Terapia cognitiva baseada em mindfulness no atendimento clínico individual de depressão

Autores

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2020.165509

Palavras-chave:

Atenção Plena, Meditação, Depressão, Ansiedade

Resumo

Objetivo: estudo de casos múltiplos teve objetivo de avaliar a aplicabilidade do protocolo de grupo de um programa de 8 semanas de Terapia Cognitiva Baseada em Mindfulness adaptado para o atendimento clínico individual de pacientes com sintomas de depressão. Método: para o estudo de casos múltiplos, no qual 11 casos de pacientes com diagnóstico
de depressão leve à moderada submetidos à intervenção adaptada desse protocolo foram avaliados nos resultados de medidas de depressão, ansiedade, estresse e mindfulness.
Resultados: indicaram redução significativa destes sintomas, bem como aumento de mindfulness na vida cotidiana. Conclusão: os benefícios da intervenção de Terapia Cognitiva
Baseada em Mindfulness podem se apresentar tanto no contexto de atendimento clínico grupal, bem como no individual. Neste estudo, Todos os participantes do estudo tiveram melhora significativa dos sintomas de depressão, bem como dos níveis de ansiedade e estresse, condizente com a os dados apresentados na literatura. É premente a necessidade
de maior número de estudos desta natureza. Pesquisas futuras, especialmente as de natureza empírica, controlados e randomizados, consolidarão a validade externa dos resultados encontrados por estudos com a natureza como o deste. 

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Referências

Barber RM, Fullman N, Sorensen RJD, Bollyky T, McKee M, Nolte E, et al. Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories; 1990–2015: a novel analysis from the Global Burden of Disease Study 2015. Lancet. [Internet]. 2017; 390(10091):31–66. https://doi.org/10.1016/S0140-6736(17)30818-8

Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. 2nd ed. New York (NY): Guilford Press; 2012.

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York; NY: Guilford Press; 1979.

Kabat-Zinn J. Full catastrophe living: Using the wisdom of your mind to face stress; pain; and illness. New York(NY): Bantam Dell; 1990.

Kuyken W, Watkins E, Holden E, White K, Taylor RS, Byford S, et al. How does mindfulness-based cognitive therapy work? Behav Res Therapy. [Internet]. 2010; 48(11):1105-12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20810101.

Williams JM, Kuyken W. Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse. The British Journal of psychiatry: The Journal of Mental Science. [Internet]. 2012; 200(5):359-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22550328.

Kuyken W, Warren F, Taylor R, Whalley B, Crane C, Bondolfi G. Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry. [Internet]. 2016; 73(6):565-74. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27119968.

National Institute of Health and Clinical Excellence. http://www.nice.org.uk/.jsp [cited Mar 12, 2009].

Piet J, Wurtzen H, Zachariae R. The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. J Consult Clin Psychol. [Internet]. 2012; 80(6):1007-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22563637.

Fjorback LO, Arendt M, Ornbol E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatr Scand. [Internet]. 2011; 124(2):102–19. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21534932.

Hofmann SG, Sawyer AT, WittAA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol. [Internet]. 2010; 78(2):169-83. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20350028.

Beltman MW, Voshaar RC, Speckens AE. Cognitive-behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials. Br J Psychiatr. [Internet]. 2010; 197(1):11–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20592427.

Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Alternative Complem Medicine. [Internet]. 2009; 15(5):593-600. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19432513.

Schroevers MJ, Tovote KA, Keers JC, Links TP, Sanderman R, Fleer J. Individual mindfulness-based cognitive therapy for people with diabetes: a pilot randomized controlled trial. Mindfulness. [Internet]. 2015; 6(1):99–110. Available from: https://link.springer.com/article/10.1007/s12671-013-0235-5.

Tovote KA, Fleer J, Snippe E, Peeters ACTM, Emmelkamp PMG, Sanderman R, et al. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care. [Internet]. 2014; 37(9):2427-34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24898301

Tovote KA, Schroevers MJ, Snippe E, Sanderman R, Links TP, Emmelkamp PMG, et al. Long-Term Effects of Individual Mindfulness-Based Cognitive Therapy and Cognitive Behavior Therapy for Depressive Symptoms in Patients with Diabetes: A Randomized Trial. Psychother Psychosom. [Internet]. 2015; 84:186-7 Available from: https://www.ncbi.nlm.nih.gov/pubmed/25832365.

Dwight-Johnson M, Sherbourne C, Liao D, Wells K. Treatment preferences among depressed primary care patients. J Gen Internal Med. [Internet]. 2000; 15(8):527–34. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495573/.

Lau MA, Colley L, Willett BR, Lynd LD. Employee’s preferences for access to mindfulness-based cognitive therapy to reduce the risk of depressive relapse-a discrete choice experiment. Mindfulness. [Internet]. 2012; 3:318-26. Available from: https://link.springer.com/article/10.1007/s12671-012-0108-3.

Wahbeh H, Lane JB Goodrich E, Miller M, Oken BS. One-on-one mindfulness meditation trainings in a research setting. Mindfulness. [Internet]. 2014; 5(1):88-99. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24554970.

Yin RK. Estudo de caso: planejamento e métodos. 2 ed. Porto Alegre(RS): Bookman; 2001.

Fachin O. Fundamentos de metodologia. São Paulo(SP): Saraiva; 2001.

Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd.ed. Thousand Oaks/London: Sage; 1994.

First MB, Williams JBW, Spitzer RL. Entrevista clínica estruturada para os transtornos do DSM-5: SCID.SCV versão clínica. Porto Alegre. Artemed; 2017.

Vignola RCB, Tucci AM. Adaptation and validation of the Depression, Anxiety and Stress Scale (DASS) to Brazilian portuguese. J Affect Disord. 2014;155:104-9. Available from: http://repositorio.unifesp.br/handle/11600/37373.

Barros VV, Kozasa EH, Souza IW, Ronzani TM. Validity evidence of the brazilian version of the Mindful Attention Awareness Scale (MAAS). Psicol Reflexão Crít. [Internet]. 2015; 28(1):87-95. Available from: http://www.scielo.br/scielo.php?pid=S0104-11692006000600006&script=sci_arttext&tlng=pt.

Teasdale JD, Segal, ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. [Internet]. 2000; 68:615-23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10965637.

Geschwind N, Peeters F, Huibers M, Van OJ, Wichers, M. Efficacy of mindfulness-based cognitive therapy in relation to prior history of depression: randomised controlled trial. The Br J Psychiatr. [Internet]. 2012; 201(4):320-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22878133.

Demarzo M, Montero-Marin J, Puebla-Guedea M, Navarro-Gil M, Herrera-Mercadal P, Moreno-González S, et al. Efficacy of 8- and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study. Frontiers Psychol. [Internet]. 2017; 8:13-43. http://doi.org/10.3389/fpsyg.2017.01343 Available from: https://www.ncbi.nlm.nih.gov/pubmed/28848465.

Tovote KA, Schroevers MJ, Snippe E, Sanderman R, Links TP, Emmelkamp PMG, et al. What works best for whom? Cognitive Behavior Therapy and Mindfulness-Based Cognitive Therapy for depressive symptoms in patients with diabetes. PLoS ONE. [Internet]. 2017; 12(6): e0179941. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28662208.

Segal ZV, Williams JMG, Teasdale JD. The Mindful Way Workbook – An 8-Week Program to Free Yourself from Depression and Emotional Distress. New York (NY): The Guilford Press; 2014.

Publicado

2020-09-30

Como Citar

Almeida, N. de O. ., Demarzo, M., & Neufeld, C. B. (2020). Terapia cognitiva baseada em mindfulness no atendimento clínico individual de depressão. SMAD Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 16(3), 55-63. https://doi.org/10.11606/issn.1806-6976.smad.2020.165509