<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>3020-1160</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Especialistas en Medicina del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Asoc Esp Espec Med Trab]]></abbrev-journal-title>
<issn>3020-1160</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Especialistas en Medicina del Trabajo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S3020-11602025000100003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Atención psicológica virtual o presencial: un análisis estadístico en psicología ocupacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Virtual or in-person psychological care: a statistical analysis in occupational psychology]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noguera]]></surname>
<given-names><![CDATA[Unice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal Pardo]]></surname>
<given-names><![CDATA[Angela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huérfano]]></surname>
<given-names><![CDATA[Nanyi Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Basto Rambal]]></surname>
<given-names><![CDATA[Winny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[Juan Camilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parga Marín]]></surname>
<given-names><![CDATA[Diego Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medilaboral S.A.S  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Medilaboral S.A.S  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Medilaboral  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Medilaboral  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Medilaboral S.A.S  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Medilaboral  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S3020-11602025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S3020-11602025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S3020-11602025000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN.  Introducción:  La atención psicológica virtual elimina barreras geográficas y temporales, acelerada por la pandemia de COVID-19. Aunque eficaz, requiere un marco ético sólido para su implementación adecuada.  Objetivos:  Evaluar la efectividad de la atención virtual y presencial para emitir conceptos de aptitud ocupacional en trabajo en alturas.  Material y Métodos:  Estudio retrospectivo de 353 trabajadores colombianos entre abril de 2023 y enero de 2024. Se analizaron variables como tipo de atención, sexo, edad y diagnósticos previos mediante regresión logística.  Resultados:  No se hallaron diferencias significativas entre modalidades. Factores como ansiedad (coeficiente 6.97, p=0.000), escolaridad (coeficiente -2.43, p=0.000) y sexo (coeficiente -1.96, p=0.010) estuvieron asociados con restricciones. La edad (p=0.967), tipo de atención (p=0.558) y consumo de alcohol (p=0.590) no fueron significativos. Los participantes con ansiedad tuvieron 6.9 veces más probabilidad de ser restringidos, mientras mayor escolaridad se asoció con una menor probabilidad de restricción.  Conclusiones:  La atención virtual es efectiva y favorece la sinceridad en el reporte de problemas psicológicos, pero requiere estándares éticos claros en contextos de alto riesgo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Virtual psychological care eliminates geographical and temporal barriers, a trend accelerated by the COVID-19 pandemic. Although effective, it requires a solid ethical framework for proper implementation.  Objectives:  To evaluate the effectiveness of virtual and in-person care in issuing occupational fitness assessments for working at heights.  Material and Methods:  A retrospective study of 353 Colombian workers conducted between April 2023 and January 2024. Variables such as type of care, sex, age, and prior diagnoses were analyzed using logistic regression.  Results:  No significant differences were found between modalities. Factors such as anxiety (coefficient 6.97, p=0.000), education level (coefficient -2.43, p=0.000), and sex (coefficient -1.96, p=0.010) were significantly associated with restrictions. Age (p=0.967), type of care (p=0.558), and alcohol use (p=0.590) were not significant. Participants with anxiety were 6.9 times more likely to be restricted, while higher education reduced restriction likelihood.  Conclusions:  Virtual care is effective and encourages honest reporting of psychological issues but requires clear ethical standards in high-risk contexts.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención psicológica virtual]]></kwd>
<kwd lng="es"><![CDATA[Tamizaje psicológico]]></kwd>
<kwd lng="es"><![CDATA[Aptitud ocupacional]]></kwd>
<kwd lng="es"><![CDATA[Factores asociados a la restricción]]></kwd>
<kwd lng="es"><![CDATA[Efectividad de la aplicación virtual y presencial]]></kwd>
<kwd lng="en"><![CDATA[Virtual psychological care]]></kwd>
<kwd lng="en"><![CDATA[psychological screening]]></kwd>
<kwd lng="en"><![CDATA[Occupational fitness]]></kwd>
<kwd lng="en"><![CDATA[Factors associated with restrictions]]></kwd>
<kwd lng="en"><![CDATA[Effectiveness of virtual and in-person application]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baldwin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Clarke]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hands]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Knott]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of telemedicine on consultation time]]></article-title>
<source><![CDATA[J Telemed Telecare]]></source>
<year>2003</year>
<numero>9</numero>
<issue>9</issue>
<page-range>S71-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perle J]]></surname>
<given-names><![CDATA[Leah C]]></given-names>
</name>
<name>
<surname><![CDATA[Langsam]]></surname>
<given-names><![CDATA[Barry N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Controversy clarified: an updated review of clinical psychology and tele-health]]></article-title>
<source><![CDATA[Clin Psychol Rev]]></source>
<year>2011</year>
<volume>31</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1247-58</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berry]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The limits of Computation: Joseph Weizenbaum and the ELIZA Chatbot]]></article-title>
<source><![CDATA[WJDS]]></source>
<year>2023</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Langsam]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Randel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[s]]></surname>
<given-names><![CDATA[Lutchman]]></given-names>
</name>
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Odland]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nierenberg]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Marker]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Attitudes Toward Psychological Telehealth: Current and Future Clinical Psychologist´ Opinions of Internet-Based Interventions]]></article-title>
<source><![CDATA[J Clin Psychol]]></source>
<year>2013</year>
<volume>69</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>100-13</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cipolletta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mocellin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Online counseling: An exploratory survey of Italian psychologists´ attitudes towards new ways of interaction]]></article-title>
<source><![CDATA[Psychother Res]]></source>
<year>2018</year>
<volume>28</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>909-24</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Join TaskForce fot the Development of Telepsychology Guidelines for Psychologist. Guide lines for the practice of telepsychology]]></article-title>
<source><![CDATA[Am Psychol]]></source>
<year>2013</year>
<volume>68</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>791-800</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piazza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Giorgino]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Azzini]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Stefanelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Luo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cognitive human factors for telemedicine systems]]></article-title>
<source><![CDATA[Stud Health Technol Inform]]></source>
<year>2004</year>
<volume>107</volume>
<numero>Pt 2</numero>
<issue>Pt 2</issue>
<page-range>974-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Simpson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Reid]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Telepsychology in Australia: 20/20 vision]]></article-title>
<source><![CDATA[Aust J Rural Health]]></source>
<year>2014</year>
<volume>22</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>306-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Botella]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Quero]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Banos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Palacios]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Breton-Lopez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alcaniz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fabregat]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Telepsychology and Self-Help: The treatment of Phobias Using the Internet]]></article-title>
<source><![CDATA[Cyberpsychol Behav]]></source>
<year>2008</year>
<volume>11</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>659-64</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perrin]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rybarczyk]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Pierce]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Shaffer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Islam]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rapid telepsychology deployement during the COVID-19 pandemic: A special issue commentary and lessons from primary care psychology training]]></article-title>
<source><![CDATA[J Clin Psychol]]></source>
<year>2020</year>
<volume>76</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1173-85</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>Asociación Americana de Psiquiatría</collab>
<source><![CDATA[Manual Diagnóstico y Estadístico de los Trastornos Mentales]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Arlington ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trujillo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bernal-Hernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rasúa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La paradoja de Simpson en la exploración de yacimientos lateríticos cubanos]]></article-title>
<source><![CDATA[]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Depla.]]></surname>
<given-names><![CDATA[M.F.I.A]]></given-names>
</name>
<name>
<surname><![CDATA[ten Have]]></surname>
<given-names><![CDATA[M.L.]]></given-names>
</name>
<name>
<surname><![CDATA[van Balkom]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[de Graaf]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Specific fears and phobias in the general population: Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS)]]></article-title>
<source><![CDATA[Soc Psychiat Epidemiol]]></source>
<year></year>
<numero>43</numero>
<issue>43</issue>
<page-range>200-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piana]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Dantas]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
<name>
<surname><![CDATA[Guarda]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Tanski]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bellora]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[PAB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The encephalogram as a risk predictive test for work at height]]></article-title>
<source><![CDATA[Rev Bras Med Trab]]></source>
<year>2017</year>
<volume>15</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>252-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bados]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Fobias Específicas]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Universitat de Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Facultat de Psicologia]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
