Vallès, V., Pérez, V., & Bulbena, A. (2014). Psychometric properties of the Spanish self-report version of the panic disorder severity scale. Comprehensive Psychiatry, 55(6), 1467-1472. https://doi.org/10.1016/j.comppsych.2014.04.007

Serrano-Juárez, C. A., Reyes-Méndez, C., Prieto-Corona, B., Seubert-Ravelo, A. N., Moreno-Villagómez, J., Cabañas-Tinajero, J. Á., Yáñez-Téllez, M. G., Quezada-Torres, R. A., Téllez-Rodríguez, M., Barrera-Rodríguez, B., Soto-Jiménez, M. P., González-Gutiérrez, F. A., & Castillo-Tejeda, E. (2023). A Systematic Review and a Latin American Clinical Model for Teleneuropsychological Assessment. Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 38(2), 283–300. https://doi.org/10.1093/arclin/acac077

Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., Houck, P., & Wang, T. (2001). Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. Journal of Psychiatric Research, 35(5), 293-296. https://doi.org/10.1016/s0022-3956(01)00028-0

Taquet, M., Geddes, J. R., Husain, M., Luciano, S., & Harrison, P. J. (2021). 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. The lancet. Psychiatry, 8(5), 416–427. https://doi.org/10.1016/S2215-0366(21)00084-5

Taquet, M., Sillett, R., Zhu, L., Mendel, J., Camplisson, I., Dercon, Q., & Harrison, P. J. (2022). Neurological and psychiatric risk trajectories after SARS-CoV-2 infection: an analysis of 2-year retrospective cohort studies including 1 284 437 patients. The lancet. Psychiatry, 9(10), 815–827. https://doi.org/10.1016/S2215-0366(22)00260-7

van Beek, M. H. C. T., Oude Voshaar, R. C., Beek, A. M., van Zijderveld, G. A., Visser, S., Speckens, A. E. M., Batelaan, N., & van Balkom, A. J. L. M. (2013). A brief cognitive-behavioral intervention for treating depression and panic disorder in patients with noncardiac chest pain: A 24-week randomized controlled trial. Depression and Anxiety, 30(7), 670-678. https://doi.org/10.1002/da.22106

Vizheh, M., Qorbani, M., Arzaghi, S. M., Muhidin, S., Javanmard, Z., & Esmaeili, M. (2020). The mental health of healthcare workers in the COVID-19 pandemic: A systematic review. Journal of Diabetes and Metabolic Disorders, 1-12. https://doi.org/10.1007/s40200-020-00643-9

Descargas

Publicado

2024-03-01

Cómo citar

Landa-Ramírez, E., Barrera-Flores, B. A. ., Hernández-de la Rosa, C. ., & Monroy-Robles, D. M. . (2024). Terapia cognitivo-conductual por videoconferencia para el trastorno de pánico en un médico afectado por Covid-19: Seguimiento de un año: Videoconference CBT for Panic Disorder. Revista de Psicoterapia, 35(127), 113–120. https://doi.org/10.5944/rdp.v35i127.38496

Artículos más leídos del mismo autor/a