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Clinical Practice Guideline for Post-COVID-19 Anxiety Disorder

Guía de Práctica Clínica para el Trastorno de Ansiedad Post-COVID-19




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Berrío-García, N., Villanueva Bonilla, C., Martínez Torres, J., Galvis Pérez, Y. A. ., & Vieco Gómez, G. F. . (2025). Clinical Practice Guideline for Post-COVID-19 Anxiety Disorder. Tempus Psicológico, 8(2). https://doi.org/10.30554/tempuspsi.8.2.5341.2025
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Berrío-García, N., Villanueva Bonilla, C., Martínez Torres, J., Galvis Pérez, Y. A. ., & Vieco Gómez, G. F. . (2025). Clinical Practice Guideline for Post-COVID-19 Anxiety Disorder. Tempus Psicológico, 8(2). https://doi.org/10.30554/tempuspsi.8.2.5341.2025

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Nathaly Berrío-García
Cristian Villanueva Bonilla
Javier Martínez Torres
Yeisson Aníbal Galvis Pérez
Germán Fernando Vieco Gómez

Nathaly Berrío-García,

N


Javier Martínez Torres,

n


Yeisson Aníbal Galvis Pérez,

N


Germán Fernando Vieco Gómez,

N


Anxiety refers to a group of mental disorders characterized by feelings of anguish and fear, whose symptoms can range from mild to severe. In 2020, due to the COVID-19 pandemic, the prevalence of anxiety increased by 26%. The present guide aimed to provide evidence-based recommendations for the treatment of anxiety disorders, promoting the psychological well-being of people and their family environment. The guide is part of the initiative of the National Faculty of Public Health of the University of Antioquia. The clinical questions were developed using the PICO format and were validated with the participation of key actors in the treatment of adults with anxiety. A systematic search for clinical practice guidelines was carried out in databases, metasearch engines, and institutional repositories. Among the most effective treatments for quality of life, symptom remission, and functional recovery are Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy, which are highly effective for the wide range of problems that accompany anxiety and associated disorders.


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  1. Abd-Alrazaq, A., Alajlani, M., Alhuwail, D., Schneider, J., Akhu-Zaheya, L., Ahmed, A., & Househ, M. (2022). The effectiveness of serious games in alleviating anxiety: systematic review and meta-analysis. JMIR Serious Games, 10(1), e29137. https://doi.org/10.2196/29137
  2. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. Washington, DC: American psychiatric association.
  3. Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020). Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: integrating traditional with digital treatment approaches. Anxiety disorders: Rethinking and understanding recent discoveries, 291-329. https://doi.org/10.1007/978-981-32-9705-0_17
  4. Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in clinical neuroscience, 19(2), 93-107. https://doi.org/10.31887/DCNS.2017.19.2/bbandelow
  5. Carl, E., Witcraft, S. M., Kauffman, B. Y., Gillespie, E. M., Becker, E. S., Cuijpers, P., Van Ameringen, M., Smits, J. A. J., & Powers, M. B. (2020). Psychological and pharmacological treatments for generalized anxiety disorder (GAD): a meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, 49(1), 1–21. https://doi.org/10.1080/16506073.2018.1560358
  6. Carmassi, C., Tosato, S., Pedrinelli, V., Bertelloni, C. A., Abbate-Daga, G., Albert, U., Castellini, G., Luciano, M., Menchetti, M., Pompili, M., Sampogna, G., Signorelli, M., Massimetti, G., Fantasia, S., Gravina, D., Dell’Oste, V., Maselli, F. M. C., Zanaboni, S., Bastanzetti, V., … Fiorillo, A. (2024). Longitudinal trajectories of anxiety and depression in subjects with different mental disorders after one year in the COVID-19 pandemic. Psychiatry Research, 334. https://doi.org/10.1016/j.psychres.2023.115680
  7. Centro de Estudios e Investigación en Salud (2014). Guía metodológica para la elaboración de guías de práctica clínica con evaluación económica en el sistema general de seguridad social en salud colombiano. Fundación Santa Fe de Bogotá. https://www.iets.org.co/Archivos/62/Guía Metodológica Elaboración de GPC con Evaluación Económica en el Sist Seguridad Social y Salud-Versión final completa.PDF
  8. Coto-Lesmes, R., Fernández-Rodríguez, C., & González-Fernández, S. (2020). Acceptance and Commitment Therapy in group format for anxiety and depression. A systematic review. Journal of Affective Disorders, 263, 107–120. https://doi.org/10.1016/j.jad.2019.11.154
  9. Díaz, J. D. M., Chacón, V. O., & Ronda, F. J. M. (2016). El diseño de preguntas clínicas en la práctica basada en la evidencia. Modelos de formulación. Enfermería Global, 15(3), 431–438. https://scielo.isciii.es/pdf/eg/v15n43/revision3.pdf
  10. Domschke, K., Seuling, P. D., Schiele, M. A., Bandelow, B., Batelaan, N. M., Bokma, W. A., Branchi, I., Broich, K., Burkauskas, J., Davies, S. J. C., Dell’Osso, B., Fagan, H., Fineberg, N. A., Furukawa, T. A., Hofmann, S. G., Hood, S., Huneke, N. T. M., Latas, M., Lidbetter, N., … Baldwin, D. S. (2024). The definition of treatment resistance in anxiety disorders: a Delphi method-based consensus guideline. World Psychiatry, 23(1), 113–123. https://doi.org/10.1002/wps.21177
  11. Eilenberg, T., Hoffmann, D., Jensen, J. S., & Frostholm, L. (2017). Intervening variables in group-based acceptance & commitment therapy for severe health anxiety. Behaviour research and therapy, 92, 24-31. https://doi.org/10.1016/j.brat.2017.01.009
  12. Engels, A., Stein, J., Riedel-Heller, S. G., Konnopka, C., & König, H.-H. (2024). The development of suicide risk in people with severe mental disorders during the first year of the COVID-19 pandemic: a claims-based cohort study. Social Psychiatry and Psychiatric Epidemiology, 59(7), 1193–1200. https://doi.org/10.1007/s00127-023-02584-z
  13. Heinze G & Camacho P (2010). Guía clínica para el manejo de la ansiedad. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz. http://inprf-cd.gob.mx/guiasclinicas/manejo_ansiedad.pdf
  14. Hernandez, J. A., Castellanos, V. O., & Dulcey, L. A. (2024). Impacto del COVID-19 en la salud mental en Latinoamérica. Revista Del Hospital Psiquiátrico de La Habana, 21(2). https://revhph.sld.cu/index.php/hph/article/view/548/298
  15. Hoffmann, D., Rask, C. U., Hedman-Lagerlöf, E., Jensen, J. S., & Frostholm, L. (2021). Efficacy of internet-delivered acceptance and commitment therapy for severe health anxiety: results from a randomized, controlled trial. Psychological Medicine, 51(15), 2685–2695. https://doi.org/10.1017/S0033291720001312
  16. Hoge, E. A., Bui, E., Mete, M., Dutton, M. A., Baker, A. W., & Simon, N. M. (2023). Mindfulness-based stress reduction vs escitalopram for the treatment of adults with anxiety disorders: a randomized clinical trial. JAMA Psychiatry, 80(1), 13–21. https://doi.org/10.1001/jamapsychiatry.2022.3679
  17. Hurtado, M. M., Nogueras, E. V., Cantero, N., Gálvez, L., García-Herrera, J. M., & Morales-Asencio, J. M. (2020). Development of a guideline for the treatment of generalized anxiety disorder with the ADAPTE method | Développement de directives pour le traitement du trouble d’anxiété généralisé avec la méthode ADAPTE | Desarrollo de la guía de tratamiento del Trastorn. International Journal for Quality in Health Care, 32(6), 356–363. https://doi.org/10.1093/intqhc/mzaa053
  18. Instituto Colombiano del Sistema Nervioso (2015). Ansiedad: Guía de práctica clínica basada en la evidencia (Parte 1). Bogotá, Colombia.
  19. Instituto Colombiano del Sistema Nervioso (2016). Trastornos de ansiedad. Guía de práctica clínica basada en la evidencia. (Parte 2). Bogotá, Colombia.
  20. Katzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., Van Ameringen, M., & University, C. A. G. I. G. on behalf of the A. D. A. of C. C. des troubles anxieux and M. (2014). Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. BMC Psychiatry, 14, 1–83. https://doi.org/10.1186/1471-244X-14-S1-S1
  21. Luciano, M., Carmassi, C., Sampogna, G., Bertelloni, C. A., Abbate-Daga, G., Albert, U., Castellini, G., Della Rocca, B., Fantasia, S., Menchetti, M., Pedrinelli, V., Pompili, M., Signorelli, M. S., Tosato, S., Massoni e Debora Andreoli, L., Clesi, F. M., Bastanzetti, V., Longo, P., Panero, M., … Fiorillo, A. (2024). Longitudinal trajectories of psychosocial functioning in patients with pre-existing mental disorders after one year of COVID-19 pandemic. Journal of Psychiatric Research, 172, 200–209. https://doi.org/10.1016/j.jpsychires.2024.02.016
  22. Manterola, C., Asenjo-Lobos, C., & Otzen, T. (2014). Jerarquización de la evidencia: Niveles de evidencia y grados de recomendación de uso actual. Revista Chilena de Infectología, 31(6), 705–718. http://dx.doi.org/10.4067/S0716-10182014000600011
  23. Mejía-Zambrano, H., & Ramos-Calsín, L. (2022). Prevalencia de los principales trastornos mentales durante la pandemia por COVID-19. Revista de Neuro-Psiquiatría, 85(1), 72–82. https://doi.org/10.20453/rnp.v85i1.4157
  24. Mella Sousa, M., Zamora Navas, P., Mella Laborde, M., Ballester Alfaro, J. J., & Uceda Carrascosa, P. (2012). Niveles de evidencia clínica y grados de recomendación. Revista de La Sociedad Andaluza de Traumatología y Ortopedia, 29(1), 59–72. https://www.portalsato.es/documentos/revista/Revista12-1/Rev.%202012-1-07.pdf
  25. Ministerio de Salud y Protección Social (2010). Guía Metodológica para el desarrollo de Guías de Atención Integral en el Sistema General de Seguridad Social en Salud Colombiano. Colciencias - Fundación Santa Fe. https://www.minsalud.gov.co/salud/Documents/Gu%C3%ADa%20Metodol%C3%B3gica%20para%20la%20elaboraci%C3%B3n%20de%20gu%C3%ADas.pdf
  26. Ministerio de Salud y Protección Social (2016). La Encuesta Nacional de Salud Mental–ENSM 2015. Bogotá, Colombia; 2016. Disponible en: https://www.minjusticia.gov.co/programas-co/ODC/Publicaciones/Publicaciones/CO031102015-salud_mental_tomoI.pdf
  27. Ministerio de Sanidad y Consumo (2007). Guía de práctica clínica para el manejo de pacientes con trastornos de ansiedad en Atención Primaria. Agencia Laín Entralgo. Unidad de Evaluación de Tecnologías Sanitarias. https://portal.guiasalud.es/wp-content/uploads/2018/12/GPC_430_Ansiedad_Lain_Entr_compl.pdf
  28. Morales, A. R., & Zárate, L. E. M. (2004). Epidemiología clínica: investigación clínica aplicada. Ed. Médica Panamericana.
  29. Moreno, E. M., & Moriana, J. A. (2016). Clinical guideline implementation strategies for common mental health disorders | Estrategias para la implementación de guías clínicas de trastornos comunes de salud mental. Revista de Psiquiatria y Salud Mental, 9(1), 51–62. https://doi.org/10.1016/j.rpsm.2015.09.001
  30. National Institute for Health and Care Excellence – NICE (2011). Recommendations | Generalised anxiety disorder and panic disorder in adults: management | Guidance | NICE. https://www.nice.org.uk/guidance/cg113/chapter/Recommendations
  31. National Institute Health and Care Excellence - NICE (2013). Social anxiety disorder: recognition, assessment and treatment (CG159). Natl Collab Cent Ment Heal Natl Inst Heal Care Excell Br Psychol Soc R Coll Psychiatr. http://www.nice.org.uk/CG159
  32. Organización Panamericana de la Salud (2017). Depresión y otros trastornos mentales comunes. Estimaciones sanitarias mundiales. https://iris.paho.org/handle/10665.2/34006?show=full
  33. Organización Mundial de la Salud (2022). Trastornos mentales. https://www.who.int/es/news-room/fact-sheets/detail/mental-disorders
  34. Parra Bolaños, N., Picardo, B. O., Velásquez, L. A., & Londoño, W. A. (2022). Trastornos de ansiedad desde una perspectiva de la Terapia de Aceptación y Compromiso: Un estudio de reflexión. Revista Innovación Digital y Desarrollo Sostenible-IDS, 2, 2. https://doi.org/10.47185/27113760.v2n2.70
  35. Sáiz, P. A., Florez, G., Arrojo, M., Bernardo, M., Gonzalez-Pinto, A., Goikolea, J. M., ... & San, L. (2022). Clinical practice guideline on pharmacological and psychological management of adult patients with an anxiety disorder and comorbid substance use. Adicciones, 34(2), 157-167. https://doi.org/10.20882/adicciones.1548
  36. Saunders, R., Buckman, J. E. J., Suh, J. W., Fonagy, P., Pilling, S., Bu, F., & Fancourt, D. (2024). Variation in symptoms of common mental disorders in the general population during the COVID-19 pandemic: Longitudinal cohort study. BJPsych Open, 10(2). https://doi.org/10.1192/bjo.2024.2
  37. Schünemann, H., Brożek, J., Guyatt, G., & Oxman, A. (2017). Manual GRADE para calificar la calidad de la evidencia y la fuerza de la recomendación (en español). PA Orrego & MX Rojas (Trans.).
  38. Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2013). Acceptance and commitment therapy in the treatment of anxiety: a systematic review. Clinical Psychology Review, 33(8), 965–978. https://doi.org/10.1016/j.cpr.2013.07.002
  39. Tauber, N. M., O’Toole, M. S., Dinkel, A., Galica, J., Humphris, G., Lebel, S., Maheu, C., Ozakinci, G., Prins, J., & Sharpe, L. (2019). Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. Journal of Clinical Oncology, 37(31), 2899–2915. https://doi.org/10.1200/JCO.19.00572
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