Health psychology on long COVID: Strategies based on NICE and WHO guidelines recommendations
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Resumen
Objetivo. Elaborar una revisión narrativa sobre la literatura psicológica que ofrece estrategias de intervención acordes a las recomendaciones de las guías de manejo del COVID persistente propuestas por la OMS y el NICE.
Método. Se consultaron las bases de datos MEDLINE, EBSCO, Google Scholar, SciELO, PsycINFO, PubMed, Cochrane y CONRICYT. Se utilizaron operadores booleanos y palabras claves para una búsqueda exhaustiva.
Resultados. Las aportaciones de los estudios fueron categorizadas en cinco estrategias de intervención basadas en las guías de recomendación de la OMS y el NICE: Psicoeducación, Autocuidado, Redes de apoyo, Relajación y Establecimiento de metas. En ellas se realiza una breve introducción y se expone su relevancia para el manejo de la sintomatología del COVID persistente.
Discusión y conclusión. El padecimiento persistente de los síntomas del COVID-19 hace necesario reconocer que deben realizarse cambios en el estilo de vida, principalmente enfocados en el cuidado de la salud y la prevención del empeoramiento de las secuelas de la enfermedad. Estos cambios en el estilo de vida podrán lograrse mediante la modificación de la conducta, orientándola a factores protectores como la educación, el autocuidado, las redes de apoyo, las técnicas de relajación y el establecimiento de metas adecuadas.
Referencias
Office for National Statistics. (2021).Updated estimates of the prevalence of long COVID symptoms. Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/adhocs/12788updatedestimatesoftheprevalenceoflongCOVIDsymptoms
Alarcón-Mora, C., Hernández-Barrera, L., Argüelles-Nava, V., & Campos-Uscanga, Y. (2017). Apoyo social y su asociación con el autocuidado de la dietaen personas con diabetes. Lisberabit, 23(1), 111-121. doi: 10.24265/liberabit.2017.v23n1.08
Arden, M. A., & Chilcot, J. (2020). Health psychology and the coronavirus (COVID-19) global pandemic: A call for research. British Journal of Health Psychology, 25(2), 231-232. doi: 10.1111/bjhp.12414
Ashton, J. (2020). Long COVID - What doesn’t kill you may not make you stronger. Journal of the Royal Society of Medicine, 113(11), 466-467. doi: 10.1177/0141076820971225
Baig, A. M. (2021). Chronic COVID syndrome: Need for an appropriate medical terminology for long-COVID and COVID long-haulers. Journal of Medical Virology, 93(5), 2555-2556. doi: 10.1002/jmv.26624
Bazán, G. (2003). Contribuciones de la psicología de la salud en el ámbito hospitalario de México. Psicología y Ciencia Social, 5(1), 20-26. Retrieved from https://www.redalyc.org/pdf/314/31411284003.pdf
Belomé, C., & Ondere, J. (2017). Aplicações da Psicoeducação no Contexto da Saúde. Trends in Psychology/Temas em Psicologia, 25(1), 17-28. doi: 10.9788/tp2017.1-02.
Callard, F., & Perego, E. (2021). How and why patients made Long Covid. Social Science & Medicine, 268, 113426. doi: 10.1016/j.socscimed.2020.113426
Callus, E., Bassola, B., Fiolo, V., Bertoldo, E. G., Pagliuca, S., & Lusignani, M. (2020). Stress Reduction Techniques for Health Care Providers Dealing With Severe Coronavirus Infections (SARS, MERS, and COVID-19): A Rapid Review. Frontiers in Psychology, 11, 589698. doi: 10.3389/fpsyg.2020.589698
Cancio-Bello, C., Barcenas, J., & Martín, C. (2020). Autocuidado en las esferas de la vida cotidiana. Alternativas Cubanas en Psicología, 8(24), 28-39. Retrieved from https://www.researchgate.net/profile/Jany-Barcenas-Alfonso/publication/344149522_AUTOCUIDADO_EN_LAS_ESFERAS_DE_LA_VIDA_COTIDIANA/links/5f557af292851c250b995f89/AUTOCUIDADO-EN-LAS-ESFERAS-DE-LA-VIDA-COTIDIANA.pdf
Cancio-Bello, C., Lorenzo, A., & Alarcó, G. (2020). Autocuidado: una aproximación teórica al concepto. Informes Psicológicos, 20(2), 119-138. doi: 10.18566/infpsic.v20n2a9
Cheng, P., Xia, G., Pang, P., Wu, B., Jiang, W., Li, Y., … Bi, X. (2020). COVID-19 Epidemic Peer Support and Crisis Intervention Via Social Media. Community Mental Health Journal, 56(5), 786-792. doi: 10.1007/s10597-020-00624-5
Colineau, N., & Paris, C. (2010). Motivating reflection about health within the family: the use of goal setting and tailored feedback. User Modeling and User-Adapted Interaction, 21(4-5), 341-376. doi: 10.1007/s11257-010-9089-x
Dani, M., Dirksen, A., Taraborrelli, P., Torocastro, M., Panagopoulos, D., Sutton, R., & Lim, P. B. (2021). Autonomic dysfunction in ‘long COVID’: rationale, physiology and management strategies. Clinical Medicine, 21(1), e63-e67. doi: 10.7861/clinmed.2020-0896
Edwards, E., Janney, C. A., Mancuso, A., Rollings, H., VanDenToorn, A., DeYoung, M., … Eastburg, M. (2020). Preparing for the Behavioral Health Impact of COVID-19 in Michigan. Current Psychiatry Reports, 22(12), 88. doi: 10.1007/s11920-020-01210-y
Freedland, K. E, Dew, M. A., Sarwer, D. B., Burg, M. M., Hart, T. A., Ewing, S., … Kaufmann, P. G. (2020). Health psychology in the time of COVID-19. Health Psychology, 39(12), 1021-1025. doi: 10.1037/hea0001049
Galindo-Vázquez, O., Ramírez-Orozco, M., Costas-Muñiz, R., Mendoza-Contreras, L., Calderillo-Ruíz, G., & Meneses-García, A. (2020). Síntomas de ansiedad, depresión y conductas de autocuidado durante la pandemia de COVID-19 en la población general. Gaceta Médica de México, 156, 298-305. doi: 10.24875/GMM.20000266
Giebel, C., Lord, K., Cooper, C., Shenton, J., Cannon, J., Pulford, D., … Gabbay, M. (2021). A UK survey of COVID-19 related social support closures and their effects on older people, people with dementia, and carers. International Journal of Geriatric Psychiatry, 36(3), 393-402. doi: 10.1002/gps.5434
Gómez, A. (2017). Predictores psicológicos del autocuidado en salud. Hacia la Promoción de la Salud, 22(1), 101-112. doi: 10.17151/hpsal.2017.22.1.8
Gorna, R., MacDermott, N., Rayner, C., O’Hara, M., Evans, S., Agyen, L., … Hastie, C. (2021). Long COVID guidelines need to reflect lived experience. Lancet, 397(10273), 455-457. doi: 10.1016/S0140-6736(20)32705-7
Graham, E. L., Clark, J. R., Orban, Z. S., Lim, P. H., Szymanski, A. L., Taylor, C., … Koralnik, I. J. (2021). Persistent neurologic symptoms and cognitive dysfunction in non-hospitalized Covid-19 “long haulers”. Annals of Clinical and Translational Neurology, 8(5), 1073-1085. doi: 10.1002/acn3.51350
Halpin, S., O’Connor, R., & Sivan, M. (2021). Long COVID and chronic COVID syndromes. Journal of Medical Virology, 93(3), 1242-1243. doi: 10.1002/jmv.26587
Hansel, T. C., Saltzman, L. Y., & Bordnick, P. S. (2020). Behavioral Health and Response for COVID-19. Disaster Medicine and Public Health Preparedness, 14(5), 670-676. doi: 10.1017/dmp.2020.180
Higgins, V., Sohaei, D., Diamandis, E. P., & Prassas, I. (2020). COVID-19: from an acute to chronic disease? Potential long-term health consequences. Critical Reviews in Clinical Laboratory Sciences, 58(5), 297-310. doi: 10.1080/10408363.2020.1860895
Holguín-Lezcano, A., Arroyave-González, L., Ramírez-Torres, V., Echeverry-Largo, W., & Rodríguez-Bustamante, A. (2020). El autocuidado como un componente de la salud mental del psicólogo desde una perspectiva biopsicosocial. Poiésis, 39, 149-167. doi: 10.21501/16920945.3760
Humphreys, H., Kilby, L., Kudiersky, N., & Copeland, R. (2021). Long COVID and the role of physical activity: a qualitative study. BMJ Open, 11(3), e047632. doi: 10.1136/bmjopen-2020-047632
Jaywant, A., Vanderlind, W. M., Boas, S. J., & Dickerman, A. L. (2021). Behavioral interventions in acute COVID-19 recovery: A new opportunity for integrated care. General Hospital Psychiatry, 69, 113-114. doi: 10.1016/j.genhosppsych.2020.07.001
Khosravi, M. (2020). Stress reduction model of COVID-19 pandemic. Iranian Journal of Psychiatry and Behavioral Sciences, 14(2), e103865. doi: 10.5812/ijpbs.103865
Ladds, E., & Rushforth, A., Wieringa, S., Taylor, S., Rayner, C., Husain, L., & Greenhalgh, T. (2021). Developing services for long COVID: lessons from a study of wounded healers. Clinical Medicine, 21(1), 59-65. doi: 10.7861/clinmed.2020-0962
Ladds, E., Rushforth, A., Wieringa, S., Taylor, S., Rayner, C., Husain, L., & Greenhalgh, T. (2020). Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services. BMC Health Services Research, 20(1), 1144. doi: 10.1186/s12913-020-06001-y
Lambregtse-van den Berg, M., & Quinlivan, J. (2020). Identifying pregnant women at risk of developing COVID-19 related mental health problems - a call for enhanced psychoeducation and social support. Journal of Psychosomatic Obstetrics & Gynecology, 41(4), 249-250. doi: 10.1080/0167482X.2020.1839170
Leta, V., Rodríguez-Violante, M., Abundes, A., Rukavina, K., Teo, J. T., Falup-Pecurariu, C., … Ray Chaudhuri, K. (2021). Parkinson’s Disease and Post-COVID-19 Syndrome: The Parkinson’s Long-COVID Spectrum. Movement Disorders, 36(6), 1287-1289. doi: 10.1002/mds.28622
Llach, C.-D., & Vieta, E. (2021). Mind long COVID: Psychiatric sequelae of SARS-CoV-2 infection. European Neuropsychopharmacology, 49, 119-121. doi: 10.1016/j.euroneuro.2021.04.019
Long COVID: let patients help define long-lasting COVID symptoms (2020). Nature, 586(7828), 170. doi: 10.1038/d41586-020-02796-2
Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis. medRxiv: The Preprint Server for Health Sciences, 2021.01.27.21250617. doi: 10.1101/2021.01.27.21250617
Mahase, E. (2020). Covid-19: What do we know about “long covid”?. BMJ, 370, m2815. doi: 10.1136/bmj.m2815
Mahmoudi, H., Saffari, M., Movahedi, M., Sanaeinasab, H., Rashidi-Jahan, H., Pourgholami, M., … Pakpour, A. H. (2021). A mediating role for mental health in associations between COVID-19-related self-stigma, PTSD, quality of life, and insomnia among patients recovered from COVID-19. Brain and Behavior, 11(5), e02138. doi: 10.1002/brb3.2138
Mandal, S., Barnett, J., Brill, S., Brown, J., Denneny, E., Hare, S., … ARC Study Group. (2020). ‘Long-COVID’: a cross-sectional study of persisting symptoms, biomarker and imaging abnormalities following hospitalisation for COVID-19. Thorax, 76(4), 396-398. doi: 10.1136/thoraxjnl-2020-215818
Mann, T., de Ridder, D., & Fujita, K. (2013). Self-regulation of health behavior: Social psychological approaches to goal setting and goal striving. Health Psychology. 32(5), 487-498. doi: 10.1037/a0028533
Matarazzo, J. (1980). Behavioral health and behavioral medicine: Frontiers for a new health psychology. American Psychologist, 35(9), 807-817. doi: 10.1037//0003-066x.35.9.807
Meeting the Challenge of Long COVID. (2020). Nature Medicine, 26(12), 1803. doi: 10.1038/s41591-020-01177-6
Mendelson, M., Nel, J., Blumberg, L., Madhi, S. A., Dryden, M., Stevens, W., & Venter, F. (2020). Long-COVID: An evolving problem with an extensive impact. South African Medical Journal, 111(1), 10-12. doi: 10.7196/SAMJ.2020.v111i11.15433
Miskowiak, K., Johnsen, S., Sattler, S., Nielsen, S., Kunalan, K., Rungby, J., … Porsberg, C. (2021). Cognitive impairments four months after COVID-19 hospital discharge: Pattern, severity and association with illness variables. European Neuropsychopharmacology, 46, 39-48. doi: 10.1016/j.euroneuro.2021.03.019
Moore, K. A., & Lucas, J. J. (2021). COVID-19distress and worries: The role of attitudes, social support, and positive coping during social isolation. Psychology and Psychotherapy, 94(2), 365-370. doi: 10.1111/papt.12308
Nabavi, N. (2020). Long COVID: How to define it and how to manage it. BMJ, 370, m3489. doi: 10.1136/bmj.m3489
National Institute for Health and Care Excellence [NICE]. (2020a). COVID-19 rapid guideline: managing the long-term effects of COVID-19, 2020. Retrieved from https://www.nice.org.uk/guidance/ng188/resources/COVID19-rapid-guideline-managing-the-longterm-effects-of-COVID19-pdf-66142028400325
National Institute for Health and Care Excellence [NICE]. (2020b). COVID-19 rapid guideline: managing the long-term effects of COVID-19 (NG188): Evidence review 5: interventions. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK567264
Oblitas, L. (2008a). Psicología de la salud: Una ciencia del bienestar y la felicidad. AV. Psicología, 16(1), 9-38. Retrieved from http://www.unife.edu.pe/publicaciones/revistas/psicologia/2008/psicologiasalud.pdf.
Oblitas, L. (2008b). El estado del arte de la psicología de la salud. Revista de Psicología, 26(2), 219-254. Retrieved from http://pepsic.bvsalud.org/pdf/rp/v26n2/v26n2a02.pdf.
Pérez, P., González, A., Mieles, I., & Uribe, A. (2017). Relación del apoyo social, las estrategias de afrontamiento y los factores clínicos y sociodemográficos en pacientes oncológicos. Pensamiento Psicológico, 15(2), 41-54. doi: 10.11144/Javerianacali.PPSI15-2.rase
Rajan, S., Khunti, K., Alwan, N., Steves, C., Greenhalgh, T., MacDermott, N., … McKee, M. (2021). In the wake of the pandemic: preparing for long COVID. World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/339629/Policy-brief-39-1997-8073-eng.pdf
Raveendran, A. V. (2021a). Long COVID-19: Challenges in the diagnosis and proposed diagnostic criteria. Diabetes & Metabolic Syndrome, 15(1), 145-146. doi: 10.1016/j.dsx.2020.12.025
Raveendran, A. V., Jayadevan, R., & Sashidharan, S. (2021b). Long COVID: An overview. Diabetes & Metabolic Syndrome, 15(3), 869-875. doi: 10.1016/j.dsx.2021.04.007
Rondón, J., & Reyes, B. (2019). Introducción al modelo transteórico: rol del apoyo social y de variables sociodemográficas. Revista Electrónica de Psicología Iztacala, 22(3), 2601-2633. Retrieved from http://www.revistas.unam.mx/index.php/repi/article/view/70932/62641
Seidel, E. J., Mohlman, J., Basch, C. H., Fera, J., Cosgrove, A., & Ethan, D. (2020). Communicating Mental Health Support to College Students During COVID-19: An Exploration of Website Messaging. Journal of Community Health, 45(6), 1259-1262. doi: 10.1007/s10900-020-00905-w
Sher, L. (2020a). The impact of the COVID-19 pandemic on suicide rates. QJM: An International Journal of Medicine, 113(10), 707-712. doi: 10.1093/qjmed/hcaa202
Sher, L. (2020b). Are COVID-19 survivors at increased risk for suicide? Acta Neuropsychiatrica, 32(5), 270. doi: 10.1017/neu.2020.21
Sher, L. (2021). Post-COVID syndrome and suicide risk. QJM: An International Journal of Medicine, 114(2), 95-98. doi: 10.1093/qjmed/hcab007
Silva, B., Siqueira, S., de Assis Soares, W. R., de Souza Rangel, F., Santos, N. O., dos Santos Freitas, A., ... Barh, D. (2021). Long-COVID and Post-COVID Health Complications: An Up-to-Date Review on Clinical Conditions and Their Possible Molecular Mechanisms. Viruses, 13(4), 700. doi: 10.3390/v13040700
Simpson, F., Chew-Graham, C., & Lokugamage, A. (2021). Long COVID in children: the perspectives of parents and children need to be heard. British Journal of General Practice, 71(706), 216. doi: 10.3399/bjgp21X715769
Sivan, M., & Taylor, S. (2020). NICE guideline on long covid. BMJ, 371, m4938. doi: 10.1136/bmj.m4938
Smith, G., Harman, S., & Brenner, K. (2020). Flattening the curve of distress: A public-facing webinar for psychoeducation during COVID-19. Patient Experience Journal, 7(2), 151-155. doi: 10.35680/2372-0247.1497
Stefano, G. (2021). Historical Insight into Infections and Disorders Associated with Neurological and Psychiatric Sequelae Similar to Long COVID. Medical Science Monitor, 27, e931447. doi: 10.12659/MSM.931447
Strecher, V. J., Seijts, G. H., Kok, G. J., Latham, G. P., Glasgow, R., DeVellis, B., … Bulger, D. W. (1995). Goal setting as a strategy for health behavior change. Health Education Quarterly, 22(2), 190-200. doi: 10.1177/109019819502200207
Sudre, C. H., Murray, B., Varsavsky, T., Graham, M. S., Penfold, R. S., Bowyer, R. C., … Steves, C. J. (2021). Attributes and predictors of long COVID. Nature Medicine, 27(4), 626-631. doi: 10.1038/s41591-021-01292-y
Sykes, D. L., Holdsworth, L., Jawad, N., Gunasekera, P., Morice, A. H., & Crooks, M. G. (2021). Post-COVID-19 Symptom Burden: What is Long-COVID and How Should We Manage It? Lung, 199(2), 113-119. doi: 10.1007/s00408-021-00423-z
Taboada, M., Moreno, E., Cariñena, A., Rey, T., Pita-Romero, R., Leal, S., … Seoane-Pillado, T. (2021). Quality of life, functional status, and persistent symptoms after intensive care of COVID-19 patients. British Journal of Anaesthesia, 126(3), e110-e113. doi: 10.1016/j.bja.2020.12.007
Taj, R. (2020). How to combat COVID stress syndrome. Annals of Pakistan Institute of Medical Sciences, 16(4), 158-160. Retrieved from https://www.apims.net/index.php/apims/article/download/424/286/1226
The Lancet Neurology (2021). Long COVID: understanding the neurological effects. The Lancet. Neurology, 20(4), 247. https://doi.org/10.1016/S1474-4422(21)00059-4
Venkatesan, P. (2021). NICE guideline on long COVID. The Lancet. Respiratory Medicine, 9(2), 129. doi: 10.1016/S2213-2600(21)00031-X
Wan, L.-H., Zhang, X.-P., Mo, M.-M., Xiong, X.-N., Ou, C.-L., You, L.-M., … Zhang, M. (2016). Effectiveness of Goal-Setting Telephone Follow-Up on Health Behaviors of Patients with Ischemic Stroke: A Randomized Controlled Trial. Journal of Stroke and Cerebrovascular Diseases, 25(9), 2259-2270. doi: 10.1016/j.jstrokecerebrovasdis.2016.05.010
World Health Organization [WHO]. (2020). Support for rehabilitation: self-management after COVID-19 related illness, 2020. Retrieved from https://apps.who.int/iris/handle/10665/344472
Yelin, D., Margalit, I., Yahav, D., Runold, M., & Bruchfeld, J. (2021). Long COVID-19-it’s not over until? Clinical Microbiology and Infection, 27(4), 506-508. doi: 10.1016/j.cmi.2020.12.001
Zhang, H., Li, A., Zhu, B., Niu, Y., Ruan, Z., Liu, L., ... Wang, H. (2022). COVID-19 pandemic: Study on simple, easy, and practical relaxation techniques while wearing medical protective equipment. Psychological Medicine, 52(7), 1386-1392. doi: 10.1017/S0033291720003220
Zinchenko, Y., Morosanova, V., Kondratyuk, N., & Fomina, T. (2020). Conscious self-regulation and self-organization of life during the COVID-19 pandemic. Psychology in Russia, 13(4), 168-182. doi: 10.11621/pir.2020.0411
