Rehabilitación de personas con trastorno mental grave

Una revisión sistemática sobre el uso de tecnologías de la información

  • Luis Valero Aguayo Departamento Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología y Logopedia, Universidad de Málaga, España
  • Angel Ureña García Departamento Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología y Logopedia, Universidad de Málaga, España
Palabras clave: trastorno mental grave, nuevas tecnologías, remediación cognitiva, revisión sistemática

Resumen

Introducción: Los trastornos mentales graves (TMG) constituyen un problema de salud creciente, por el aumento de la morbilidad y mortalidad asociados a ella. El tratamiento de personas con TMG incluye la posibilidad de utilizar nuevas tecnologías que ayuden en el proceso de recuperación personal. Objetivo: Revisar y resumir los distintos tipos de intervenciones que se aplican en personas con TMG y delimitar su eficacia y calidad. Método: Se llevó a cabo una revisión sistemática en las bases de datos: Science Direct, Scopus, PsycLit, OT Seeker, Proquest, Dialnet y Scholar Google, y se evaluó la calidad de los estudios mediante la Downs and Black Checklist. En la revisión final se incluyeron 28 estudios. Resultados: La mayoría se ha realizado sobre personas con esquizofrenia y otros trastornos psicóticos, con tamaño del efecto medio. Esos estudios han utilizado terapia asistida por ordenador, dispositivos móviles, videojuegos y realidad virtual. La terapia de remediación cognitiva es la que más utiliza tecnología, con una mejoría significativa en conductas cognitivas. Conclusión: Estas tecnologías tienen potencial para mejorar los programas para personas con TMG. Sin embargo, se requiere de más y mejor investigación con mayor calidad metodológica, para valorar de forma fiable su implementación y eficacia.

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American Psychiatric Association. (2018). DSM-5: Manual de diagnóstico y estadístico de los trastornos mentales. Editorial Médica Panamericana.

Angera, J. A., Gunning, F. M., & Areán, P. A. (2017). Improving late life depression and cognitive control through the use of therapeutic video game technology: A proof-of-concept randomized trial. Depresion & Anxiety, 34(6), 508-517. doi:10.1002/da.22588

Barceló, A., Baños, R. M., López-del-Hoyo, Y., Mayoral, F., Gili, M., García-Palacios, A., García-Campayo, J., & Botella, C. (2019). Interventions of computerized psychotherapies for depression in primary care in Spain. Actas Españolas de Psiquiatría, 47(6), 236-246. http://www.actaspsiquiatria.es/repositorio//21/122/ENG/21- 122-ENG-236-46-459497.pdf

Ben-Zeev, D., Brian, R. M., Jonathan, G., Razzano, L., Pashka, N., Carpenter-Song, E., Drake, R. E., & Scherer, E. A. (2018). Mobile health (mHealth) versus clinic-based group intervention for people with serious mental illness: A randomized controlled trial. Psychiatric Services, 69(9), 978-985. doi:10.1176/appi.ps.201800063

Benda, N., Alexopoulos, G. S., Marino, P., Sirey, J. A., Kosses, D., & Ancker, J. S. (2020). The age limit does not exist: A pilot usability assessment of a SMS-messaging and smartwatch-based intervention for older adults with depression. AMIA Annual Symposium Proceedings, 213-222. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075500/pdf/053_3413354.pdf

Berry, N., Lobban, F., & Bucci, S. (2019). A qualitative exploration of service user views about using digital health interventions for self-management in severe mental health problems. BMC Psychiatry, 19, 35. doi:10.1186/ s12888-018-1979-1

Brun, G., Verdoux, H., Couhet, G., & Quiles, C. (2018). Computer-assisted therapy and video games in psychological rehabilitation for schizophrenia patients. L’encephale, 44(4), 363-371. doi:10.1016/j.encep.2017.12.009

Buonocore, M., Agostoni, G., Bechi, M., Ingusciio, E., Gritti, D., Anchora, L., Spangaro, M., Cocci, F., Bianchi, L., Guglioelmino, C., Sormani, M., Russotti, M., Bosia, M., & Cavallaro, R. (2021). Cognitive remediation for inpatients with schizophrenia: Effects of a brief and intensive training. The Journal of Nervous and Mental Disease, 209(1), 76-81. doi:NMD.00000000000001262

Byrce, S. D., Rossell, S. L., Lee, S. J., Lawrence, R. J., Tan, E. J., Carruthers, S. P., & Ponsford, J. L. (2018). Neurocognitive and self-efficacy benefits on cognitive remediation in schizophrenia: A randomized controlled trial. Journal of the International Neuropsychological Society, 24(6), 549-562. doi:10.1017/ S1355617717001369

Callan, J. A., Wright, J., Siegle, G. J., Howland, R. H., & Kepler, B. B. (2017). Use of computer and mobile technologies in the treatment of depression. Archives of Psychiatric Nursing, 31(3), 311-318. doi:10.1016/j.apnu.2016.10.002

Cella, M., Okruszek, L., Lawrence, M., Zarlenga, V., He, Z., & Wykes, T. (2018). Using wearable technology to detect the autonomic signature of illness severity in schizophrenia. Schizophrenia Research, 195, 537-542. doi:10.1016/j.schres.2017.09.028

Depp, C. A., Moore, R. C., Perivoliotis, D., & Granholm, E. (2016). Technology to assess and support self-management in serious mental illness. Dialogues in Clinical Neuroscience, 18(2), 171-183. doi:10.31887/DCNS.2016.18.2/cdepp

Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology Community Health, 52(6), 377-384. doi:10.1136/jech.52.6.377

Du Sert, O. P., Potvin, S., Lipp, O., Dellazizzo, L., Laurelli, M., Breton, R., Lalonde, P., Phraxayavong, K., O’Connor, K., Pelletier, J. F., Bourkhalfi, T., Renaud, P., & Dumais, A. (2018). Virtual reality therapy for refractory auditory verbal hallucinations in schizophrenia: A pilot clinical trial. Schizophrenia Research, 197, 176-181. doi:10.1016/j.schres.2018.02.031

Estévez, F. (2016). Comunidades web como herramienta para la promoción de la salud y prevención de enfermedades. Revista Española de Comunicación en Salud, 3-8. https://e-revistas.uc3m.es/index.php/RECS/article/view/3421/2072

Garrido, G., Penadés, R., Barrios, M., Aragay, N., Ramos, I., Vallés, V., Faixa, C., & Vendrell, J. M. (2017). Computer-assisted cognitive remediation therapy in schizophrenia: Durability of the effects and cost-utility analysis. Psychiatry Research, 254, 198-204. doi:10.1016/j.psychres.2017.04.065

Hamada, K., & Fan, X. (2020). The impact of COVID-19 on individuals living with serious mental illness. Schizophrenia Research, 222, 3-15. doi:10.1016/j.schres.20202.05.054

Iwata, K., Matsuda, Y., Sato, S., Furukawa, S., Watanabe, Y., Hatsuse, N., & Ikebuchi, E. (2017). Efficacy of cognitive rehabilitation using computer software with individuals living with schizophrenia: A randomized controlled trial in Japan. Psychiatric Rehabilitation Journal, 40(1), 4-11. doi:10.1037/prj0000232

Jaeschke, K., Hanna, F., Ali, S., Chowdhary, N., Dua, T., & Charlson, F. (2021). Global estimates of service coverage for severe mental disorders: Findings from the WHO Mental Health Atlas, 2017. Global Mental Health, 8, E27. doi:10.1017/gmh.2021.19

Jameel, L., Valmaggia, L., Barnes, G., & Cella, M. (2022). mHealth technology to assess, monitor and treat daily functioning difficulties in people with severe mental illness: A systematic review. Journal of Psychiatric Research, 145, 35-49. doi:10.1016/j.jpsychires.2021.11.033

Li, H., Yang, S., Chi, H., Xu, L., Zhang, T., Singleton, G., Tang, Y., Stone, W. S., & Wand, J. (2021). Enhancing attention and memory of individuals at clinical high risk for psychosis with mHealth technology. Asian Journal of Psychiatry, 58, doi:10.1016/j.ajp.2021.102587

Lindenmayer, J. P., Khan, A., McGurk, S. R., Kulsa, M. K. C., Ljuri, I., Ozog, V., Fragenti, S., Capodilupo, G., Buccellato, K., Thanju, A., Goldring, A., Parak, M., & Parker, B. (2018). Does social cognition training augment response to computer-assisted cognitive remediation for schizophrenia?. Schizophrenia Research, 201, 180-186. doi:10.1016/j.schres.2018.06.012

Lumme, S., Pirkola, S., Manderbacka, K., & Keskimäki, I. (2016). Excess mortality in patients with severe mental disorders in 1996-2010 in Finland. PlosOne 11(3), e015223. doi:10.1371/journal.pone.0152223

Mahncke, H. W., Kim, S. J., Rose, A., Stasio, C., Buckley, P., Caroff, S., Duncan, E., Yasmin, S., Jarskog, L. F., Lamberti, J. S., Nuechterlein, K., Strassning, M., Velligan, D., Ventura, J., Walker, T., Stroup, T. S., & Keefe, R. S. E. (2019). Evaluation of a plasticity-based cognitive training program in schizophrenia: Results from the eCaesar trial. Schizophrenia Research, 208, 182-189. doi:10.1016/j.schres.2019.03.006

Mak, M., Tyburski, E., Starkowska, A., Karabanowicz, E., Samochowie, A., & Samachowiec, J. (2019). The efficacy of computer-based cognitive training for executive dysfunction in schizophrenia. Psychiatric Research, 279, 62-70. doi:10.1016/j.psychres.2019.06.041

Mateu, J. M., & Navarro, N. (2015). Claves y evidencias del uso de las TIC en trastorno mental. Psychology, Society & Education, 7(1), 85-95. https://dialnet.unirioja.es/descarga/articulo/6360125.pdf

Medina, P., Medina, E., & González, T. (2023). La promoción de la educación en salud a través de las mobile apps: Un estudio cuantitativo sobre los mejores hospitales del mundo. Revista Española de Comunicación en Salud, 14(1), 22-34. doi:10.20318/recs.2023.7429

Merchant, R., Torous, J., Rodríguez-Villa, E., & Naslund, J.A. (2020). Digital technology for management of severe mental disorders in low- and middle-income countries. Current Opinion Psychiatry, 33(5), 501-507. doi:10.1097/YCO.000000000626

Miklowitz, D. J., Weintraub, M. J., Posta, F., Walshaw, P. D., Frey, S. J., Morgan-Fleming, G. M., Wilkerson, C. A., Denenny, D. N., & Arevian, A. A. (2021). Development and open trial of a technology-enhanced family intervention for adolescents at risk for mood disorders. Journal of Affective Disorders, 281, 438-446. doi:10.1016/j.jad.2020.12.012

Moher, D., Liaberati, A., Tetzlaff, J., Altman, D. G., & Grupo PRISMA (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLOS Med, 6:e1000097. doi:10.14306/renhyd.18.3.114

Morimoto, T., Matsuda, Y., Matsuoka, K., Yasuno, F., Ikebuchi, E., Kameda, H., Taoka, T., Miyasaka, T., Kichikawa, K., & Kishimoto, T. (2018). Computer-assisted cognitive remediation therapy increases hippocampal volume in patients with schizophrenia: A randomized controlled trial. BMC Psychiatry, 18, 83. doi:10.1186/s12888- 018-1667-1

Moura, B. M., Avila, A., Chendo, I., Frade, P., Barandas, R., Vian, J., Croca, M., Roberto, A., Almeida, C., Antunes, F., Linhares, L., Crawford, J., Ferreira, C., Santos, J., Abreu, M., Levy, P., Figueira, M. L., & Mendes, T. (2019). Facilitating the delivery of cognitive remediation in first-episode psychosis: Pilot study of a home-delivered web-based intervention. The Journal of Nervous and Mental Disease, 207(11), 951-957. doi:10.1097/NMD.0000000000001055

Nahum, M., Lee, H., Fisher, M., Green, M. F., Hooker, C. I., Ventura, J., Jordan, J. T., Rose, A., Kim, S. J., Haut, K. M., Merzenich, M. M., & Vinogradov, S. (2021). On line social cognition training in schizophrenia: A double-blind, randomized, controlled multi-site clinical trial. Schizophrenia Bulletin, 47(1), 108-117. doi:10.1093/schbul/sbaa085

Narita, S., Ohtani, N., Waga, C., Ohta, M., Ishigooka, J., & Iwahashi, K. 82016). A pet-type robot artificial intelligence robot-assisted therapy for a patient with schizophrenia. Asia-Pacific Psychiatry, 8(4), 312-313. doi:10.1111/appy.12233

Naslund, J. A., Aschbrenner, K. A., Araya, R., Marsch, L. A., Unützer, J., Patel, V., & Bartels, S. J. (2017). Digital technology for treating and preventing mental disorders in low-income and middle-income countries: A narrative review of the literature. The Lancet Psychiatry, 4(6), 486-500. doi:10.1016/S2215-0366(17)30096- 2

Niendam, T. A., Tully, L. M., Losif, A. M., Kamar, D., Nye, K.E., Denton, J. C., Zakskorn, L. N., Fedechko, T. L., & Pierce, K. M. (2018). Enhancing early psychosis treatment using smartphone technology: A longitudinal feasibility and validity study. Journal of Psychiatric Research, 96, 239-246. doi:10.1016/j.jpsychires.2017.10.017

Prikken, M., Konings, M. J., Lei, W. U., Begemann, M. J. H., Iris, & Sommer, I. E. C. (2019). The efficacy of computerized cognitive drill and practice training for patients with a schizophrenia-spectrum disorders: A meta-analysis. Schizophrenia Research, 204, 368-374. doi:10.1016/j.schres.2018.07.034

Resta, E., Brunone, L., D’Amico, F., & Desideri, L. (2021). Evaluating a low-cost technology to enable people with intellectual disability or psychiatric disorders to initiate and perform functional daily activities. International Journal of Research and Public Health, 18(18), 9659. doi:10.3390/ijerph18189659

Rodríguez-Quiroga, A., Buiza, C., Álvarez de Mon, M. A., & Quintero, J. (2020). COVID-19 y salud mental. Medicine, 13(23), 1285-1296. doi:10.1016/j.med.2020.12.010

Röhricht, F., Padmanabhan, R., Binfield, P., Mavji, D., & Barlow, S. (2021). Simple mobile technology health management tool for people with severe mental illness: A randomised controlled feasibility trial. BMC Psychiatry, 21, 357. doi:10.1186/s12888-021-03359-z

Rootes-Murdy, K., Glazer, K. L. Van Wert, M. J., Mondimore, F. M:, & Zandi, P. P. (2018). Journal of Affective Disorders, 227, 613-617. doi:10.1016/j.jad.2017.11.022

Rus-Calafell, A., Gutiérrez-Maldonado, J., & Ribas-Sabaté, J. (2014). A virtual reality-integrated program for improving social skills in patients with schizophrenia: A pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 81-89. doi:10.1016/j.jbtep.2013.09.002

Ryan, K. A., Babu, P., Easter, R., Saunders, E., Lee, A. J., Klasnja, P., Verchinina, L., Micol, V., Doil, B., McInnis, M. G., & Kilbourne, A. M. (2020). A smartphone app to monitor mood symptoms in bipolar disorder: Development and usability study. JMIR Mental Health, 7(9): e19476. doi:10.2196/19476 73

Sandoval, L. R., Buckey, J. C., Ainslie, R., Tombari, M., Stone, W., & Hegel , M. T. (2017). Randomized controlled trial of a computerized interactive media-based problem-solving treatment for depression. Behavior Therapy, 48(3), 413-425. doi:10.1016/j.beeth.2016.04.001

Seppälä, J., De Vita, I., Jämsa, T., Miettunen, J., Isohanni, M., Rubinstein, K., Feldman, Y., Grasa, E., Corripio, I., Berdun, J., D’Amico, E., & M-Resist Group (2019). Mobile phone and wearable sensor-based mHealth approaches for psychiatric disorders and symptoms: Systematic review. JMIR Mental Health, 6(2):e9819. doi:10.2196/mental.9819

Stafaniak, I., Sorokosz, K., Janicki, A., & Wciorka, J. (2019). Therapy based on avatar-therapist synergy for patients with chronic auditory hallucinations: A pilot study. Schizophrenia Research, 211, 115-117. doi:10.1016/j.schres.2019.05.036

Sukut, O., & Balik, C. H. A. (2021). The impact of COVID-19 pandemic on people with severe mental illness. Perspectives in Psychiatric Care, 57(2), 953-956. doi:10.1111/ppc.12618

Tan, S., Zhu, X., Fan, H., Tan, Y., Yang, F., Wang, Z., Zhao, Y., Fan, F., Guo, J., Li, Z., Quan, W., Wang, X., Reeder, C., Zhou, D., Zou, Y., & Wykes, T. (2018). Who will benefit from computerized cognitive remediation therapy? Evidence from a multisite randomized controlled study in schizophrenia. Psychological Medicine 50(10), 1633-1643. doi:10.1017/S0033291719001594

Vaidyam, A. N., Wisniewski, H., Halamka, J.D., Kashavan, M. S., & Torous, J. B. (2019). Chatbots and conversational agents in mental health: A review of the psychiatric landscape. The Canadian Journal of Psychiatry, 64(7), 456-464. doi:10.1177/0706743719828977

Von Maffei, C., Görges, F., Kissling, W., Schreiber, W., & Rummel-Kluge, C. (2015). Using films as a psychoeducation tool for patients with schizophrenia: A pilot study using a quasi-experimental pre-post design. BMC Psychiatry, 15, 93. doi:10.1186/s12888-015-0481-2

Wells, M. J., Owen, J. J., McCray, L. W., Bishop, L. B., Eells, T. D., Brown, G. K., Richards, D., Thase, M. E., & Wright, J. H. (2018). Computer-assisted cognitive-behavior therapy for depression in primary care: Systematic review and meta-analysis. Primary Care Companison CNS Disord, 20(2):17r02196. doi:10.4088/PCC.17r02196

World Health Organization. (2021). Mental Health Atlas 2020. Geneve: World Health Organization. https://www.who.int/publications/i/item/9789240036703

Wright, J. H., Owen, J. J., Richards, D., Eells, T. D., Richardson, T., Brown, G. K., Barrer, M., Rasky, M. A., Polser, G., & Thase, M. E. (2019). Computer-assisted cognitive-behavior therapy for depression: A systematic review and meta-analysis. Journal of Clinical Psychiatry, 80(2):18r12188. doi:10.4088/JCP.18r12188

Zhu, X., Fan, H., Fan, F., Zhao, Y., Tan, Y., Yank, F., Wang, Z., Xue, F., Xiao, C., Li, W., Li, Z., Ma, L., Zou, Y., & Tan, S. (2020). Improving social functioning in community-dwelling patients with schizophrenia: A randomized controlled computer cognitive remediation therapy trial with six months follow-up. Psychiatry Research, 287, 112913. doi:10.1016/j.psychres.2020.112913

Publicado
2023-11-23
Cómo citar
Valero Aguayo, L., & Ureña García, A. (2023). Rehabilitación de personas con trastorno mental grave: Una revisión sistemática sobre el uso de tecnologías de la información. REVISTA ESPAÑOLA DE COMUNICACIÓN EN SALUD, 14(2), 55-73. https://doi.org/10.20318/recs.2023.7326
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