Los nuevos desarrollos tecnológicos aplicados al tratamiento psicológico

  1. Wenceslao Peñate Castro
  2. María José Roca Sánchez
  3. Tasmania del Pino Sedeño
Acta Colombiana de Psicología

ISSN: 1909-9711

Año de publicación: 2014

Volumen: 17

Número: 2

Páginas: 91-101

Tipo: Artículo

DOI: 10.14718/ACP.2014.17.2.10 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor


The impact of new technologies has reached almost all human development. In the case of clinical psychology, has meant new advances in the understanding, assessment and treatment of various psychological problems and disorders. In this paper, four developments that have had a major expansion are reviewed: Internet-based psychological treatment, the use of virtual reality, neurofeedback, and transcranial magnetic stimulation. First, each technique or procedure is briefly presented. Then, its application to specific problems, its advantages and disadvantages are described. Finally, the development of these resources and the need to continue providing knowledge is discussed. These advances will improve their effectiveness and efficiency, according to types of patients, specific disorders, and to avoid side-effects.

Referencias bibliográficas

  • Aleman, A.. (2013). Use of Repetitive Transcranial Magnetic Stimulation for Treatment in Psychiatry. Clinical Psychopharmacology and Neuroscience : The Official Scientific Journal of the Korean College of Neuropsychopharmacology. 11. 53-59
  • Andersson, G., Cuijpers, P.. (2009). Internet-based and other computerized psychological treatments for adult depression. Cognitive Behaviour Therapy. 38. 196-205
  • Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., Titov, N.. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PloS One. 5.
  • Barker, A. T., Jalinous, R., Freeston, I. L.. (1985). Non-invasive magnetic stimulation of human motor cortex. Lancet. 1. 1106-1107
  • Berlim, M. T., Neufeld, N. H., Van den Eynde, F.. (2013). Repetitive transcranial magnetic stimulation (rTMS) for obsessive- compulsive disorder (OCD): an exploratory metaanalysis of randomized and sham-controlled trials. Journal of Psychiatric Research. 47. 999-1006
  • Berlim, M. T., Van den Eynde, F., Daskalakis, Z. J.. (2013). Clinically meaningful efficacy and acceptability of low-frequency repetitive transcranial magnetic stimulation (rTMS) for treating primary major depression: a meta-analysis of randomized, double-blind and sham-controlled trials. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology. 38. 543
  • Berlim, M. T., van den Eynde, F., Tovar-Perdomo, S., Daskalakis, Z. J.. (2014). Response, remission and drop-out rates following high-frequency repetitive transcranial magnetic stimulation (rTMS) for treating major depression: a systematic review and meta-analysis of randomized, double-blind and sham-controlled trials. Psychological Medicine. 44. 1-15
  • Breteler, R., Pesch, W., Nadorp, M., Best, N., Tomasoa, X.. (2012). Neurofeedback in Residential Children and Adolescents with Mild Mental Retardation and ADHD Behavior. Journal of Neurotherapy. 16. 172-182
  • Carpio, C., Silva, H., Reyes, A., Pacheco-Lechón, L., Morales, G., Arroyo, R., Canales, C., Pacheco, V.. (2008). Factores lingüísticos y consecuencias situacionales en la elección de estudiantes universitarios entre colaborar y no colaborar en tareas académicas: un análisis experimental. Acta Colombiana de Psicología. 11. 115-126
  • Coben, R., Linden, M., Myers, T. E.. (2010). Neurofeedback for autistic spectrum disorder: a review of the literature. Applied Psychophysiology and Biofeedback. 35. 83-105
  • Córdoba, M., Larreamendy-Joerns, J.. (2007). Variación en estilos de experimentación y conocimiento específico. Acta Colombiana de Psicología. 10. 25-34
  • Dias, A. M., van Deusen, A.. (2011). A new neurofeedback protocol for depression. The Spanish Journal of Psychology. 14. 374
  • Fernández del Olmo, M., Cudeiro Mazaira, J.. (2004). Estimulación magnética transcraneal: Principios básicos y aplicaciones en la actividad física y el deporte. Motricidad.. European Journal of Human Movement. 12. 7-20
  • Frueh, B. C., Monnier, J., Elhai, J. D., Grubaugh, A. L., Knapp, R. G.. (2004). Telepsychiatry treatment outcome research methodology: efficacy versus effectiveness. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association. 10. 455-458
  • Fuggetta, G., Noh, N. A.. (2013). A neurophysiological insight into the potential link between transcranial magnetic stimulation, thalamocortical dysrhythmia and neuropsychiatric disorders. Experimental Neurology. 245. 87-95
  • Gevensleben, H., Rothenberger, A., Moll, G. H., Heinrich, H.. (2012). Neurofeedback in children with ADHD: validation and challenges. Expert Review of Neurotherapeutics. 12. 447
  • Gonçalves, R., Pedrozo, A. L., Coutinho, E. S. F., Figueira, I., Ventura, P.. (2012). Efficacy of virtual reality exposure therapy in the treatment of PTSD: a systematic review. PloS One. 7.
  • Holtmann, M., Steiner, S., Hohmann, S., Poustka, L., Banaschewski, T., Bölte, S.. (2011). Neurofeedback in autism spectrum disorders. Developmental Medicine and Child Neurology. 53. 986
  • Janicak, P. G., O'Reardon, J. P., Sampson, S. M., Husain, M. M., Lisanby, S. H., Rado, J. T., Demitrack, M. A.. (2008). Transcranial magnetic stimulation in the treatment of major depressive disorder: a comprehensive summary of safety experience from acute exposure, extended exposure, and during reintroduction treatment. The Journal of Clinical Psychiatry. 69. 222
  • Klein, D. N., Schwartz, J. E., Santiago, N. J., Vivian, D., Vocisano, C., Castonguay, L. G., Keller, M. B.. (2003). Therapeutic alliance in depression treatment: controlling for prior change and patient characteristics. Journal of Consulting and Clinical Psychology. 71. 997-1006
  • Kobayashi, M., Pascual-Leone, A.. (2003). Transcranial magnetic stimulation in neurology. The Lancet Neurology. 2. 145-156
  • Landa-Durán, P.. (2009). Enseñanza de la psicología clínica conductual, presencial vs. En línea: la importancia del diseño instruccional. Acta Colombiana de Psicología. 12. 109-123
  • Larsen, S., Sherlin, L.. (2013). Neurofeedback: an emerging technology for treating central nervous system dysregulation. The Psychiatric Clinics of North America. 36. 163-168
  • Leon-Sarmiento, F. E., Granadillo, E., Bayona, E. A.. (2013). Present and future of the transcranial magnetic stimulation. Investigación Clínica. 54. 74-89
  • Lofthouse, N., Arnold, L. E., Hersch, S., Hurt, E., De- Beus, R.. (2012). A review of neurofeedback treatment for pediatric ADHD. Journal of Attention Disorders. 16. 351-372
  • Loo, S. K., Makeig, S.. (2012). Clinical utility of EEG in attention-deficit/hyperactivity disorder: a research update. Neurotherapeutics : The Journal of the American Society for Experimental NeuroTherapeutics. 9. 569-587
  • Luyten, P., Blatt, S. J., Van Houdenhove, B., Corveleyn, J.. (2006). Depression research and treatment: Are we skating to where the puck is going to be?. Clinical Psychology Review. 26. 985-999
  • Gonzalez-Lorenzo, M., Peñate, W., Pitti, C. T., Bethencourt, J., de la Fuente, J., Gracia, R.. (2011). Efficacy of virtual reality exposure therapy combined with two pharmacotherapies in the treatment of agoraphobia. International Journal of Clinical and Health Psychology. 11. 189-203
  • Meyerbroeker, K., Morina, N., Kerkhof, G. a, Emmelkamp, P. M. G.. (2013). Virtual reality exposure therapy does not provide any additional value in agoraphobic patients: a randomized controlled trial. Psychotherapy and Psychosomatics. 82. 170-176
  • Meyerbröker, K., Emmelkamp, P. M. G.. (2010). Virtual reality exposure therapy in anxiety disorders: a systematic review of process-and-outcome studies. Depression and Anxiety. 27. 933-944
  • Montes González, J. A., Ochoa Angrino, S.. (2006). Apropiación de las tecnologías de la información y comunicación en cursos universitarios. Acta Colombiana de Psicología. 9. 87-100
  • Moriyama, T. S., Polanczyk, G., Caye, A., Banaschewski, T., Brandeis, D., Rohde, L. A.. (2012). Evidence-based information on the clinical use of neurofeedback for ADHD. Neurotherapeutics: The Journal of the American Society for Experimental NeuroTherapeutics. 9. 588-598
  • Mustaca, A.. (2003). Análisis experimental del comportamiento y neurociencias. Acta Colombiana de Psicología. 2. 7-22
  • Nelson, E.-L., Bui, T. N., Velasquez, S. E.. (2011). Telepsychology: research and practice overview. Child and Adolescent Psychiatric Clinics of North America. 20. 67-79
  • Newman, M. G., Szkodny, L. E., Llera, S. J., Przeworski, A.. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy?. Clinical Psychology Review. 31. 89-103
  • Nickelson, D. W.. (1998). Telehealth and the evolving health care system: Strategic opportunities for professional psychology. Research and Practice. 29. 527-535
  • Niv, S.. (2013). Clinical efficacy and potential mechanisms of neurofeedback. Personality and Individual Differences. 54. 676-686
  • Norris, A.C.. (2002). Essentials of telemedicine and telecare. Wiley. New York.
  • North, M., North, S.. (1994). Virtual Environments and psychological disorders. Electronic Journal of Virtual Culture. 2. 37-42
  • Obando, O. L., Villalobos, M. E., Arango, S. L.. (2010). Resiliencia en niños con experiencias de abandono. Acta Colombiana de Psicología. 13. 149-159
  • Opris, D., Pintea, S., García-Palacios, A., Botella, C., Szamosközi, S., David, D.. (2012). Virtual reality exposure therapy in anxiety disorders: a quantitative meta-analysis. Depression and Anxiety. 29. 85-93
  • Ossa, J. C.. (2011). Funcionamiento cognitivo: un inextricable juego de pérdidas y ganancias. Acta Colombiana de Psicología. 14. 45-55
  • Peñate, W.. (2012). About the effectiveness of telehealth procedures in psychological treatments. International Journal of Clinical and Health Psychology. 12. 475-487
  • Peñate, W., Roca Sanchez, M.-J., Pitti Gonzalez, C. T., Manuel, J., Antonio, J., Fuente, D., Gracia, R.. (2014). Cognitivebehavioral treatment and antidepressants combined with virtual reality exposure for patients with chronic agoraphobia. International Journal of Clinical and Health Psychology. 14. 330-338
  • Pérez-Wehbe, A. I., Perestelo-Pérez, L., Bethencourt-Pérez, J. M., Cuellar-Pompa, L., Peñate, W.. (2014). Treatmentresistant depression: a systematic review of systematic reviews. International Journal of Clinical and Health Psychology. 14. 145-155
  • Roth, S. R., Sterman, M. B., Clemente, C. C.. (1967). Comparison of EEG correlates of reinforcement, internal inhibition, and sleep. Electroencephalography and Clinical Neurophysiology. 23. 509-520
  • Rossi, S., Hallett, M., Rossini, P. M., Pascual-Leone, A.. (2009). Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology. 120. 2008-2039
  • Schutter, D. J. L. G.. (2009). Antidepressant efficacy of high-frequency transcranial magnetic stimulation over the left dorsolateral prefrontal cortex in double-blind sham-controlled designs: A meta-analysis. Psychological Medicine. 39. 65-75
  • Shiban, Y., Pauli, P., Mühlberger, A.. (2013). Effect of multiple context exposure on renewal in spider phobia. Behaviour Research and Therapy. 51. 68-74
  • Sterman, M. B., Egner, T.. (2006). Foundation and practice of neurofeedback for the treatment of epilepsy. Applied Psychophysiology and Biofeedback. 31. 21-35
  • Theodoroff, S. M., Folmer, R. L.. (2013). Repetitive transcranial magnetic stimulation as a treatment for chronic tinnitus: a critical review. Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 34. 199-208
  • Titov, N.. (2007). Status of computerized cognitive behavioural therapy for adults. Australian and New Zealand Journal of Psychiatry. 41. 95-114
  • Vanni, F., Conversano, C., Del Debbio, A., Landi, P., Carlini, M., Fanciullacci, C., Dell'Osso, L.. (2013). A survey on virtual environment applications to fear of public speaking. European Review for Medical and Pharmacological Sciences. 17. 1561-1568
  • Wilson, G. T.. (1996). Manual-based treatments: the clinical application of research findings. Behaviour Research and Therapy. 34. 295-314