Beneficios de la atención telefónica durante la pandemia covid19 en la adherencia terapéutica en pacientes con alcoholismo y otras adicciones
DOI:
https://doi.org/10.20882/adicciones.1783Palabras clave:
Adicción a substancias, centros de tratamiento de abuso de substancias, pandemia covid19, entrevista telefónica, adherencia y cumplimiento del tratamiento, telemedicina.Resumen
La pandemia por covid19 ha generado muchas publicaciones acerca de su influencia en el tratamiento y evolución de personas con un trastorno por uso de sustancias, con resultados contradictorios, a veces basadas en datos y otras en inferencias indirectas de otros datos. En este trabajo se estudia la adherencia y tasas de abstinencia de pacientes que inician tratamiento en una Unidad de Conductas Adictivas durante la pandemia, respecto a otros que acudieron el año previo y comparando los que hicieron visita presencial o telefónica. Los resultados indicaron mejor adherencia al mes de seguimiento en los pacientes del periodo covid19 y en los que fueron atendidos telefónicamente. A los 3 y 12 meses se mantuvo una mejor adherencia, aunque no significativa estadísticamente. Respecto a la abstinencia, el pequeño tamaño de la muestra dificultó obtener diferencias significativas. Se concluye que la pandemia, aunque ha significado una disminución del número de inicios de tratamientos por consumo de sustancias, también ha repercutido en una mayor adherencia a corto y medio plazo. La atención telefónica puede jugar un papel importante y positivo en este aspecto, complementario a otros recursos e intervenciones.Citas
Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L. y Ahmad, A. (2020). Epidemic of COVID-19 in China and associated Psychological Problems. Asian Journal of Psychiatry, 51, 102092. doi:10.1016/j.ajp.2020.102092.
Barrio, P., Baldaquí, N., Andreu, M., Kilian, C., Rehm, J., Gual, A. y Manthey, J. (2021). Abstinence among alcohol use disorder patients during the COVID-19 pandemic: Insights from Spain. Alcoholism: Clinical and Experimental Research, 45, 802-807. doi:10.1111/acer.14555.
Bergman, B. G. y Kelly, J. F. (2021). Online digital recovery support services: An overview of the science and their potential to help individuals with substance use disorder during COVID-19 and beyond. Journal of Substance Abuse Treatment, 120, 108152. doi:10.1016/j.jsat.2020.108152.
Blithikioti, C., Nuño, L., Paniello, B., Gual, A. y Miquel, L. (2021). Impact of COVID-19 lockdown on individuals under treatment for substance use disorders: Risk factors for adverse mental health outcomes. Journal of Psychiatric Research, 139, 47–53. doi:10.1016/j.jpsychires.2021.05.006.
Callinan, S., Smit, K., Mojica-Perez, Y., D’Aquino, S., Moore, D. y Kuntsche, E. (2021). Shifts in alcohol consumption during the COVID-19 pandemic: Early indications from Australia. Addiction, 116, 1381–1388. doi:10.1111/add.15275.
Castro, A., Gili, M., Ricci-Cabello, I., Roca, M., Gilbody, S., Perez-Ara, M. Á.,… McMillan, D. (2020). Effectiveness and adherence of telephone-administered psychotherapy for depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 514–526. doi:10.1016/j.jad.2019.09.023.
Chodkiewicz, J., Talarowska, M., Miniszewska, J., Nawrocka, N. y Bilinski, P. (2020). Alcohol consumption reported during the COVID-19 pandemic: The initial stage. International Journal of Environmental Research and Public Health, 17, 1–11. doi:10.3390/ijerph17134677.
Clay, J. M. y Parker, M. O. (2020). Alcohol use and misuse during the COVID-19 pandemic: A potential public health crisis? The Lancet Public Health, 5, e259. doi:10.1016/S2468-2667(20)30088-8.
Dubey, M. J., Ghosh, R., Chatterjee, S., Biswas, P., Chatterjee, S. y Dubey, S. (2020). COVID-19 and addiction. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14, 817–823. doi:10.1016/j.dsx.2020.06.008.
Dunlop, A., Lokuge, B., Masters, D., Sequeira, M., Saul, P., Dunlop, G.,... Maher, L. (2020). Challenges in maintaining treatment services for people who use drugs during the COVID-19 pandemic. Harm reduction journal, 17, 26. doi:10.1186/s12954-020-00370-7.
Fullana, M. A., Hidalgo-Mazzei, D., Vieta, E. y Radua, J. (2020). Coping behaviors associated with decreased anxiety and depressive symptoms during the COVID-19 pandemic and lockdown. Journal of Affective Disorders, 275, 80–81. doi:10.1016/j.jad.2020.06.027.
Garnett, C., Jackson, S., Oldham, M., Brown, J., Steptoe, A. y Fancourt, D. (2021). Factors associated with drinking behaviour during COVID-19 social distancing and lockdown among adults in the UK. Drug and Alcohol Dependence, 219, 108461. doi:10.1016/j.drugalcdep.2020.108461.
Horng, F.-F. y Chueh, K.-H. (2004). Effectiveness of telephone follow-up and counseling in aftercare for alcoholism. The Journal of Nursing Research : JNR, 12, 11–20. http://www.ncbi.nlm.nih.gov/pubmed/15136959.
Jackson, K. R., Booth, P. G., Salmon, P. y McGuire, J. (2009). The effects of telephone prompting on attendance for starting treatment and retention in treatment at a specialist alcohol clinic. British Journal of Clinical Psychology, 48, 437–442. doi:10.1348/014466509X457469.
Kar, S. K., Arafat, S. M. Y., Sharma, P., Dixit, A., Marthoenis, M. y Kabir, R. (2020). COVID-19 pandemic and addiction: Current problems and future concerns. Asian Journal of Psychiatry, 51, 102064. doi:10.1016/j.ajp.2020.102064.
Kilian, C., Rehm, J., Allebeck, P., Braddick, F., Gual, A., Barták, M.,... European Study Group on Alcohol Use and COVID-19. (2021). Alcohol consumption during the COVID-19 pandemic in Europe: A large-scale cross-sectional study in 21 countries. Addiction, 116, 3369– 3380. doi:10.1111/add.15530.
Killaspy, H., Banerjee, S., King, M. y Lloyd, M. (2000). Prospective controlled study of psychiatric out-patient non-attendance: Characteristics and outcome. British Journal of Psychiatry, 176, 160–165. doi:10.1192/bjp.176.2.160.
Kim, J. U., Majid, A., Judge, R., Crook, P., Nathwani, R., Selvapatt, N.,… Lemoine, M. (2020). Effect of COVID-19 lockdown on alcohol consumption in patients with pre-existing alcohol use disorder. The Lancet Gastroenterology and Hepatology, 5, 886–887. doi:10.1016/S2468-1253(20)30251-X.
López-Pelayo, H., Aubin, H. J., Drummond, C., Dom, G., Pascual, F., Rehm, J.,… Gual, A. (2020). “The post-COVID era”: Challenges in the treatment of substance use disorder (SUD) after the pandemic. BMC Medicine, 18, 1–9. doi:10.1186/s12916-020-01693-9.
McKay, J. R., Lynch, K. G., Shepard, D. S. y Pettinati, H. M. (2005). The effectiveness of telephone-based continuing care for alcohol and cocaine dependence: 24-Month outcomes. Archives of General Psychiatry, 62, 199–207. doi:10.1001/archpsyc.62.2.199.
Samuels, E. A., Clark, S. A., Wunsch, C., Jordison Keeler, L. A., Reddy, N., Vanjani, R. y Wightman, R. S. (2020). Innovation during COVID-19: Improving addiction treatment access. Journal of Addiction Medicine, 14, 8–9. doi:10.1097/ADM.0000000000000685.
Sun, Y., Li, Y., Bao, Y., Meng, S., Sun, Y., Schumann, G.,… Shi, J. (2020). Brief report: Increased addictive Internet and substance use behavior during the COVID-19 pandemic in China. American Journal on Addictions, 29, 268–270. doi:10.1111/ajad.13066.
Uscher-Pines, L., Cantor, J., Huskamp, H. A., Mehrotra, A., Busch, A. y Barnett, M. (2020). Adoption of telemedicine services by substance abuse treatment facilities in the U.S. Journal of Substance Abuse Treatment, 117, 108060. doi:10.1016/j.jsat.2020.108060.