Bibliotherapy as a Non-pharmaceutical Intervention to Enhance Mental Health in Response to the COVID-19 Pandemic: A Mixed-Methods Systematic Review and Bioethical Meta-Analysis
Por:
Monroy-Fraustro, Daniela, Maldonado-Castellanos, Isaac, Aboites-Molina, Monica, Rodriguez, Susana, Sueiras, Perla, Altamirano-Bustamante, Nelly F., de Hoyos-Bermea, Adalberto, Altamirano-Bustamante, Myriam M.
Publicada:
15 mar 2021
Categoría:
Public health, environmental and occupational health
Resumen:
Background: A non-pharmaceutical treatment offered as psychological
support is bibliotherapy, which can be described as the process of
reading, reflecting, and discussing literature to further a cognitive
shift. The coronavirus disease 2019 (COVID-19) pandemic demands a
response to prevent a peak in the prevalence of mental health problems
and to avoid the collapse of mental health services, which are scarce
and inaccessible due to the pandemic. Thus, this study aimed to review
articles on the effectiveness of bibliotherapy on different mental
health problems.
Methods: A systematic review was conducted to examine relevant studies
that assess the effectiveness of bibliotherapy in different clinical
settings as a treatment capable of enhancing a sense of purpose and its
surrounding values. To achieve this, a systematic review, including a
bioethical meta-analysis, was performed. A variant of the PICO
(Participants, Intervention, Comparison, and Outcome) model was used for
the search strategy, and the systematic review was conducted in three
databases: PubMed, Bireme, and OVID. Inclusion criteria were relevant
studies that included the keywords, excluding documents with irrelevant
topics, studies on subjects 15 years or younger, and in languages
besides Spanish or English. Starting with 707 studies, after three
rounds of different quality criteria, 13 articles were selected for
analysis, including a hermeneutic analysis, which was followed by a
fourth and final recovery round assessing bibliotherapy articles
concerning healthcare workers.
Results: Our findings showed that through bibliotherapy, patients
developed several capacities, including the re-signification of their
own activities through a new outlook of their moral horizon. There are
no research road maps serving as guides to conduct research on the use
of bibliotherapy to enhance mental health. Additionally, values such as
autonomy and justice were closely linked with positive results in
bibliotherapy. This implies that bibliotherapy has the potential to have
a positive impact in different settings.
Conclusions: Our contribution is to offer a road map that presents
state-of-the-art bibliotherapy research, which will assist institutions
and healthcare professionals to plan clinical and specific interventions
with positive outcomes.
Filiaciones:
Monroy-Fraustro, Daniela:
Inst Politecn Nacl, Ctr Invest Econ Adm & Sociales, Mexico City, DF, Mexico
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Maldonado-Castellanos, Isaac:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Mexico City, DF, Mexico
Aboites-Molina, Monica:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Rodriguez, Susana:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Sueiras, Perla:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Pompeu Fabra Univ, Dept Traducc & Ciencias Lenguaje, Barcelona, Spain
Altamirano-Bustamante, Nelly F.:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
Natl Inst Pediat, Serv Endocrinol, Mexico City, DF, Mexico
de Hoyos-Bermea, Adalberto:
Inst Politecn Nacl, Ctr Invest Econ Adm & Sociales, Mexico City, DF, Mexico
Altamirano-Bustamante, Myriam M.:
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Cross Funct Grp Clin Eth, Mexico City, DF, Mexico
XXI Century Natl Med Ctr, Mexican Social Secur Inst, Metab Dis Res Unit, Mexico City, DF, Mexico
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