Mindfulness para pacientes con artritis reumatoide: revisión sistemática
DOI:
https://doi.org/10.33448/rsd-v10i2.12047Palabras clave:
Artritis reumatoide; Mindfulness; Terapia complementaria.Resumen
Objetivos: Evaluar la efectividad del mindfulness como terapia complementaria en pacientes con artritis reumatoide. Método: Protocolo numerado CRD42017080108 en la plataforma PROSPERO. Se realizaron búsquedas manuales y el instrumento de evaluación Cochrane Collation para revisiones sistemáticas en las bases de datos CENTRAL, MEDLINE, PEDro, PsycoINFO, LILACS, Web of Science, Clinical Trial.gov, WHO-ICTRP y Open Gray. Se incluyeron ensayos controlados aleatorios sin restricciones de idioma o temporalidad de atención plena en comparación con placebo, psicoterapia u otra estrategia equivalente en pacientes con artritis reumatoide. Resultados: Se incluyeron cuatro estudios primarios (249 participantes), que compararon la atención plena con listas de espera, terapia cognitiva y educación. Presentaron mejores puntajes de actividades de la enfermedad, síntomas depresivos, malestar psicológico, bienestar, catastrofización del dolor, aunque fueron clasificados como de alto riesgo de ocurrencia en al menos un dominio del instrumento utilizado, presentando la necesidad de ensayos clínicos robustos, que demuestren la efectividad del mindfulness en la práctica clínica. Conclusiones: Se ha demostrado que los efectos beneficiosos de la atención plena en pacientes con artritis reumatoide presentan resultados importantes de cambios en los resultados que afectan las dimensiones biopsicosociales en pacientes con. Sin embargo, la evidencia de los estudios evaluados es de baja calidad, lo que dificulta recomendar una intervención en la práctica clínica.
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Derechos de autor 2021 Ledjane Neves Oliveira; André Telis de Vilela Araújo; João Nelson Rodrigues Branco ; João Carlos Marchiori de Claudio; Jeanne Liliane Marlene Michel ; Regimar Carla Machado
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