Mindfulness para pacientes com artrite reumatóide: revisão sistemática
DOI:
https://doi.org/10.33448/rsd-v10i2.12047Palavras-chave:
Artrite reumatoide; Mindfulness; Terapia complementar.Resumo
Objetivos: Avaliar a eficácia da mindfulness como terapia complementar em pacientes com artrite reumatoide. Método: Protocolada com o número CRD42017080108 na plataforma PROSPERO. Foi realizadas buscas manuais e o instrumento de avaliação da Colação Cochrane para revisões sistemática nas bases de dados CENTRAL, MEDLINE, PEDro, PsycoINFO, LILACS, Web of Science, ensaios clínicoss.gov, WHO-ICTRP e Open Grey. Foram incluídos ensaios clínicos randomizados sem restrições de idioma ou temporalidade do mindfulness em comparação com placebo, psicoterapia ou outra estratégia equivalente em pacientes com artrite reumatóide. Resultados: Quatro estudos primários incluídos (249 participantes), que compararam mindfulness com lista de espera, terapia cognitiva e educação. Apresentaram melhores escores das atividades da doença, sintomas depressivos, sofrimento psíquico, bem-estar, catastrofização da dor, embora tenham sido classificados com alto risco de ocorrência em pelo menos um domínio do instrumento utilizado, apresentando a necessidade de ensaios clínicos robustos, comprovando a eficácia da atenção plena na prática clínica. Conclusões: Mostra-se efeitos benéficos da atenção plena em pacientes com artrite reumatoide por apresentar resultados importantes de mudanças nos desfechos que afetam as dimensões biopsicossociais em pacientes com. Porém, as evidências advindas dos estudos avaliados são de baixa qualidade, dificultando a recomendação da intervenção na prática clínica.
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Copyright (c) 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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