Retos en el desarrollo de intervenciones psicológicas y la práctica asistencial en salud mental

  1. Miquel Tortella-Feliu
  2. Carmelo Vázquez
  3. Carmen Valiente
  4. Soledad Quero
  5. Joaquim Soler
  6. Ignacio Montorio
  7. Susana Jiménez-Murcia
  8. Gonzalo Hervás
  9. Azucena García-Palacios
  10. Javier García-Campayo
  11. Fernando Fernández-Aranda
  12. Cristina Botella
  13. Neus Barrantes
  14. Rosa M. Baños
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2016

Volumen: 27

Número: 2

Páginas: 65-71

Tipo: Artículo

DOI: 10.1016/J.CLYSA.2016.03.002 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Objetivos de desarrollo sostenible

Resumen

Aunque hemos avanzado notablemente en el desarrollo de recursos preventivos y especialmente, en la eficacia de los tratamientos psicológicos que intentan paliar los trastornos mentales, estamos aún lejos de la situación óptima. Este trabajo se centra en dos grandes cuestiones que consideramos retos y necesidades fundamentales en este ámbito: (a) la necesidad de mejorar y extender la prevención, la intervención temprana y la promoción de la salud mental y (b) la necesidad de una mayor divulgación de los tratamientos psicológicos eficaces, el desarrollo de nuevas intervenciones y la mayor comprensión de los mecanismos de acción de los tratamientos psicológicos. El objetivo es promover la discusión entre los agentes implicados y reflexionar sobre las líneas de trabajo que creemos prioritarias.

Referencias bibliográficas

  • Agüera, L.F., Reneses, B., Muñoz, P.. (1996). Enfermedad mental en atención primaria. Flas. Madrid.
  • Ahn, W., Proctor, C.C., Flanagan, E.H.. (2009). Mental health clinicians' beliefs about the biological, psychological, and environmental bases of mental disorders. Cognitive Science. 33. 147
  • Avia, M.D., Vázquez, C.. (2011). Optimismo inteligente: Psicología de las emociones positivas. 2. Alianza Editorial. Madrid.
  • Beesdo, K., Knappe, S., Pine, D.S.. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America. 32. 483-524
  • Bloom, D.E., Cafiero, E.T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S.. (2011). The Global Economic Burden of Non-communicable Diseases. World Economic Forum. Ginebra.
  • Cahill, J., Barkham, M., Stiles, W.B.. (2010). Systematic review of practice-based research on psychological therapies in routine clinic settings. British Journal of Clinical Psychology. 49. 421
  • Castelnuovo, G.. (2010). Empirically supported treatments in psychotherapy: Towards an evidence-based or evidence-biased psychology in clinical settings?. Frontiers in Psychology. 1.
  • Chase, J.A.. (2013). Physical activity interventions among older adults: a literature review. Research and Theory in Nursing Practice. 27. 53-80
  • Clark, D.M.. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience. International Review of Psychiatry. 23. 375
  • Conwell, Y. (2014). Suicide later in life: challenges and priorities for prevention. American Journal of Preventive Medicine. 47. 244-450
  • Craske, M.G.. (2012). Transdiagnostic treatment for anxiety and depression. Depression and Anxiety. 29. 749
  • Cristea, I.A., Kok, R.N., Cuijpers, P. (2015). Efficacy of cognitive bias modification interventions in anxiety and depression: meta-analysis. British Journal of Psychiatry. 206. 7-16
  • Cuijpers, P., Marks, I., van, A., Cavanagh, K., Andersson, G. (2009). Computer-aided psychotherapy for anxiety disorders: A meta-analytic review. Cognitive Behaviour Therapy. 38. 66-82
  • Davis, M., Suveg, C. (2014). Focusing on the Positive: A Review of the Role of Child Positive Affect in Developmental Psychopathology. Clinical Child and Family Psychology Review. 17. 97-124
  • (2008). IAPT Implementation Plan: National Guidelines for Regional Delivery.
  • DeRubeis, R.J., Cohen, Z.D., Forand, N.R., Fournier, J.C., Gelfand, L.A., Lorenzo-Luaces, L.. (2014). The Personalized Advantage Index: translating research on prediction into individualized treatment recommendations. A demonstration. PLoS One. 9.
  • DiClemente, C.C., Schlundt, D., Gemmell, L. (2004). Readiness and stages of change in addiction treatment. American Journal on Addictions. 13. 103
  • Dimidjian, S., Hollon, S.D.. (2011). Introduction. Special Issue: What can be learned when empirically supported treatments fail. Cognitive and Behavioral Practice. 18. 303
  • Duque, A., López-Gómez, I., Blanco, I., Vázquez, C. (2015). Modificación de Sesgos Cognitivos (MSC) en depresión: Una revisión crítica de nuevos procedimientos para el cambio de sesgos cognitivos. Terapia Psicológica. 33. 103
  • Essau, C.A., Conradt, J., Sasagawa, S., Ollendick, T.H.. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy. 43. 450
  • Fairburn, C., Cooper, Z., Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A "transdiagnostic" theory and treatment. Behaviour Research and Therapy. 41. 509
  • Fernández, A., Haro, J.M., Codony, M., Vilagut, G., Martínez-Alonso, M., Autonell, J.. (2006). Treatment adequacy of anxiety and depressive disorders: Primary versus specialised care in spain. Journal of Affective Disorders. 96. 9-20
  • García-Campayo, J., Cebolla, A., Baños, R.M.. (2014). Trastornos de conducta alimentaria y atención primaria: el desafío de las nuevas tecnologías. Atención Primaria. 46. 229
  • Gu, J., Strauss, C., Bond, R., Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing?: A systematic review and meta-analysis of mediation studies. Clinical Psychology Review. 37. 1-12
  • Herrera-Mercadal, P., Montero-Marin, J., Plaza, I., Medrano, C., Andrés, E., López-Del-Hoyo, Y.. (2015). The efficacy and pattern of use of a computer-assisted programme for the treatment of anxiety: A naturalistic study using mixed methods in primary care in spain. Journal of Affective Disorders. 175. 184
  • Hervás, G., Vázquez, C.. (2013). Construction and validation of a measure of integrative well-being in seven languages: The Pemberton Happiness Index. Health and Quality of Life Outcomes. 11.
  • Holmes, E.A., Craske, M.G., Graybiel, A.M.. (2014). Psychological treatments: A call for mental-health science. Nature.. 511. 287
  • Insel, T.R.. (2009). Translating scientific opportunity into public health impact: A strategic plan for research on mental illness. Archives of General Psychiatry. 66. 128
  • Jacka, F.N., Reavley, N.J., Jorm, A.F., Toumbourou, J.W., Lewis, A.J., Berk, M. (2013). Prevention of common mental disorders: What can we learn from those who have gone before and where do we go next?. Australian and New Zealand Journal of Psychiatry. 47. 920
  • Jeste, D.V., Palmer, B.W., Rettew, D.C., Boardman, S. (2015). Positive psychiatry: Its time has come. Journal of Clinical Psychiatry. 76. 675
  • Jorm, A.F.. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry. 177. 396-401
  • Kazdin, A.E., Rabbitt, S.M.. (2013). Novel models for delivering mental health services and reducing the burdens of mental illness. Clinical Psychological Science. 1. 170
  • Kinderman, P.. (2014). A prescription for Psychiatry: Why we need a whole new approach to mental health and wellbeing. Palgrave Macmillan. Londres.
  • Kingdon, D. (2013). A golden age of discovery. British Journal of Psychiatry. 202. 394
  • Layard, R., Clark, D.. (2014). Thrive: The Power of Evidence-based Psychological Therapies. Allen Lane. London.
  • Latorre, J.M., Navarro, B., Parra, M., Salguero, J.M., Wood, C., Cano, A. (2012). Evaluación e intervención de los problemas de ansiedad y depresión en atención primaria: un problema sin resolver. Revista Clínica de Medicina de Familia. 5. 37-45
  • Lilienfeld, S.O., Ritschel, L.A., Lynn, S.J., Cautin, R.L., Latzman, R.D.. (2013). Why many clinical psychologists are resistant to evidence-based practice: Root causes and constructive remedies. Clinical Psychology Review. 33. 883-900
  • Link, B.G., Struening, E.L., Neese-Todd, S., Asmussen, S., Phelan, J.C.. (2011). Stigma as a Barrier to Recovery: The Consequences of Stigma for the Self-Esteem of People With Mental Illnesses. Psychiatric Services. 52. 1621
  • McManus, F., Shafran, R., Cooper, Z. (2010). What does a 'transdiagnostic approach have to offer the treatment of anxiety disorders?. British Journal of Clinical Psychology. 49. 491-505
  • McNally, R.J.. (2007). Mechanisms of exposure therapy: How neuroscience can improve psychological treatments for anxiety disorders. Clinical Psychology Review. 27. 750
  • Meyer, J.M., Farrell, N.R., Kemp, J.J., Blakey, S.M., Deacon, B.J.. (2014). Why do clinicians exclude anxious clients from exposure therapy?. Behaviour Research and Therapy. 54. 49-53
  • Myers, F., McCollam, A., Woodhouse, A.. (2005). National Programme for Improving Mental Health and Well-Being: Addressing Mental Health Inequalities in Scotland. Equal Minds. Scottish Executive. Edinburgh.
  • (2011). Commissioning stepped care for people with common mental health disorders.
  • Pechtell, P., Pizzagally, D.A.. (2011). Effects of early life stress on cognitive and affective function: an integrated review of human literature. Psychopharmacology.. 214. 55-70
  • Peterson, R., Seligman, M.E.P.. (2004). Character, Strengths, and Virtues: A Handbook and Classification. APA Press and Oxford University Press. Washington^eDC DC.
  • Prins, M.A., Verhaak, P.F.M., Bensing, J.M., van, K. (2008). Health beliefs and perceived need for mental health care of anxiety and depression-the patients' perspective explored. Clinical Psychology Review. 28. 1038
  • Roca, M., Gili, M., Garcia-Garcia, M., Salva, J., Vives, M., Garcia-Campayo, J., Comas, A. (2009). Prevalence and comorbidity of common mental disorders in primary care. Journal of Affective Disorders. 119. 52
  • Santucci, L.C., McHugh, R.K., Barlow, D.H.. (2012). Introduction to a special section: Direct-to-consumer marketing of evidence-based psychological interventions. Behavior Therapy. 43. 231
  • Soler, J., Franquesa, A., Feliu-Soler, A., Cebolla, A., García-Campayo, J., Tejedor, R.. (2014). Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample. Behavior Therapy. 45. 863
  • Soler, J., Trujols, J., Pascual, J.C., Portella, M.J., Barrachina, J., Campins, J., Pérez, V. (2008). Stages of change in dialectical behaviour therapy for borderline personality disorder. British Journal of Clinical Psychology. 47. 417
  • Tortella-Feliu, M., Baños, R.M., Barrantes, N., Botella, C., Fernández-Aranda, F., García-Campayo, J., Vázquez, C. (2016). Retos en el desarrollo de intervenciones psicológicas y la práctica asistencial en salud mental. Clínica y Salud. 27. 37-43
  • Vázquez, C., Hervás, G.. (2009). La ciencia del bienestar: Fundamentos de una psicología positiva. Alianza Editorial. Madrid.
  • Whiteford, H.A., Degenhardt, L., Rehm, J., Baxter, A.J., Ferrari, A.J., Erskine, H.E.. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the global burden of disease study 2010. The Lancet.. 382. 1575
  • Wilson, G.T.. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy. 34. 295-315
  • Zimmerman, M., McGlinchey, J.B., Posternak, M.A., Friedman, M., Attiullah, N., Boerescu, D. (2006). How should remission from depression be defined?: The depressed patient's perspective. American Journal of Psychiatry. 163. 148