Apego y percepción hacia el tratamiento a través de la telemedicina en comparación con el tratamiento asistencial en un grupo de pacientes con trastornos de la conducta alimentaria
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Publicado
Sep 20, 2023
Ana Berenice Casillas Arias
Claudia Unikel Santoncini
Alejandro de Jesús Caballero Romo
María Magdalena Ocampo Regla
https://orcid.org/0000-0002-8213-1551
Resumen
Objetivo: Conocer la percepción y el apego al tratamiento psiquiátrico, psicoterapéutico y nutricional por telemedicina comparado con la atención presencial, en pacientes con un trastorno de la conducta alimentaria. Métodos: Estudio cuantitativo descriptivo con muestreo no probabilístico por conveniencia en pacientes atendidos entre mayo-octubre del 2021. Realizamos entrevistas semiestructuradas basada en la entrevista de satisfacción sobre la experiencia entre la telemedicina y presencial. Los hallazgos se describieron por agrupamiento de respuestas con análisis de significación y extracción de conclusiones de forma sistematizada. Resultados: La muestra es de 20 participantes mujeres entre 14-50 años. El 75% percibió la telemedicina como una opción efectiva con alto grado de satisfacción y 55% declaró preferir la atención presencial. Las ventajas reportadas destacaron menor tiempo de traslado, menor gasto y prevención de contagio y como desventajas, la dificultad en el acceso tecnológico, privacidad y falta de prescripción de medicamentos remota. La telemedicina también mejoró la asistencia al tratamiento. Conclusiones: La telemedicina en el tratamiento interdisciplinario de los trastornos de conducta alimentaria es factible, efectiva y satisfactoria, beneficiando el apego terapéutico, sin embargo, la mayoría entiende que es una necesidad específica a la situación, en lugar de una elección, optando por su regreso a la atención presencial.
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Keywords
Telemedicina, Consulta presencial, Trastornos de conducta alimentaria, COVID-19
References
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American Psychiatric Association. (2014). DSM-5: Manual diagnóstico y estadístico de los trastornos mentales. American Psychiatric Association.
Anderson, K. E., Byrne, C. E., Crosby, R. D., & Le Grange, D. (2017). Utilizing telehealth to deliver family‐based treatment for adolescent anorexia nervosa. International Journal of Eating Disorders, 50(10), 1235-1238. https://doi.org/10.1002/eat.22759
Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering mental health care virtually during the COVID-19 pandemic: Qualitative evaluation of provider experiences in a scaled context. JMIR Formative Research, 5(9), e30280. https://doi.org/10.2196/30280
CENETEC-Salud. (2022). Cédula de instrumentos jurídicos aplicables a la práctica de la telesalud en México. Secretaría de Salud, Centro Nacional de Excelencia Tecnológica en Salud.
Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2022). Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 54-76. https://doi.org/10.1080/10640266.2020.1790271
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Datta, N., Derenne, J., Sanders, M., & Lock, J. D. (2020). Telehealth transition in a comprehensive care unit for eating disorders: Challenges and long‐term benefits. International Journal of Eating Disorders, 53(11), 1774-1779. https://doi.org/10.1002/eat.23348
Gracia Díaz, E. M. (2019). Sociedad de la información, e-Gobierno, e-Documento e interoperabilidad en el contexto de la globalización [Tesis doctoral, Universi-dad de Alicante]. Repositorio Institu-cional de la Universidad de Alicante. http://hdl.handle.net/10045/97998
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Gude, J., Subhedar, R. V., Zhang, M. H., Jain, P., Bhela, J., Bangash, F., Veluri, N., Hsieh, Y. C., Sheikh, B. Z., Shah, M. R., Mansuri, Z., Aedma, K., Patel, U. K., & Parikh, T. (2021). Emerging needs and viability of telepsychiatry during and post COVID-19 Era: A literature review. Cureus, 13(8). https://doi.org/10.7759/cureus.16974
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Fernández‐Aranda, F., Munguía, L., Mestre‐Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández-Real, J. M., Tinahones, F. J., Diegüez, C., Frühbeck, G., Le Gange, D., Tchanturia, K., Karwautz, A., Zeiler, M., Jiménez‐Murcia, S. (2020). COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study. European Eating Disorders Review, 28(6), 871-883. https://doi.org/10.1002/erv.2784
Fernández-Tapia, J. (2021). Avances y limitaciones en las políticas públicas de e-Salud en México. ComHumanitas: Revista Científica de Comunicación, 12(1), 152-178. https://doi.org/10.31207/rch.v12i1.303
Fisk, M., Livingstone, A., Pit, & S. W. (2020) Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet Research, 22(6), e19264. https://doi.org/10.2196/19264
Frenk, J. (2005). Globalization, health, and the role of telemedicine. Telemedicine and e-Health, 11(3), 291-295.
https://doi.org/10.1089/tmj.2005.11.291
Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8). https://doi.org/10.1136/bmjopen-2017-016242
Lama, A. (2004). Einthoven: El hombre y su invento. Revista Médica de Chile, 132(2), 260-264. https://doi.org/10.4067/S0034-98872004000200018
Lamb, T., Pachana, N. A., & Dissanayaka, N. (2019). Update of recent literature on remotely delivered psychotherapy interventions for anxiety and depression. Telemedicine and e-Health, 25(8), 671-677. https://doi.org/10.1089/tmj.2018.0079
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197-207. https://doi.org/10.1016/0149-7189(79)90094-6
Lepe, V., Moncada, B., Castanedo-Cázares, J. P., Martínez-Rodríguez, A., Mercado-Ceja, S. M., & Gordillo-Moscoso, A. (2004). Primer estudio de teledermato-logía en México: Una nueva herramienta de salud pública. Gaceta Médica de México, 140(1), 23-26.
Levinson, C. A., Spoor, S. P., Keshishian, A. C., & Pruitt, A. (2021). Pilot outcomes from a multidisciplinary telehealth versus in‐person intensive outpatient program for eating disorders during versus before the Covid‐19 pandemic. International Journal of Eating Disorders, 54(9), 1672-1679. https://doi.org/10.1002/eat.23579
Lewis, Y. D., Elran-Barak, R., Grundman-Shem Tov, R., & Zubery, E. (2021). The abrupt transition from in-person to online treatment for eating disorders: A pilot examination of patients’ perspectives during the COVID-19 lockdown. Journal of Eating Disorders, 9(1), 1-11. https://doi.org/10.1186/s40337-021-00383-y
Mariscal Avilés, J., Gil-García, J. R., & Ramírez-Hernández, F. (2012). e-Salud en México: Antecedentes, objetivos, logros y retos. Espacios Públicos, 15(34), 65-94.
Matheson, B. E., Bohon, C., & Lock, J. (2020). Family‐based treatment via videoconfe-rence: Clinical recommendations for treatment providers during COVID‐19 and beyond. International Journal of Eating Disorders, 53(7), 1142-1154. https://doi.org/10.1002/eat.23326
Parrasi Castaño, E. Y., Celis Carvajal, L., Bocanegra García, J. J., & Pascuas Rengifo, Y. S. (2016). Estado actual de la telemedicina: Una revisión de literatura. Ingeniare, (20), 105-120. https://doi.org/10.18041/1909-2458/ingeniare.20.412
Puskin, D. S., Cohen, Z., Ferguson, A. S., Krupinski, E., & Spaulding, R. (2010). Implementation and evaluation of telehealth tools and technologies. Telemedicine and e-Health, 16(1), 96-102. https://doi.org/10.1089/tmj.2009.0182
Raykos, B. C., Erceg‐Hurn, D. M., Hill, J., Campbell, B. N., & McEvoy, P. M. (2021). Positive outcomes from integrating telehealth into routine clinical practice for eating disorders during COVID‐19. International Journal of Eating Disorders, 54(9), 1689-1695.
https://doi.org/10.1002/eat.23574
Romo, D. U. (2022). COVID-19 and telepsychiatry: a challenge for mental health management. Revista Colom-biana de Psiquiatria.
https://doi.org/10.1016/j.rcp.2022.08.005
Ruiz Ibáñez, C., Zuluaga De Cadena, Á., & Trujillo Zea, A. (2007). Telemedicina: Introducción, aplicación y principios de desarrollo. Revista CES Medicina, 21(1), 77-93.
Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence, and mortality rates. Current Psychiatry Reports, 14(4), 406-414. https://doi.org/10.1007/s11920-012-0282-y
Stewart, C., Konstantellou, A., Kassamali, F., McLaughlin, N., Cutinha, D., Bryant-Waugh, R., Simic, M., Eisler, I., & Baudinet, J. (2021). Is this the ‘new normal’? A mixed method investigation of young person, parent, and clinician experience of online eating disorder treatment during the COVID-19 pandem-ic. Journal of Eating Disorders, 9(1), 1-11. https://doi.org/10.1186/s40337-021-00429-1
Waller, G., Pugh, M., Mulkens, S., Moore, E., Mountford, V. A., Carter, J., Wicksteed, A., Mahharaj, A., Wade, T. D., Wisniewski, L., Farrell, N. R., Raykos, B., Jorgensen, S., Evans, J., Thomas, J. J., Osenk, I., Paddock, C., Bohrer, B., Anderson, K., ... Smit, V. (2020). Cognitive‐behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face‐to‐face meetings are not possible. International Journal of Eating Disorders, 53(7), 1132-1141. https://doi.org/10.1002/eat.23289
WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: World Health Organization; (2019). Available at http://apps.who.int/iris.
Yellowlees, P., Burke Parish, M., González, Á., Chan, S., Hilty, D., Iosif, A. M., McCarron, R., Odor, A., Scher, L., Sciolla, A., Shore, J., & Xiong, G. (2018). Asynchronous telepsychiatry: A component of stepped integrated care. Telemedicine and e-Health, 24(5), 375-378. https://doi.org/10.1089/tmj.2017.0103
Alexander, J., & Lattanzio, A. (2009). Utility of telepsychiatry for Aboriginal Australians. Australian & New Zealand Journal of Psychiatry, 43(12), 1185-1185. https://doi.org/10.3109/00048670903279911
American Psychiatric Association. (2014). DSM-5: Manual diagnóstico y estadístico de los trastornos mentales. American Psychiatric Association.
Anderson, K. E., Byrne, C. E., Crosby, R. D., & Le Grange, D. (2017). Utilizing telehealth to deliver family‐based treatment for adolescent anorexia nervosa. International Journal of Eating Disorders, 50(10), 1235-1238. https://doi.org/10.1002/eat.22759
Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering mental health care virtually during the COVID-19 pandemic: Qualitative evaluation of provider experiences in a scaled context. JMIR Formative Research, 5(9), e30280. https://doi.org/10.2196/30280
CENETEC-Salud. (2022). Cédula de instrumentos jurídicos aplicables a la práctica de la telesalud en México. Secretaría de Salud, Centro Nacional de Excelencia Tecnológica en Salud.
Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2022). Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 54-76. https://doi.org/10.1080/10640266.2020.1790271
Cormi, C., Sanchez, S., de l’Estoile, V., Ollivier, L., Letty, A., Berrut, G., & Mulin, E. (2021). Telepsychiatry to provide mental health support to healthcare professionals during the COVID-19 crisis: A cross-sectional survey among 321 healthcare professionals in France. International Journal of Environmental Research and Public Health, 18(19), 10146. https://doi.org/10.3390/ijerph181910146
Cowan, K. E., McKean, A. J., Gentry, M. T., & Hilty, D. M. (2019). Barriers to use of tele-psychiatry: Clinicians as gatekeepers. Mayo Clinic Proceedings, 94(12), 2510-2523. https://doi.org/10.1016/j.mayocp.2019.04.018
Dabaghi-Richerand, A., Chávarri, A., & Torres-Gómez, A. (2012). Telemedicine in Mexico. Anales Médicos de la Asociación Médica del Centro Médico ABC, 57(4), 353-357.
Datta, N., Derenne, J., Sanders, M., & Lock, J. D. (2020). Telehealth transition in a comprehensive care unit for eating disorders: Challenges and long‐term benefits. International Journal of Eating Disorders, 53(11), 1774-1779. https://doi.org/10.1002/eat.23348
Gracia Díaz, E. M. (2019). Sociedad de la información, e-Gobierno, e-Documento e interoperabilidad en el contexto de la globalización [Tesis doctoral, Universi-dad de Alicante]. Repositorio Institu-cional de la Universidad de Alicante. http://hdl.handle.net/10045/97998
Gracia Gómez, C. (2020). Revisión bibliográfica-salud digital y COVID-19. NPunto, 3(30), 117-120.
Gude, J., Subhedar, R. V., Zhang, M. H., Jain, P., Bhela, J., Bangash, F., Veluri, N., Hsieh, Y. C., Sheikh, B. Z., Shah, M. R., Mansuri, Z., Aedma, K., Patel, U. K., & Parikh, T. (2021). Emerging needs and viability of telepsychiatry during and post COVID-19 Era: A literature review. Cureus, 13(8). https://doi.org/10.7759/cureus.16974
Elran-Barak, R., & Mozeikov, M. (2020). One month into the reinforcement of social distancing due to the COVID-19 outbreak: Subjective health, health behaviors, and loneliness among people with chronic medical conditions. International Journal of Environmental Research and Public Health, 17(15), 5403. https://doi.org/10.3390/ijerph17155403
Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and Adolescent Psychiatry and Mental Health, 14(1), 1-11. https://doi.org/10.1186/s13034-020-00329-3
Fernández‐Aranda, F., Munguía, L., Mestre‐Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández-Real, J. M., Tinahones, F. J., Diegüez, C., Frühbeck, G., Le Gange, D., Tchanturia, K., Karwautz, A., Zeiler, M., Jiménez‐Murcia, S. (2020). COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study. European Eating Disorders Review, 28(6), 871-883. https://doi.org/10.1002/erv.2784
Fernández-Tapia, J. (2021). Avances y limitaciones en las políticas públicas de e-Salud en México. ComHumanitas: Revista Científica de Comunicación, 12(1), 152-178. https://doi.org/10.31207/rch.v12i1.303
Fisk, M., Livingstone, A., Pit, & S. W. (2020) Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet Research, 22(6), e19264. https://doi.org/10.2196/19264
Frenk, J. (2005). Globalization, health, and the role of telemedicine. Telemedicine and e-Health, 11(3), 291-295.
https://doi.org/10.1089/tmj.2005.11.291
Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8). https://doi.org/10.1136/bmjopen-2017-016242
Lama, A. (2004). Einthoven: El hombre y su invento. Revista Médica de Chile, 132(2), 260-264. https://doi.org/10.4067/S0034-98872004000200018
Lamb, T., Pachana, N. A., & Dissanayaka, N. (2019). Update of recent literature on remotely delivered psychotherapy interventions for anxiety and depression. Telemedicine and e-Health, 25(8), 671-677. https://doi.org/10.1089/tmj.2018.0079
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197-207. https://doi.org/10.1016/0149-7189(79)90094-6
Lepe, V., Moncada, B., Castanedo-Cázares, J. P., Martínez-Rodríguez, A., Mercado-Ceja, S. M., & Gordillo-Moscoso, A. (2004). Primer estudio de teledermato-logía en México: Una nueva herramienta de salud pública. Gaceta Médica de México, 140(1), 23-26.
Levinson, C. A., Spoor, S. P., Keshishian, A. C., & Pruitt, A. (2021). Pilot outcomes from a multidisciplinary telehealth versus in‐person intensive outpatient program for eating disorders during versus before the Covid‐19 pandemic. International Journal of Eating Disorders, 54(9), 1672-1679. https://doi.org/10.1002/eat.23579
Lewis, Y. D., Elran-Barak, R., Grundman-Shem Tov, R., & Zubery, E. (2021). The abrupt transition from in-person to online treatment for eating disorders: A pilot examination of patients’ perspectives during the COVID-19 lockdown. Journal of Eating Disorders, 9(1), 1-11. https://doi.org/10.1186/s40337-021-00383-y
Mariscal Avilés, J., Gil-García, J. R., & Ramírez-Hernández, F. (2012). e-Salud en México: Antecedentes, objetivos, logros y retos. Espacios Públicos, 15(34), 65-94.
Matheson, B. E., Bohon, C., & Lock, J. (2020). Family‐based treatment via videoconfe-rence: Clinical recommendations for treatment providers during COVID‐19 and beyond. International Journal of Eating Disorders, 53(7), 1142-1154. https://doi.org/10.1002/eat.23326
Parrasi Castaño, E. Y., Celis Carvajal, L., Bocanegra García, J. J., & Pascuas Rengifo, Y. S. (2016). Estado actual de la telemedicina: Una revisión de literatura. Ingeniare, (20), 105-120. https://doi.org/10.18041/1909-2458/ingeniare.20.412
Puskin, D. S., Cohen, Z., Ferguson, A. S., Krupinski, E., & Spaulding, R. (2010). Implementation and evaluation of telehealth tools and technologies. Telemedicine and e-Health, 16(1), 96-102. https://doi.org/10.1089/tmj.2009.0182
Raykos, B. C., Erceg‐Hurn, D. M., Hill, J., Campbell, B. N., & McEvoy, P. M. (2021). Positive outcomes from integrating telehealth into routine clinical practice for eating disorders during COVID‐19. International Journal of Eating Disorders, 54(9), 1689-1695.
https://doi.org/10.1002/eat.23574
Romo, D. U. (2022). COVID-19 and telepsychiatry: a challenge for mental health management. Revista Colom-biana de Psiquiatria.
https://doi.org/10.1016/j.rcp.2022.08.005
Ruiz Ibáñez, C., Zuluaga De Cadena, Á., & Trujillo Zea, A. (2007). Telemedicina: Introducción, aplicación y principios de desarrollo. Revista CES Medicina, 21(1), 77-93.
Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence, and mortality rates. Current Psychiatry Reports, 14(4), 406-414. https://doi.org/10.1007/s11920-012-0282-y
Stewart, C., Konstantellou, A., Kassamali, F., McLaughlin, N., Cutinha, D., Bryant-Waugh, R., Simic, M., Eisler, I., & Baudinet, J. (2021). Is this the ‘new normal’? A mixed method investigation of young person, parent, and clinician experience of online eating disorder treatment during the COVID-19 pandem-ic. Journal of Eating Disorders, 9(1), 1-11. https://doi.org/10.1186/s40337-021-00429-1
Waller, G., Pugh, M., Mulkens, S., Moore, E., Mountford, V. A., Carter, J., Wicksteed, A., Mahharaj, A., Wade, T. D., Wisniewski, L., Farrell, N. R., Raykos, B., Jorgensen, S., Evans, J., Thomas, J. J., Osenk, I., Paddock, C., Bohrer, B., Anderson, K., ... Smit, V. (2020). Cognitive‐behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face‐to‐face meetings are not possible. International Journal of Eating Disorders, 53(7), 1132-1141. https://doi.org/10.1002/eat.23289
WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: World Health Organization; (2019). Available at http://apps.who.int/iris.
Yellowlees, P., Burke Parish, M., González, Á., Chan, S., Hilty, D., Iosif, A. M., McCarron, R., Odor, A., Scher, L., Sciolla, A., Shore, J., & Xiong, G. (2018). Asynchronous telepsychiatry: A component of stepped integrated care. Telemedicine and e-Health, 24(5), 375-378. https://doi.org/10.1089/tmj.2017.0103
Cómo citar
Apego y percepción hacia el tratamiento a través de la telemedicina en comparación con el tratamiento asistencial en un grupo de pacientes con trastornos de la conducta alimentaria. (2023). Revista Puertorriqueña De Psicologia, 34(2), 234-247. https://doi.org/10.55611/reps.3402.08
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Cómo citar
Apego y percepción hacia el tratamiento a través de la telemedicina en comparación con el tratamiento asistencial en un grupo de pacientes con trastornos de la conducta alimentaria. (2023). Revista Puertorriqueña De Psicologia, 34(2), 234-247. https://doi.org/10.55611/reps.3402.08