Centro de Investigaciones Económicas, Administrativas y Sociales, Instituto Politécnico Nacional, Mexico, Mexico.
Cross-Functional Group in Clinical Ethics, XXI Century National Medical Center, Mexican Social Security Institute, Mexico, Mexico.
Front Public Health. 2021 Mar 15;9:629872. doi: 10.3389/fpubh.2021.629872. eCollection 2021.
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. 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. 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. 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.
一种非药物治疗方法，即作为心理支持的图书疗法，可以被描述为阅读、反思和讨论文学作品以促进认知转变的过程。2019 年冠状病毒病（COVID-19）大流行要求采取应对措施，以防止心理健康问题的流行率达到峰值，并避免由于大流行导致心理健康服务匮乏和难以获得而崩溃。因此，本研究旨在综述关于图书疗法对不同心理健康问题的有效性的文章。
进行了系统综述，以检查评估图书疗法在不同临床环境中作为一种能够增强目标感及其周围价值观的治疗方法的有效性的相关研究。为了实现这一目标，进行了包括生物伦理荟萃分析的系统综述。采用 PICO（参与者、干预、比较和结果）模型的变体来制定搜索策略，并在三个数据库中进行了系统综述：PubMed、Bireme 和 OVID。纳入标准是包括关键词的相关研究，排除与主题无关的文献、针对 15 岁以下受试者的研究以及除西班牙语或英语以外的语言的研究。最初有 707 项研究，经过三轮不同的质量标准，有 13 篇文章被选中进行分析，包括解释学分析，随后进行了第四轮也是最后一轮检索，以评估关于医护人员的图书疗法文章。
我们的研究结果表明，通过图书疗法，患者发展了几种能力，包括通过道德视野的新视角重新赋予自己活动的意义。目前没有研究路线图可以指导使用图书疗法来增强心理健康的研究。此外，自主权和正义等价值观与图书疗法的积极结果密切相关。这意味着图书疗法有可能在不同环境中产生积极影响。
我们的贡献是提供一个路线图，展示最先进的图书疗法研究，这将有助于机构和医疗保健专业人员规划具有积极结果的临床和特定干预措施。
