Telemedicina, telepsiquiatria e depressão perinatal

Autores

  • Renan Rocha Programa de Saúde Mental da Mulher, Clínicas Integradas, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC.
  • Joel Rennó Jr. Programa de Saúde Mental da Mulher (ProMulher), Instituto de Psiquiatria, Hospital das Clínicas da Universidade de Sã o Paulo (HC-USP), São Paulo, SP.
  • Hewdy Lobo Ribeiro Programa de Saúde Mental da Mulher (ProMulher), Instituto de Psiquiatria, Hospital das Clínicas da Universidade de Sã o Paulo (HC-USP), São Paulo, SP.
  • Juliana Pires Cavalsan Programa de Saúde Mental da Mulher (ProMulher), Instituto de Psiquiatria, Hospital das Clínicas da Universidade de Sã o Paulo (HC-USP), São Paulo, SP.
  • Amaury Cantilino Programa de Saúde Mental da Mulher, Universidade Federal de Pernambuco (UFPE), Recife, PE.
  • Jerônimo de Almeida Mendes Ribeiro Mood Disorders Program and Women’s Health Concerns Clinic, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canadá. Clinical Fellow, McMaster University, Hamilton, ON, Canadá.
  • Gislene Valadares Serviço de Saúde Mental da Mulher, Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG), Belo Horizonte, MG.
  • Antônio Geraldo da Silva Diretor científico, Programa de Atualização em Psiquiatria (PROPSIQ), Sistema de Educação Continuada a Distância (SECAD). https://orcid.org/0000-0003-3423-7076

DOI:

https://doi.org/10.25118/2763-9037.2016.v6.129

Palavras-chave:

Telemedicina, saúde da mulher, depressão

Resumo

A depressão perinatal (DP) é a complicação obstétrica com maiores índices de subdiagnóstico e um importante fator de risco para o suicídio, considerado uma das causas mais comuns de mortalidade materna. Consequentemente, a atenção à saúde mental deve ser considerada uma das prioridades médicas durante a gestação e o puerpério, pois a identificação precoce da DP pode produzir benefícios substanciais para a saúde materna, infantil e familiar. O principal instrumento psicométrico para a prevenção secundária da DP é a Escala de Depressão Pós-Parto de Edimburgo, validada para brasileiros e para aplicação por telemedicina (TM). A utilização da TM é considerada um grande avanço também na obstetrícia. A aplicação de instrumentos psicométricos por TM produz informações com acurácia semelhante ou maior do que o modo de registro local com papel e caneta, além de permitir maior honestidade devido à maior percepção de privacidade, reduzindo, assim, a influência da psicofobia. Portanto, a utilização da TM e da telepsiquiatria na saúde mental da mulher apresenta-se como um recurso estratégico para ampliar o acesso e melhorar os resultados do rastreamento da DP.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Kessler RC. Epidemiology of women and depression. J Affect Disord. 2003;74:5-13.

O’Hara MW, Wisner KL. Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol. 2014;28:3-12.

Stuart-Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep. 2014;16:468.

Castro E Couto T, Brancaglion MY, Cardoso MN, Faria GC, Garcia FD, Nicolato R, et al. Suicidality among pregnant women in Brazil: prevalence and risk factors. Arch Womens Ment Health. 2016;19:343-8.

Khalifeh H, Hunt IM, Appleby L, Howard LM. Suicide in perinatal and non-perinatal women in contact with psychiatric services: 15 year findings from a UK national inquiry. Lancet Psychiatry. 2016;3:233-42.

Fuhr DC, Calvert C, Ronsmans C, Chandra PS, Sikander S, De Silva MJ, et al. Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Psychiatry. 2014;1:213-25.

Pereira PK, Lovisi GM. Prevalência da depressão gestacional e fatores associados. Rev Psiquiatr Clin. 2008;35:144-53.

Figueira P, Fernandes Malloy-Diniz L, Aurélio Romano-Silva M, Silva Neves F, Corrêa H. Postpartum depression and comorbid disorders: frequency and relevance to clinical management. Arch Womens Ment Health. 2009;12:451.

Theme Filha MM, Ayers S, Gama SG, Leal Mdo C. Factors associated with postpartum depressive symptomatology in Brazil: The Birth in Brazil National Research Study, 2011/2012. J Affect Disord. 2016;194:159-67.

Almeida MS, Nunes MA, Camey S, Pinheiro AP, Schmidt MI. [Mental disorders in a sample of pregnant women receiving primary health care in Southern Brazil]. Cad Saude Publica. 2012;28:385-93.

Hanley GE, Oberlander TF. The effect of perinatal exposures on the infant: antidepressants and depression. Best Pract Res Clin Obstet Gynaecol. 2014;28:37-48.

Chan J, Natekar A, Einarson A, Koren G. Risks of untreated depression in pregnancy. Can Fam Physician. 2014;60:242-3.

Committee on Obstetric Practice. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet Gynecol. 2015;125:1268-71.

Milgrom J, Gemmill AW. Screening for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2014;28:13-23.

Le HN, Perry DF, Sheng X. Using the internet to screen for postpartum depression. Matern Child Health J. 2009;13:213-21.

Marcano-Belisario JS, Gupta AK, O’Donoghue J, Morrison C, Car J. Tablet computers for implementing NICE antenatal mental health guidelines: protocol of a feasibility study. BMJ Open. 2016;6:e009930.

Pineros-Leano M, Tabb KM, Sears H, Meline B, Huang H. Clinic staff attitudes towards the use of mHealth technology to conduct perinatal depression screenings: a qualitative study. Fam Pract. 2015;32:211-5.

Conselho Federal de Medicina (CFM). Código de Ética Médica [Internet]. [cited 2016 Mar 08]. portalmedico.org.br/novocodigo/integra.asp

Conselho Federal de Medicina (CFM). Resolução 1643/2002 [Internet]. 2002 [cited 2016 Mar 08]. portalmedico.org.br/resolucoes/cfm/2002/1643_2002.htm

Conselho Federal de Medicina (CFM). Resolução 1890/2009 [Internet]. 2009 [cited 2016 Mar 08]. portalmedico.org.br/resolucoes/cfm/2009/1890_2009.htm

World Medical Association (WMA). Statement on guiding principles for the use of telehealth for the provision of health care [Internet]. [cited 2016 Mar 08]. wma.net/en/30publications/10policies/t5/index.html.pdf?print-media-type&footerright=[page]/[toPage]

Conselho Federal de Medicina (CFM). Resolução 1974/2011 [Internet]. 2011 [cited 2016Mar 08]. portalmedico.org.br/resolucoes/CFM/2011/1974_2011.htm

Recuero R. Redes sociais na internet. Porto Alegre: Sulina; 2009.

Dias RS, Marques AFH, Diniz PRB, Silva TAB, Cofi el L, Mariani MMC, et al. Telemental health in Brazil: past, present and integrati on into primary care. Arch Clin Psychiatry (São Paulo). 2015;42:41-4.

Castro Filho E. Telessaúde no apoio a médicos de atenção primária [tese]. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2011.

Yang YT, Iqbal U, Ching JH, Ting JB, Chiu HT, Tamashiro H, et al. Trends in the growth of literature of telemedicine: a bibliometric analysis. Comput Methods Programs Biomed. 2015;122:471-9.

Marti n-Khan M, Woott on R, Whited J, Gray LC. A systemati c review of studies concerning observer agreement during medical spe- cialist diagnosis using videoconferencing. J Telemed Telecare. 2011;17:350-7.

Sanders KA, Patel R, Kiely JM, Gwynn MW, Johnston LH. Improving telestroke treatment ti mes in an expanding network of hospitals. J Stroke Cerebrovasc Dis. 2016;25:288-91.

Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interacti ve telemedicine: eff ects on professional practi ce and health care outcomes. Cochrane Database Syst Rev. 2015;9:CD002098.

Kotb A, Cameron C, Hsieh S, Wells G. Comparati ve eff ecti veness of diff erent forms of telemedicine for individuals with heart failure (HF): a systemati c review and network meta-analysis. PLoS One. 2015;10:e0118681.

Huang Z, Tao H, Meng Q, Jing L. Management of endocrine disease. Eff ects of telecare interventi on on glycemic control in type 2 diabetes: a systemati c review and meta-analysis of randomized controlled trials. Eur J Endocrinol. 2015;172:R93-101.

Chen J, Jin W, Zhang XX, Xu W, Liu XN, Ren CC. Telerehabilitati on approaches for stroke pati ents: systemati c review and meta-analysis of randomized controlled trials. J Stroke Cerebrovasc Dis. 2015;24:2660-8.

Widmer RJ, Collins NM, Collins CS, West CP, Lerman LO, Lerman A. Digital health interventi ons for the preventi on of cardiovascular disease: a systemati c review and meta-analysis. Mayo Clin Proc. 2015;90:469-80.

Toma T, Athanasiou T, Harling L, Darzi A, Ashrafi an H. Online social networking services in the management of pati ents with diabetes mellitus: systemati c review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2014;106:200-11.

Elbert NJ, van Os-Medendorp H, van Renselaar W, Ekeland AG, Hakkaart-van Roijen L, Raat H, et al. Eff ecti veness and cost-eff ecti veness of ehealth interventi ons in somati c diseases: a systemati c review of systemati c reviews and meta-analyses. J Med Internet Res. 2014;16:e110.

de Waure C, Cadeddu C, Gualano MR, Ricciardi W. Telemedicine for the reducti on of myocardial infarcti on mortality: a systemati c review and a meta-analysis of published studies. Telemed J E Health. 2012;18:323-8.

Frade S, Rodrigues H. Benefi ts, challenges and impact of teleconsultati on - a literature review. Stud Health Technol Inform. 2013;192:1157.

Wilcox ME, Adhikari NK. The eff ect of telemedicine in criti cally ill pati ents: systemati c review and meta-analysis. Crit Care. 2012;16:R127.

American Psychiatric Associati on (APA). Resource document on telepsychiatry and related technologies in clinical psychiatry [Internet]. [cited 2016 Mar 08]. http://www.psychiatry.org/File%20Library/Psychiatrists/Directories/Library-and-Archive/resource_documents/Resource-2014-Telepsychiatry-Clinical-Psychiatry.pdf

World Health Organizati on (WHO). Global e-Health Survey [Internet]. [cited 2016 Mar 08]. who.int/goe/data/global_e-health_survey_2009_en.pdf

Dwyer TF. Telepsychiatry: psychiatric consultati on by interacti ve television. Am J Psychiatry. 1973;130:865-9.

Chakrabarti S. Usefulness of telepsychiatry: a criti cal evaluati on of videoconferencing-basedapproaches. World J Psychiatry. 2015;5:286-304.

Salmoiraghi A, Hussain S. A systematic review of the use of telepsychiatry in acute settings. J Psychiatr Pract. 2015;21:389-93.

Sunderji N, Crawford A, Jovanovic M. Telepsychiatry in graduate medical education: a narrative review. Acad Psychiatry. 2015;39:55-62.

Seidel RW, Kilgus MD. Agreement between telepsychiatry assessment and face-to-face assessment for Emergency Department psychiatry patients. J Telemed Telecare. 2014;20:59-62.

Chipps J, Brysiewicz P, Mars M. Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence. Afr J Psychiatry (Johannesbg). 2012;15:235-43.

Hilty DM, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM. The effectiveness of telemental health: a 2013 review. Telemed J E Health. 2013;19:444-54.

Vaitheswaran S, Crockett P, Wilson S, Millar H. Telemental health: videoconferencing in mental health services. Adv Psychiatr Treat. 2012;18:392-8.

Gajaria A, Conn DK, Madan R. Telepsychiatry: effectiveness and feasibility. Curr Psychiatry Rep. 2015;3:59-67.

Bashshur RL, Shannon GW, Bashshur N, Yellowlees PM. The empirical evidence for telemedicine interventions in mental disorders. Telemed J E Health. 2015 Dec 1. [Epub ahead of print]

Hilty D, Yellowlees PM, Parrish MB, Chan S. Telepsychiatry: effective, evidence-based, and at a tipping point in health care delivery? Psychiatr Clin North Am. 2015;38:559-92.

Shore JH. Telepsychiatry: videoconferencing in the delivery of psychiatric care. Am J Psychiatry. 2013;170:256-62.

Deslich S, Stec B, Tomblin S, Coustasse A. Telepsychiatry in the 21(st) century: transforming healthcare with technology. Perspect Health Inf Manag. 2013;10:1f.

Hilty DM, Crawford A, Teshima J, Chan S, Sunderji N, Yellowlees PM, et al. A framework for telepsychiatric training and e-health: competencybased education, evaluation and implications. Int Rev Psychiatry. 2015;27:569-92.

Chan S, Parish M, Yellowlees P. Telepsychiatry today. Curr Psychiatry Rep. 2015;17:89.

Shore JH. The technological transformation of psychiatric care- telepsychiatry comes of age. Int Rev Psychiatry. 2015;27:467-8.

Boydell KM, Hodgins M, Pignatiello A, Teshima J, Edwards H, Willis D. Using technology to deliver mental health services to children and youth: a scoping review. J Can Acad Child Adolesc Psychiatry. 2014;23:87-99.

Cain S, Sharp S. Telepharmacotherapy for child and adolescent psychiatric patients. J Child Adolesc Psychopharmacol. 2016 Jan 8. [Epub ahead of print]

Mohr DC, Burns MN, Schueller SM, Clarke G, Klinkman M. Behavioral intervention technologies: evidence review and ecommendations for future research in mental health. Gen Hosp Psychiatry. 2013;35:332-8.

Sharp IR, Kobak KA, Osman DA. The use of videoconferencing with patients with psychosis: a review of the literature. Ann Gen Psychiatry. 2011;10:14.

Martin-Khan M, Wootton R, Whited J, Gray LC. A systematic review of studies concerning observer agreement during medical specialist diagnosis using videoconferencing. J Telemed Telecare. 2011;17:350-7.

Johnston B, Yellowlees P. Telepsychiatry consultations in primary care coordinated by virtual care navigators. Psychiatr Serv. 2016;67:142.

Fortney JC, Pyne JM, Turner EE, Farris KM, Normoyle TM, Avery MD, et al. Telepsychiatry integration of mental health services into rural primary care settings. Int Rev Psychiatry. 2015;27:525-39.

Shore J. The evolution and history of telepsychiatry and its impact on psychiatric care: current implications for psychiatrists and psychiatric organizations. Int Rev Psychiatry. 2015;27:469-75.

Yellowlees P, Richard Chan S, Burke Parish M. The hybrid doctor-pati ent relati onship in the age of technology - telepsychiatry consultati ons and the use of virtual space. Int Rev Psychiatry. 2015;27:476-89.

Hyler SE, Gangure DP, Batchelder ST. Can telepsychiatry replace in-person psychiatric assessments? A review and meta-analysis of comparison studies. CNS Spectr. 2005;10:403-13.

van Ballegooijen W, Riper H, Cuijpers P, van Oppen P, Smit JH. Validati on of online psychometric instruments for common mental health disorders: a systemati c review. BMC Psychiatry. 2016;16:45.

WMA. Statement on the ethics of telemedicine [Internet]. [cited 2016 Mar 08]. wma.net/en/30publications/10policies/t3/index.html.pdf?print-media-type&footer-right=[page]/[toPage]

Hungerbuehler I, Leite RFM, ilt MTV, Gatt az WF. A randomized clinical trial of homebased telepsychiatric outpati ent care via videoconferencing: design, methodology, and implementati on. Arch Clin Psychiatry (São Paulo). 2015;42:76-8.

Chipps J, Ramlall S, Madigoe T, King H, Mars M. Developing telepsychiatry services in KwaZulu-Natal -- an acti on research study. Afr J Psychiatry (Johannesbg). 2012;15:255-63.

World Psychiatric Associati on. Psychiatry, medicine and primary care [Internet]. [cited 2016 Mar 08]. wpanet.org/detail.php?secti on_id=7&category_id=25&content_id=1293

Junior JR, Rocha R. Psiquiatria da mulher. Programa de atualização em psiquiatria. Porto Alegre: Artmed; 2015.

Guidance for eff ecti ve discipline. American Academy of Pediatrics. Committ ee on Psychosocial Aspects of Child and Family Health. Pediatrics. 1998;101:723-8.

Kingston D, McDonald S, Biringer A, Austi n MP, Hegadoren K, McDonald S, et al. Comparing the feasibility, acceptability, clinical-, and costeff ecti veness of mental health e-screening to paper-based screening on the detecti on of depression, anxiety, and psychosocial risk in pregnant women: a study protocol of a randomized, parallel-group, superiority trial. Trials. 2014;15:3.

LaRocco-Cockburn A, Melville J, Bell M, Katon W. Depression screening atti tudes and practi ces among obstetrician-gynecologists. Obstet Gynecol. 2003;101:892-8.

Kerker BD, Storfer-Isser A, Stein RE, Garner A, Szilagyi M, OʼConnor KG, et al. Identi fying maternal depression in pediatric primary care: changes over a decade. J Dev Behav Pediatr. 2016;37:113-20.

Kingston D, Austi n MP, Heaman M, McDonald S, Lasiuk G, Sword W, et al. Barriers and facilitators of mental health screening in pregnancy. J Aff ect Disord. 2015;186:350-7.

Magann EF, McKelvey SS, Hitt WC, Smith MV, Azam GA, Lowery CL. The use of telemedicine in obstetrics: a review of the literature. Obstet Gynecol Surv. 2011;66:170-8.

Meltzer-Brody S, Boschloo L, Jones I, Sullivan PF, Penninx BW. The EPDS-Lifeti me: assessment of lifeti me prevalence and risk factors for perinatal depression in a large cohort of depressed women.Arch Womens Ment Health. 2013;16:465-73.

Downloads

Publicado

2016-06-30

Como Citar

1.
Rocha R, Rennó Jr. J, Ribeiro HL, Cavalsan JP, Cantilino A, Ribeiro J de AM, Valadares G, Silva AG da. Telemedicina, telepsiquiatria e depressão perinatal. Debates em Psiquiatria [Internet]. 30º de junho de 2016 [citado 7º de dezembro de 2022];6(3):6-15. Disponível em: https://revistardp.org.br/revista/article/view/129

Edição

Seção

Artigos de Revisão

Plaudit

Artigos mais lidos do(s) mesmo(s) autor(es)

1 2 3 4 5 6 7 8 9 > >>