Impacto de la pandemia COVID-19 sobre la atención en salud mental: una revisión sistemática
DOI:
https://doi.org/10.29166/rfcmq.v47i1.3208Palabras clave:
salud mental, emergencias, telepsiquiatría, COVID-19Resumen
Introducción: La enfermedad producida por el SARS-Cov-2, la COVID-19, tuvo un gran impacto a nivel mundial y los servicios de salud fueron los más afectados, entre estos los servicios que brindan atención en la salud mental.
Objetivo: Conocer el impacto de la pandemia por la enfermedad COVID-19 en la atención de la salud mental.
Metodología: Se realizó un análisis de la literatura existente de bases de datos de Scopus, Lilacs y Pubmed. Además, se incluyeron publicaciones científicas completas de revistas indexadas en español e inglés, con pacientes adultos (>17 años), y trabajos originales con diseño analítico, prospectivo, transversal, aleatorizado, metanálisis y de libre acceso.
Resultados: Se incluyeron 11 artículos, donde se describe una reducción en las consultas en emergencias, e incremento del consumo de sustancias o intentos de suicidio. Se implementaron estrategias como la tele-psiquiatría, educación a la población y las medidas de distanciamiento.
Conclusiones: Se concluyó que es posible brindar atención psiquiátrica en tiempos de pandemia, tomando cuenta varias medidas de prevención y reorganización de los servicios.
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World Health Organization. The impact of COVID-19 on mental, neurological and substance use services. 2020 Oct 5 [cited 2021 mar 13]. Available from: https://www.who.int/publications/i/item/978924012455.
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet [Internet]. 2020 Feb 15 [cited 2020 Sep 16];395(10223):470–3. Available from: https://pubmed.ncbi.nlm.nih.gov/31986257/
Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry [Internet]. 2020 Mar 1 [cited 2020 Sep 16];7(3):228–9. Available from: https://pubmed.ncbi.nlm.nih.gov/32032543/
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci [Internet]. 2020 Apr 1 [cited 2020 Sep 16];74(4):281–2. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168047/
Chevance A, Gourion D, Hoertel N, Llorca P-M, Thomas P, Bocher R, et al. Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review. Encephale [Internet]. 2020 Jun 1 [cited 2020 Sep 4];46(3):193–201. Available from: https://pubmed.ncbi.nlm.nih.gov/32312567/
Ness E, Salvador EM, Gardsjord ES. Henvendelser til psykiatrisk legevakt i første fase av covid-19-pandemien. Tidsskr Den Nor legeforening [Internet]. 2020 [cited 2020 Sep 4];140(11):56–63. Available from: https://pubmed.ncbi.nlm.nih.gov/32815335/
Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, et al. How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry [Internet]. 2020 Sep 1 [cited 2020 Sep 4];7(9):813–24. Available from: https://pubmed.ncbi.nlm.nih.gov/32682460/
Millard H, Wilson C, Fortunati F, Li L. COVID-19 psychiatric patients: Impact of variability in testing on length of hospital stay and disposition back to congregate care settings. Psychiatry Res [Internet]. 2020 Oct 1 [cited 2020 Sep 16];292(3):113–44. Available from: /pmc/articles/PMC7380225/?report=abstract
Xiang YT, Zhao YJ, Liu ZH, Li XH, Zhao N, Cheung T, et al. The COVID-19 outbreak and psychiatric hospitals in China: Managing challenges through mental health service reform. Int J Biol Sci [Internet]. 2020 [cited 2020 Sep 16];16(10):1741–4. Available from: https://pubmed.ncbi.nlm.nih.gov/32226293/
Tavares C, Medeiros P, Araújo I, Oliveira J, Saraiva J. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res [Internet]. 2020;287(6):89–96. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195292/
Società Italiana di Epidemiologia Psichiatrica. Istruzioni operative SIEP per le attività dei DSM in corso di emergenza Coronavirus. 2020.
Zhao N, Zhao YJ, Liu Z, Zhang Q, Feng Y, Yan XN, et al. An overview of the expert consensus on the mental health treatment and services for major psychiatric disorders during COVID-19 outbreak: China’s experiences. Int J Biol Sci [Internet]. 2020 [cited 2020 Sep 4];16(13):2265-70. Available from: https://pubmed.ncbi.nlm.nih.gov/32760195/
Hoyer C, Ebert A, Szabo K, Platten M, Meyer-Lindenberg A, Kranaster L. Decreased utilization of mental health emergency service during the COVID-19 pandemic. Eur Arch Psychiatry Clin Neurosci [Internet]. 2020 Jun 9 [cited 2020 Nov 10];9(5):26–31. Available from: http://link.springer.com/10.1007/s00406-020-01151-w
Gonçalves-Pinho M, Mota P, Ribeiro J, Macedo S, Freitas A. The Impact of COVID-19 Pandemic on Psychiatric Emergency Department Visits – A Descriptive Study. Psychiatr Q [Internet]. 2020 [cited 2020 Nov 10];3(2):56–60. Available from: https://www.researchgate.net/publication/343856687_The_Impact_of_COVID-19_Pandemic_on_Psychiatric_Emergency_Department_Visits_-_A_Descriptive_Study
Castro VM, Perlis RH. Electronic Health Record Documentation of Psychiatric Assessments in Massachusetts Emergency Department and Outpatient Settings During the Coronavirus Disease 2019 (COVID-19) Pandemic. JAMA Netw open [Internet]. 2020 Jun 1 [cited 2020 Nov 11];3(6):e2011346. Available from: /pmc/articles/PMC7280952/?report=abstract
Ojha R, Syed S. Challenges faced by mental health providers and patients during the coronavirus 2019 pandemic due to technological barriers. Vol. 21, Internet Interventions. Elsevier B.V.; 2020. p. 100330.
Capuzzi E, Di Brita C, Caldiroli A, Colmegna F, Nava R, Buoli M, et al. Psychiatric emergency care during Coronavirus 2019 (COVID 19) pandemic lockdown: results from a Department of Mental Health and Addiction of northern Italy. Psychiatry Res [Internet]. 2020 Nov 1 [cited 2020 Nov 11];293:113463. Available from: /pmc/articles/PMC7499069/?report=abstract
Bojdani E, Rajagopalan A, Chen A, Gearin P, Olcott W. COVID-19 Pandemic: Impact on psychiatric care in the United States. Psychiatry Res [Internet]. 2020;289(3):89-92. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200362/
Zhang N, Wu K, Wang W. Timely mental health services contribute to the containment of COVID-19 pandemic in China. Glob Heal Res Policy [Internet]. 2020 Dec [cited 2020 Nov 10];5(1). Available from: https://pubmed.ncbi.nlm.nih.gov/32905275/
López-Pelayo H, Aubin HJ, Drummond C, Dom G, Pascual F, Rehm J, et al. The post-COVID era": Challenges in the treatment of substance use disorder (SUD) after the pandemic [Internet]. Vol. 18, BMC Medicine. BioMed Central; 2020 [cited 2020 Nov 10]. p. 241. Available from: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01693-9
Ju Y, Zhang Y, Wang X, Li W, Ng RMK, Li L. China’s mental health support in response to COVID-19: progression, challenges and reflection. Global Health [Internet]. 2020 Dec 1 [cited 2020 Nov 11];16(1):102. Available from: https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-020-00634-8
Zhang E, LeQuesne E, Fichtel K, Ginsberg D, Frankle WG. In-patient psychiatry management of COVID-19: rates of asymptomatic infection and on-unit transmission. BJPsych Open [Internet]. 2020 Sep [cited 2020 Nov 11];6(5). Available from: /pmc/articles/PMC7463133/?report=abstract
Vieta E, Pérez V, Arango C. Psychiatry in the aftermath of COVID-19. Rev Psiquiatr Salud Ment [Internet]. 2020 Apr [cited 2020 Sep 16];13(2):105–10. Available from: www.elsevier.es/saludmental
Boland X, Dratcu L. COVID-19 and acute inpatient psychiatry: the shape of things to come. Int J Psychiatry Clin Pract [Internet]. 2020 Aug 5 [cited 2020 Sep 16];5(2):1-3. Available from: https://pubmed.ncbi.nlm.nih.gov/32755472/
Wei N, Huang B, Lu S, Hu J, Zhou X, Hu C, et al. Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. J Zhejiang Univ B [Internet]. 2020 May 1 [cited 2020 Sep 16];21(5):400-4. Available from: https://pubmed.ncbi.nlm.nih.gov/32425006/
Hsu S-T, Chou L-S, Chou FH-C, Hsieh K-Y, Chen C-L, Lu W-C, et al. Challenge and strategies of infection control in psychiatric hospitals during biological disasters—From SARS to COVID-19 in Taiwan. Asian J Psychiatr [Internet]. 2020 Dec 1 [cited 2020 Sep 16];54(3):102270. Available from: /pmc/articles/PMC7320715/?report=abstract
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Derechos de autor 2022 Mayra Cuenca, Dr Ivan Sandoval
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
