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Implementation science of telepsychotherapy for anxiety, depression, and somatization in health care workers dealing with COVID-19

dc.creatorRobles, Rebecaes_ES
dc.creatorAscencio, Leticiaes_ES
dc.creatorDíaz, Dulcees_ES
dc.creatorRuiz, Susanaes_ES
dc.creatorGálvez, Lizettees_ES
dc.creatorSánchez, Magalyes_ES
dc.creatorEspinoza, Fátimaes_ES
dc.creatorHernández-Posadas, Alejandroes_ES
dc.creatorFresán, Anaes_ES
dc.creatorVega, Hamides_ES
dc.creatorMorales-Chainé, Silviaes_ES
dc.date2023
dc.date.accessioned2024-10-24T20:24:39Z
dc.date.available2024-10-24T20:24:39Z
dc.date.issued2023
dc.identifierJC34DIEP22es_ES
dc.identifier.issn1530-5627
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8080
dc.identifier.urihttps://doi.org/10.1089/tmj.2022.0155
dc.descriptionIntroduction: Cognitive behavioral therapy (CBT) has proven to be effective in treating affective and somatic symptoms, which are among the leading mental health problems of health care workers (HCWs) dealing with COVID-19 (HCW-COVID-19). However, efforts to develop and evaluate the strategies required to promote its implementation in clinical practice are still scarce, particularly in low- and middle-income countries. Objective: To describe and evaluate the implementation process and clinical impact of a brief, remote, manualized CBT-based intervention for moderate anxiety, depressive, and somatic symptoms among Mexican HCW-COVID-19 ≥18 years old. Methods: The implementation process comprises community engagement, intervention systematization and education, leadership engagement, and team-based coaching as main strategies. A total of 26 participants completed self-report measures of symptoms before and after treatment, and a subsample of 21 answered a final questionnaire on the acceptability of the intervention. Therapists registered the techniques used in each case, regardless of whether they were part of the intervention manual. Results: The number of sessions was 4.6 (2.43). The most frequently employed techniques were those included in the intervention manual, especially identifying and modifying maladaptive thoughts, used to treat 70% of HCW-COVID-19. Supplementary techniques were implemented to enhance treatment or meet HCW-COVID-19s special needs (such as workplace issues, insomnia, COVID-19 status, and bereavement). The intervention had a significant effect (delta Cohen's coefficients ≥1), and the majority of HCW-COVID-19 were "totally satisfied" with its contents and considered it "not complex" (95.2% and 76.1%, respectively). Conclusions: Telepsychotherapy for anxiety, depression, and somatization in HCW coping with health emergencies in middle-income countries is a feasible, clinically valuable, and acceptable form of treatment.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherMary Ann Liebertes_ES
dc.relation29(5)751-760
dc.rightsAcceso Cerradoes_ES
dc.titleImplementation science of telepsychotherapy for anxiety, depression, and somatization in health care workers dealing with COVID-19es_ES
dc.typeArtículoes_ES
dc.contributor.affiliationGlobal Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
dc.contributor.emailreberobles@imp.edu.mx; reberobles@hotmail.com (Rebeca Robles)
dc.relation.jnabreviadoTELEMED J E HEALTH
dc.relation.journalTelemedicine Journal and E-Health
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1556-3669
dc.identifier.doi10.1089/tmj.2022.0155
dc.subject.kwTelepsychotherapy
dc.subject.kwCommon mental disorders
dc.subject.kwHealth care workers
dc.subject.kwMental health services
dc.subject.kwEvidence-based practices
dc.subject.kwImplementation science
dc.subject.kwTelemedicine


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