Occupational Stress Management in Psychologists Who Adopted Teleconsultation during Pandemics
DOI:
https://doi.org/10.18800/psico.202602.018Keywords:
Occupational stress, Teleconsultation, COVID-19, Psychologists, Qualitative MethodsAbstract
Objective: This study aimed to analyze occupational stress management in psychologists from Metropolitan Lima who implemented teleconsultation during the COVID-19 pandemic. Methods: Qualitative research was conducted following a reflexive thematic analysis design, comprising 12 semi-structured interviews with psychologists working in public and private spheres. Results: The results show that the pandemic led to a labor demand that entailed a cognitive and emotional work burden, and different ways of managing stress were used, such as perception of control at work, while using emotional, instrumental, and informative social support. Conclusions: Psychologists seek to cope with occupational stress through the perception of control at work and their search for social support.
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Agencia Peruana de Noticias. (2021). Más de 4,000 teleconsultas psicológicas por covid19 atendió hospital de Villa El Salvador. https://andina.pe/agencia/noticia-mas-4000-teleconsultas-psicologicas-covid19-atendio-hospital-villa-salvador-817241.aspx
American Psychological Association. (2025). Equity, Diversity, and Inclusion Toolkit for Journal Editors (2nd.). American Psychological Association. https://www.apa.org/pubs/authors/equity-diversity-inclusion-toolkit-journal-editors.pdf
Amir-Behghadami, M., & Janati, A. (2021). Tele-mental health support community during the COVID-19 pandemic in Iran: Action of State Welfare Organization. Informatics in Medicine Unlocked, 24, 100615. https://doi.org/10.1016/j.imu.2021.100615
Asociación Médica Mundial. (2024, March 26). Declaración de Helsinki de la AMM - Principios Éticos para las investigaciones Médicas con participantes humanos. AAM. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Bellicoso, D., Valenzano, T. J., Santiago, C., Romano, D., Canzian, S., & Topolovec-Vranic, J. (2026). Resilience and Burnout Among Healthcare Staff During COVID-19: Lessons for Pandemic Preparedness. Healthcare, 14(2), 195. https://doi.org/10.3390/healthcare14020195
Bonilla, P. C. (2021). Estudio de las características del teletrabajo en aislamiento por el COVID-19 en la provincia de Pichincha [Escuela Politécnica Nacional]. https://bibdigital.epn.edu.ec/bitstream/15000/21576/1/CD 11077.pdf
Braun, V., & Clarke, V. (2022). Thematic Analysis. A Practical Guide. Sage.
Carpi, M., Bruschini, M., di Vito, A., & Burla, F. (2024). Burnout and perceived stress among Italian physical therapists during the COVID-19 pandemic: a cross-sectional study. Psychology, Health & Medicine, 29(4), 843–855. https://doi.org/10.1080/13548506.2023.2253508
Cavarretta, M. V., Pellerin, H., Maurel, E., Anzalone, S. M., Truck, I., Cohen, D., & Ingoglia, S. (2025). The effectiveness of online therapy in promoting wellbeing and reducing burnout among psychotherapists. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1510383
Chandler, A. B., Wank, A. A., Vanuk, J. R., O’Connor, M. F., Dreifuss, B. A., Dreifuss, H. M., Ellingson, K. D., Khan, S. M., Friedman, S. E., & Athey, A. (2023). Implementing Psychological First Aid for Healthcare Workers During the COVID-19 Pandemic: A Feasibility Study of the ICARE Model. Journal of Clinical Psychology in Medical Settings, 30(3), 482–489. https://doi.org/10.1007/s10880-022-09900-w
Colegio de Psicólogos del Perú. (2020). El colegio de psicólogos del Perú y la tele psicología en tiempos de pandemia. http://api.cpsp.io/public/documents/1586056340626-telepsicologia.pdf?fbclid=IwAR3Shs3Yy1TqK4NnwnoDi8qTo_kxF8mg0YCWazriWI7ZBYNc3ZiR0EN3Rn8
Crescenzo, P., Marciano, R., Maiorino, A., Denicolo, D., D’Ambrosi, D., Ferrara, I., Calabrese, S., & Diodato, F. (2021). First COVID-19 wave in Italy: coping strategies for the prevention and prediction of burnout syndrome (BOS) in voluntary psychologists employed in telesupport. Psychology Hub, 38(1), 31–38. https://doi.org/10.13133/2724-2943/17435
Curioso, W. H., & Galán-Rodas, E. (2020). El rol de la telesalud en la lucha contra el COVID-19 y la evolución del marco normativo peruano. Acta Médica Peruana, 37(3). https://doi.org/10.35663/amp.2020.373.1004
Daniel, B. K. (2018). Empirical verification of the “TACT” framework for teaching rigour in qualitative research methodology. Qualitative Research Journal, 18(3), 262–275. https://doi.org/10.1108/QRJ-D-17-00012
Da Silva, L. H., Passos, A. P. P. dos, Dias, E. R. L. L., & Dutra, J. S. (2024). Burnout de Profissionais dos Centros de Atenção Psicossocial na Pandemia de Covid-19. Revista Psicologia Organizações e Trabalho, 24, 1–9. https://doi.org/10.5935/rpot/2024.25106
Diario Gestión. (2021). COVID-19: ¿Cuáles son los distritos de Lima con más casos de contagio de coronavirus? https://gestion.pe/peru/covid-19-cuales-son-los-distritos-de-lima-con-mas-casos-de-contagio-de-coronavirus-minsa-ministerio-de-salud-nndc-noticia/#:~:text=El director de Vigilancia en,más casos de COVID-19.
Decreto Legislativo No 1490, (2020). https://busquedas.elperuano.pe/normaslegales/decreto-legislativo-que-fortalece-los-alcances-de-la-telesal-decreto-legislativo-n-1490-1866212-2/
Diario Oficial El Peruano. (2021). Instituto Nacional de Salud Mental brindó más de 15, 000 atenciones en psicología. https://elperuano.pe/noticia/119852-instituto-nacional-de-salud-mental-brindo-mas-de-15-000-atenciones-en-psicologia
Flores, J. C., & Arguello, M. D. (2020). Sintomatología de estrés, ansiedad y depresión en el teletrabajo ante el COVID-19: El caso de una empresa de turismo en la ciudad de Quito - Ecuador, 2020 [Tesis de grado, Universidad Internacional SEK]. http://repositorio.uisek.edu.ec/handle/123456789/3854
Garfan, S., Alamoodi, A. H. H., Zaidan, B. B. B., Al-Zobbi, M., Hamid, R. A., Alwan, J. K. J. K., Ahmaro, I. Y. Y., Khalid, E. T., Jumaah, F. M. M., Albahri, O. S. S., Zaidan, A. A. A., Albahri, A. S. S., Al-qaysi, Z. T. T., Ahmed, M. A. A., Shuwandy, M. L., Salih, M. M., Zughoul, O., Mohammed, K. I. I., & Momani, F. (2021). Telehealth utilization during the Covid-19 pandemic: A systematic review. Computers in Biology and Medicine, 138(4), 104878. https://doi.org/10.1016/j.compbiomed.2021.104878
Gava, G., Fisher, A. D., Alvisi, S., Mancini, I., Franceschelli, A., Seracchioli, R., & Meriggiola, M. C. (2021). Mental Health and Endocrine Telemedicine Consultations in Transgender Subjects During the COVID-19 Outbreak in Italy: A Cross-Sectional Web-Based Survey. The Journal of Sexual Medicine, 18(5), 900–907. https://doi.org/10.1016/j.jsxm.2021.03.009
Heidari, P., Broadbear, J., Cheney, L., Dharwadkar, N. P., & Rao, S. (2022). The impact of COVID-19 lockdown on the well-being of mental healthcare providers working in a specialist clinic for personality disorder. Australian Psychologist, 57(1), 21–27. https://doi.org/10.1080/00050067.2021.1990735
Johnson, J. V., & Hall, E. M. (1988). Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health, 78(10), 1336–1342. https://doi.org/10.2105/AJPH.78.10.1336
Kercher, A., Rahman, J., & Pedersen, M. (2024). The COVID-19 pandemic, psychologists’ professional quality of life and mental health. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1339869
Kika, N., Trompeter, N., Lamb, D., Bhundia, R., Carr, E., Dempsey, B., Greenberg, N., Madan, I., Penfold, C., Raine, R., Wessely, S., & Stevelink, S. A. M. (2025). Resilience during the COVID-19 pandemic: Associations with changes in burnout and mental well-being among NHS mental health staff in England. PLOS ONE, 20(7 July). https://doi.org/10.1371/journal.pone.0326753
Kvale, S. (2011). Las entrevistas en investigación cualitativa. Morata.
Lozano-Vargas, A. (2020). Impacto de la epidemia del Coronavirus (COVID-19) en la salud mental del personal de salud y en la población general de China. Revista de Neuro-Psiquiatria, 83(1), 51–56. https://doi.org/10.20453/rnp.v83i1.3687
Malvaceda-Espinoza, E. (2023). La generación de significado en el análisis cualitativo de información. In E. Malvaceda Espinoza, J. Soto Ramírez, N. E. Carrasco Tapia, & E. A. Hernández Zapata (Eds.), La investigación cualitativa, sus aportes teóricos, metodológicos y prácticos (pp. 177–202). Ediciones Universidad Cooperativa de Colombia. https://doi.org/10.16925/9789587604245
Malvaceda-Espinoza, E., & Flores-Pereyra, G. (2025). Methodological Aspects in the Construction of the Protocol in Semi-Structured Interviews. Qualitative Report, 30(12), 4879–4890. https://doi.org/10.46743/2160-3715/2025.6998
Mathieu-Fritz, A. (2018). Les téléconsultations en santé mentale. Réseaux, 207(1), 123–164. https://doi.org/10.3917/res.207.0123
Mayan, M. J. (2023). Essentials of Qualitative Inquiry (2nd ed.). Routledge. https://doi.org/10.4324/b23331
Mertens, D. (2024). Research and Evaluation in Education and Psychology. Integrating Diversity With Quantitative, Qualitative, and Mixed Methods (6th ed.). Sage.
Monterrosa-Castro, A., Dávila-Ruiz, R., Mejía-Mantilla, A., Contreras-Saldarriaga, J., Mercado-Lara, M., & Florez-Monterrosa, C. (2020). Estrés laboral, ansiedad y miedo al COVID-19 en médicos generales colombianos. MedUNAB, 23(2), 195–213. https://doi.org/10.29375/01237047.3890
Montoya, M. I., Kogan, C. S., Rebello, T. J., Sadowska, K., Garcia-Pacheco, J. A., Khoury, B., Kulygina, M., Matsumoto, C., Robles, R., Huang, J., Andrews, H. F., Ayuso-Mateos, J. L., Denny, K., Gaebel, W., Gureje, O., Kanba, S., Maré, K., Medina-Mora, M. E., Pike, K. M., … Reed, G. M. (2022). An international survey examining the impact of the COVID-19 pandemic on telehealth use among mental health professionals. Journal of Psychiatric Research, 148, 188–196. https://doi.org/10.1016/j.jpsychires.2022.01.050
Olivo, S., Cheli, M., Dinoto, A., Stokelj, D., Tomaselli, M., & Manganotti, P. (2021). Telemedicine during the SARS-Cov-2 pandemic lockdown: Monitoring stress and quality of sleep in patients with epilepsy. Epilepsy & Behavior, 118, 107864. https://doi.org/10.1016/j.yebeh.2021.107864
Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España. Cadernos de Saúde Pública, 36(4), e00054020. https://doi.org/10.1590/0102-311x00054020
Patlán Pérez, J. (2020). What is job stress and how to measure it? Salud Uninorte, 35(1), 156–184. https://doi.org/10.14482/sun.35.1.158.72
Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S., Nankivil, N., Brown, R., Linzer, M., Cappelucci, K., Barbouche, M., & Sinsky, C. A. (2021). Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study. EClinicalMedicine, 35, 100879. https://doi.org/10.1016/j.eclinm.2021.100879
Riva, S., Antonietti, A., Iannello, P., & Pravettoni, G. (2015). What are judgment skills in health literacy? A psycho-cognitive perspective of judgment and decision-making research. In Patient Preference and Adherence (Vol. 9, pp. 1677–1686). Dove Medical Press Ltd. https://doi.org/10.2147/PPA.S90207
Robinson, O. C. (2014). Sampling in Interview-Based Qualitative Research: A Theoretical and Practical Guide. Qualitative Research in Psychology, 11(1), 25–41. https://doi.org/10.1080/14780887.2013.801543
Rosario-Rodríguez, A., González-Rivera, J. A., Cruz-Santos, A., & Rodríguez-Ríos, L. (2020). Demandas Tecnológicas, Académicas y Psicológicas en Estudiantes Universitarios durante la Pandemia por COVID-19. Revista Caribeña de Psicología, 35(1), 176–185. https://doi.org/10.37226/rcp.v4i2.4915
Rugel, L., & Romero, R. (2020). Las percepciones de los trabajadores frente al teletrabajo durante la pandemia Covid-19, caso de estudio realizado a los residentes de una urbanización del cantón Daule [Tesis de grado, Universidad Católica de Santiago de Guayaquil]. http://repositorio.ucsg.edu.ec/handle/3317/15593
Sapkota, S., Adhikari, P., Sah, S., Bhattarai, S., Shrestha, S. P., Poudel, S., Sharma, H. R., Maleku, K., & Simkhada, P. (2022). Use of telehealth services among Nepali living overseas during Covid-19 pandemic: The opportunities, limitations, lessons learned and recommendations. Journal of Oral Biology and Craniofacial Research, 12(2), 299–301. https://doi.org/10.1016/j.jobcr.2021.12.001
Siddiqui, I., Gupta, J., Collett, G., McIntosh, I., Komodromos, C., Godec, T., Ng, S., Maniero, C., Antoniou, S., Khan, R., Kapil, V., Khanji, M. Y., & Gupta, A. K. (2023). Perceived workplace support and mental health, well-being and burnout among health care professionals during the COVID-19 pandemic: a cohort analysis. CMAJ Open, 11(1), E191–E200. https://doi.org/10.9778/cmajo.20220191
Sikioti, T., Zartaloudi, A., Pappa, D., Mangoulia, P., Fradelos, E. C., Kourti, F. E., Koutelekos, I., Dousis, E., Margari, N., Stavropoulou, A., Evangelou, E., & Dafogianni, C. (2023). Stress and burnout among Greek critical care nurses during the COVID-19 pandemic. AIMS Public Health, 10(4), 755–774. https://doi.org/10.3934/publichealth.2023051
Wang, H., Liu, Y., Hu, K., Zhang, M., Du, M., Huang, H., & Yue, X. (2020). Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective. Nursing Ethics, 27(7), 1490–1500. https://doi.org/10.1177/0969733020934146
Zare, S., Mohammadi dameneh, M., Esmaeili, R., Kazemi, R., Naseri, S., & Panahi, D. (2021). Occupational stress assessment of health care workers (HCWs) facing COVID-19 patients in Kerman province hospitals in Iran. Heliyon, 7(5), e07035. https://doi.org/10.1016/j.heliyon.2021.e07035
Zemnil, I., Dhouib, W., Sakly, S., Bennasrallah, C., Gara, A., Kacem, M., Fredj, M. ben, Abroug, H., Elbaroudi, A., Bouanene, I., & Belguith, A. S. (2023). Burnout syndrome among health care workers during the COVID-19 pandemic. A cross sectional study in Monastir, Tunisia. PLoS ONE, 18(3 March). https://doi.org/10.1371/journal.pone.0282318
Zhu, Z., Xu, S., Wang, H., Liu, Z., Wu, J., Li, G., Miao, J., Zhang, C., Yang, Y., Sun, W., Zhu, S., Fan, Y., Chen, Y., Hu, J., Liu, J., & Wang, W. (2020). COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine, 24, 100443. https://doi.org/10.1016/j.eclinm.2020.100443
