Alternative/complementary therapies as a strategy for the care of the nursing team in the face of depression in crisis contexts: integrative review




Depression; Nursing team; Complementary Therapies; Health promotion.


Objective: to identify, in the literature, alternative therapies that have already been used to provide emotional support in the face of depression, which can be applied by the nursing team during crisis contexts, such as the COVID-19 pandemic. Methodology: the Integrative Literature Review study used the Medical Literature Analysis and Retrieval System Online (MEDLINE) platform through PubMed, using the MeSH descriptors: complementary therapies AND depression. Results: Of the 8923 titles retrieved by the search, only 15 were included in this review, as they met the selection criteria. The alternative therapies found were divided into 8 categories: Acupuncture, Art Therapy, Ayahuasca, Biodanza, Pranic Healing, Music Therapy, Anise Oil and Yoga. Within this classification, it was possible to observe that the most present therapy in the studies found were Yoga and Acupuncture, all categories of therapies were reported as capable of promoting the improvement of depressive symptoms. Conclusion: the alternative/complementary therapies already used to improve depressive symptoms and/or depression, found in this study, open a range of care that can serve as emotional support for the nursing team in a crisis context such as the one caused by the COVID pandemic. -19. Yoga and acupuncture were described more frequently, being the therapies in which the results and application varieties can be options for the development of group or individual activities, being an option of choice for the nursing team.


Amestoy, S. C., (2020). Inteligência emocional: habilidade relacional para o enfermeiro-líder na linha de frente contra o novo Coronavírus. Journal of Nursing and Health, 10(4). doi: HTTPS://DOI.ORG/10.15210/JONAH.V10I4.18993

Barros, N. F. de., Siegel, P., Simoni, C. de. (2007). Política Nacional de Práticas Integrativas e Complementares no SUS: passos para o pluralismo na saúde. Cad. Saúde Pública, 23(12).

Brasil. (2022). Painel Coronavírus. Coronavírus Brasil.

Bhargav, P. H., Reddy, P. V., Govindaraj, R., Gulati, K., Ravindran, A., Gayathri, D., Karmani, S. J., Udupa, K., Venkatasubramanian, G., Philip, M., Debnath, M., Bharath, R. D., Sathyaprabha, T. N., Gangadhar, B. N., & Muralidharan Pi, K. (2021). Impact of a Course of Add-on Supervised Yoga on Cortical Inhibition in Major Depressive Disorder: A Randomized Controlled Trial. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 66(2), 179–181.

Ciasca, E. C., Ferreira, R. C., Santana, C., Forlenza, O. V., Dos Santos, G. D., Brum, P. S., & Nunes, P. V. (2018). Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Revista brasileira de psiquiatria, 40(3), 256–263.

Conselho Regional de Enfermagem de São Paulo (COREN-SP). (2022). Coren-SP e Sindicato dos Enfermeiros do Estado de SP divulgam carta à população com reivindicações da enfermagem. COREN SP.

Chan, S., Chan, W., Chao, J., & Chan, P. (2020). A randomized controlled trial on the comparative effectiveness of mindfulness-based cognitive therapy and health qigong-based cognitive therapy among Chinese people with depression and anxiety disorders. BMC psychiatry, 20(1), 590.

Dal’bosco, E. B., Floriano, L. S. M., Skupien, S. V., Arcaro, G., Martins, A. R., Anselmo, A. C. C. (2020). Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev. Bras. Enferm, 73(supl. 2), e20200434.

Hill A. (2003). Guia das medicinas alternativas: todos os sistemas de cura natural. Hemus.

Humerez, D. C. de., Ohl, R. I. B. Silva, M. C. N. da. (2020). Saúde mental dos profissionais de enfermagem do Brasil no contexto da pandemia COVID-19: ação do Conselho Federal de Enfermagem. Cogitare Enfermagem, 25, e74115. '.

Kwok, J., Kwan, J., Auyeung, M., Mok, V., Lau, C., Choi, K. C., & Chan, H. (2019). Effects of Mindfulness Yoga vs Stretching and Resistance Training Exercises on Anxiety and Depression for People With Parkinson Disease: A Randomized Clinical Trial. JAMA neurology, 76(7), 755–763.

Lévy, P. (2003). A inteligência coletiva: por uma antropologia do ciberespaço. Loyola.

Li, M., Zhang, B., Meng, Z., Sha, T., Han, Y., Zhao, H., & Zhang, C. (2017). Effect of Tiaoshen Kaiqiao acupuncture in the treatment of ischemic post-stroke depression: a randomized controlled trial. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 37(2), 171–178.

Li, S., Li, Z. F., Wu, Q., Guo, X. C., Xu, Z. H., Li, X. B., Chen, R., Zhou, D. Y., Wang, C., Duan, Q., Sun, J., Luo, D., Li, M. Y., Wang, J. L., Xie, H., Xuan, L. H., Su, S. Y., Huang, D. M., Liu, Z. S., & Fu, W. B. (2018). A Multicenter, Randomized, Controlled Trial of Electroacupuncture for Perimenopause Women with Mild-Moderate Depression. BioMed research international, 2018, 5351210.

López-Rodríguez, M. M., Baldrich-Rodríguez, I., Ruiz-Muelle, A., Cortés-Rodríguez, A. E., Lopezosa-Estepa, T., & Roman, P. (2017). Effects of Biodanza on Stress, Depression, and Sleep Quality in University Students. Journal of alternative and complementary medicine (New York, N.Y.), 23(7), 558–565.

Ministério da Saúde. (2015). Política Nacional de Práticas Integrativas e Complementares no SUS (PNPIC).

Ministério da Saúde. (2021). Depressão.

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem. 758-764.

Merces, M. C., Gomes, A. M., Coelho, J. M., Servo, M. L., Marques, S. C., & D’Oliveira Júnior A. (2019). Scientific evidence on the association between burnout and metabolic syndrome: integrative review. Acta Paul Enferm. 2019;32(4):470-6. 0194201900064

Mosaffa-Jahromi, M., Tamaddon, A. M., Afsharypuor, S., Salehi, A., Seradj, S. H., Pasalar, M., Jafari, P., & Lankarani, K. B. (2017). Effectiveness of Anise Oil for Treatment of Mild to Moderate Depression in Patients With Irritable Bowel Syndrome: A Randomized Active and Placebo-Controlled Clinical Trial. Journal of evidence-based complementary & alternative medicine, 22(1), 41–46.

Organização Pan-Americana da Saúde (OPAS). (2020). Histórico da pandemia de COVID-19.,pela%20OMS%20como%20uma%20pandemia.

Organização Pan-Americana da Saúde (OPAS). (2020). Depressão.

Palhano-Fontes, F., Barreto, D., Onias, H., Andrade, K. C., Novaes, M. M., Pessoa, J. A., Mota-Rolim, S. A., Osório, F. L., Sanches, R., Dos Santos, R. G., Tófoli, L. F., de Oliveira Silveira, G., Yonamine, M., Riba, J., Santos, F. R., Silva-Junior, A. A., Alchieri, J. C., Galvão-Coelho, N. L., Lobão-Soares, B., Hallak, J., Araújo, D. B. (2019). Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial. Psychological medicine, 49(4), 655–663.

Rajagopal, R., Jois, S. N., Mallikarjuna Majgi, S., Anil Kumar, M. N., & Shashidhar, H. B. (2018). Amelioration of mild and moderate depression through Pranic Healing as adjuvant therapy: randomised double-blind controlled trial. Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 26(1), 82–87.

Ravindran, A. V., McKay, M. S., Silva, T. D., Tindall, C., Garfinkel, T., Paric, A., & Ravindran, L. (2021). Breathing-focused Yoga as Augmentation for Unipolar and Bipolar Depression: A Randomized Controlled Trial: Le yoga axé sur la respiration comme traitement d'appoint pour la dépression unipolaire et bipolaire: Un essai randomisé contrôlé. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 66(2), 159–169.

Ribeiro, M., Alcântara-Silva, T., Oliveira, J., Paula, T. C., Dutra, J., Pedrino, G. R., Simões, K., Sousa, R. B., & Rebelo, A. (2018). Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial. BMC psychology, 6(1), 57.

Santos, C. M. D. C., Pimenta, C. A. D. M., & Nobre, M. R. C. (2007). The PICO Strategy for the research questions construction and evidence search. In Rev. Latino-Am. Enfermagem, 15(3), 508–511. doi:

Santos, K. M. R. dos., Galvão, M. H. R., Gomes, S. M., Souza, T. A. de Medeiros, A. de A., Barbosa, I. R. (2021). Depressão e ansiedade em profissionais de enfermagem durante a pandemia da covid-19. Esc. Anna. Nery, 25, e20200370.

Uebelacker, L. A., Kraines, M., Broughton, M. K., Tremont, G., Gillette, L. T., Epstein-Lubow, G., Abrantes, A. M., Battle, C., & Miller, I. W. (2017). Perceptions of hatha yoga amongst persistently depressed individuals enrolled in a trial of yoga for depression. Complementary therapies in medicine, 34, 149–155.

Wen, T. S. (2006). Acupuntura clássica chinesa. São Paulo: Cultrix.

You, Y., Zhang, T., Shu, S., Qian, X., Zhou, S., & Yao, F. (2020). Wrist-ankle acupuncture and Fluoxetine in the treatment of post-stroke depression: a randomized controlled clinical trial. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 40(3), 455–460.

Zhao, B., Li, Z., Wang, Y., Ma, X., Wang, X., Wang, X., Liang, Y., Yang, X., Sun, Y., Song, M., Guo, T., Bao, T., & Fei, Y. (2019). Can acupuncture combined with SSRIs improve clinical symptoms and quality of life in patients with depression? Secondary outcomes of a pragmatic randomized controlled trial. Complementary therapies in medicine, 45, 295–302.



How to Cite

AMANAI, A. B. A. .; FARIA, S. M. .; BIGATTO, K. R. S. .; AZEVEDO, O. A. de. Alternative/complementary therapies as a strategy for the care of the nursing team in the face of depression in crisis contexts: integrative review . Research, Society and Development, [S. l.], v. 11, n. 11, p. e319111133651, 2022. DOI: 10.33448/rsd-v11i11.33651. Disponível em: Acesso em: 26 nov. 2022.



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