Meditação de atenção plena na mulher: o que é ruído e o que é evidência? Uma revisão narrativa

Autores

DOI:

https://doi.org/10.25118/2763-9037.2024.v14.1097

Palavras-chave:

atenção plena, consciência plena, mindfullness, saúde da mulher, saúde das mulheres, saúde feminina

Resumo

Introdução: A saúde mental da mulher é influenciada por particularidades e variações hormonais que podem predispor a diversos transtornos mentais. Com base na evidência das práticas de meditação de atenção plena (mindfulness) em populações gerais, estas intervenções têm o potencial de modular a psicopatologia feminina, promovendo melhoria na saúde mental. Objetivos: Este artigo tem por objetivo fazer uma revisão narrativa avaliando a relação entre a prática de atenção plena e a saúde mental da mulher. Métodos: Foram consultadas as bases de dados Pubmed, MEDLINE, Embase e Cochrane, selecionando os artigos em inglês publicados entre 2013 e 2023. Resultados e Discussão: Os resultados dos estudos incluídos nesta revisão apontam para a eficácia da atenção plena nos processos de manejo de estresse e na promoção da regulação emocional em mulheres. As práticas de meditação de atenção plena foram consistentemente associadas a uma atenuação nos sintomas de condições específicas à saúde mental da mulher, tais como: transtorno disfórico pré-menstrual; depressão, estresse e ansiedade na gestação e pós-parto; estresse na perimenopausa; disfunções sexuais e transtorno alimentar, especialmente episódios de compulsão alimentar e comer emocional. Evidenciam-se ainda algumas fragilidades metodológicas das pesquisas sobre meditação atenção plena em mulheres. Conclusão: A prática de mindfulness evidencia-se como uma intervenção benéfica e com amplas aplicações na saúde mental feminina. Destaca-se o impacto positivo no manejo de patologias associadas ao ciclo reprodutivo e nos transtornos alimentares, recomendando-se a expansão de pesquisas com melhor qualidade metodológica que tenham como enfoque os efeitos terapêuticos no espectro da saúde mental da mulher.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Biografia do Autor

Igor Emanuel Vasconcelos e Martins Gomes, Psiquiatra, I Psi Saúde Mental Ltda, Fortaleza, CE, Brasil

Maria Marta Neves de Oliveira, Psiquiatra, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Patrícia Pimenta Lemos, Psiquiatra, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Priscilla Santos Miguel Maistro, Psiquiatra, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Christiane Carvalho Ribeiro, Psiquiatra, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Hewdy Lobo Ribeiro, Psiquiatra, Vida Mental Serviços Médicos, São Paulo, SP, Brasil

Jerônimo de Almeida Mendes Ribeiro, Psiquiatra, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Ritele Hernandez da Silva , Psiquiatra, Universidade Federal de Santa Catarina, UFSC, Florianópolis, SC, Brasil

Antônio Geraldo da Silva, Pós-Doutor em Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Joel Rennó Junior , Psiquiatra, Universidade de São Paulo, USP, São Paulo, SP, Brasil

Referências

.1. Oyola MG, Handa RJ. Hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axes: sex differences in regulation of stress responsivity. Stress. 2017;20(5):476-94. https://doi.org/10.1080/10253890.2017.1369523 PMID:28859530 PMCID:PMC5815295 DOI: https://doi.org/10.1080/10253890.2017.1369523

.2. Schiller CE, Johnson SL, Abate AC, Schmidt PJ, Rubinow DR. Reproductive steroid regulation of mood and behavior. Compr Physiol. 2016;6(3):1135-60. https://doi.org/10.1002/cphy.c150014 PMID:27347888 - PMCID:PMC6309888 DOI: https://doi.org/10.1002/cphy.c150014

.3. Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Wampold BE, Kearney DJ, Simpson TL. Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clin Psychol Rev. 2018;59:52-60. https://doi.org/10.1016/j.cpr.2017.10.011 PMID:29126747 PMCID:PMC5741505 DOI: https://doi.org/10.1016/j.cpr.2017.10.011

.4. Doll A, Holzel BK, Mulej Bratec S, Boucard CC, Xie X, Wohlschlager AM, Sorg C. Mindful attention to breath regulates emotions via increased amygdala-prefrontal cortex connectivity. Neuroimage. 2016;134:305-13. https://doi.org/10.1016/j.neuroimage.2016.03.041 PMID:27033686 DOI: https://doi.org/10.1016/j.neuroimage.2016.03.041

.5. Walsh R, Shapiro SL. The meeting of meditative disciplines and Western psychology: a mutually enriching dialogue. Am Psychol. 2006;61(3):227-39. https://doi.org/10.1037/0003-066x.61.3.227 PMID:16594839 DOI: https://doi.org/10.1037/0003-066X.61.3.227

.6. Zhang D, Lee EKP, Mak ECW, Ho CY, Wong SYS. Mindfulness-based interventions: an overall review. Br Med Bull. 2021;138(1):41-57. https://doi.org/10.1093/bmb/ldab005 PMID:33884400 - PMCID:PMC8083197 DOI: https://doi.org/10.1093/bmb/ldab005

.7. Schuman-Olivier Z, Trombka M, Lovas DA, Brewer JA, Vago DR, Gawande R, Dunne JP, Lazar SW, Loucks EB, Fulwiler C. Mindfulness and behavior change. Harv Rev Psychiatry. 2020;28(6):371-94. https://doi.org/10.1097/hrp.0000000000000277 PMID:33156156 PMCID:PMC7647439 DOI: https://doi.org/10.1097/HRP.0000000000000277

.8. Howarth A, Smith JG, Perkins-Porras L, Ussher M. Effects of brief mindfulness-based interventions on health-related outcomes: a systematic review. Mindfulness (N Y). 2019;10:1957–68. https://doi.org/10.1007/s12671-019-01163-1 DOI: https://doi.org/10.1007/s12671-019-01163-1

.9. Marchand WR. Neural mechanisms of mindfulness and meditation: evidence from neuroimaging studies. World J Radiol. 2014;6(7):471-9. https://doi.org/10.4329/wjr.v6.i7.471 PMID:25071887 - PMCID:PMC4109098 DOI: https://doi.org/10.4329/wjr.v6.i7.471

.10. Black DS, Slavich GM. Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Ann N Y Acad Sci. 2016;1373(1):13-24. https://doi.org/10.1111/nyas.12998 PMID:26799456 - PMCID:PMC4940234 DOI: https://doi.org/10.1111/nyas.12998

.11. Valk SL, Kanske P, Park BY, Hong SJ, Bockler A, Trautwein FM, Bernhardt BC, Singer T. Functional and microstructural plasticity following social and interoceptive mental training. Elife. 2023;12:e85188. https://doi.org/10.7554/elife.85188 PMID:37417306 - PMCID:PMC10414971 DOI: https://doi.org/10.7554/eLife.85188

.12. O'Leary K, O'Neill S, Dockray S. A systematic review of the effects of mindfulness interventions on cortisol. J Health Psychol. 2016;21(9):2108-21. https://doi.org/10.1177/1359105315569095 PMID:25673371 DOI: https://doi.org/10.1177/1359105315569095

.13. Pascoe MC, Thompson DR, Jenkins ZM, Ski CF. Mindfulness mediates the physiological markers of stress: systematic review and meta-analysis. J Psychiatr Res. 2017;95:156-78. https://doi.org/10.1016/j.jpsychires.2017.08.004 PMID:28863392 DOI: https://doi.org/10.1016/j.jpsychires.2017.08.004

.14. Nayman S, Konstantinow DT, Schricker IF, Reinhard I, Kuehner C. Associations of premenstrual symptoms with daily rumination and perceived stress and the moderating effects of mindfulness facets on symptom cyclicity in premenstrual syndrome. Arch Womens Ment Health. 2023;26(2):167-76. https://doi.org/10.1007/s00737-023-01304-5 PMID:36899192 - PMCID:PMC10063513 DOI: https://doi.org/10.1007/s00737-023-01304-5

.15. Panahi F, Faramarzi M. The effects of mindfulness-based cognitive therapy on depression and anxiety in women with premenstrual syndrome. Depress Res Treat. 2016;2016:9816481. https://doi.org/10.1155/2016/9816481 PMID:28025621 PMCID:PMC5153465 DOI: https://doi.org/10.1155/2016/9816481

.16. Li RX, Ma M, Xiao XR, Xu Y, Chen XY, Li B. Perimenopausal syndrome and mood disorders in perimenopause: prevalence, severity, relationships, and risk factors. Medicine (Baltimore). 2016;95(32):e4466. https://doi.org/10.1097/md.0000000000004466 PMID:27512863 PMCID:PMC4985318 DOI: https://doi.org/10.1097/MD.0000000000004466

.17. Liu H, Cai K, Wang J, Zhang H. The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: a systematic review and meta-analysis. Front Public Health. 2023;10:1045642. https://doi.org/10.3389/fpubh.2022.1045642 PMID:36699873 PMCID:PMC9869042 DOI: https://doi.org/10.3389/fpubh.2022.1045642

.18. Jaderek I, Lew-Starowicz M. A systematic review on mindfulness meditation-based interventions for sexual dysfunctions. J Sex Med. 2019;16(10):1581-96. https://doi.org/10.1016/j.jsxm.2019.07.019 PMID:31570137 DOI: https://doi.org/10.1016/j.jsxm.2019.07.019

.19. Banbury S, Lusher J, Snuggs S, Chandler C. Mindfulness-based therapies for men and women with sexual dysfunction: a systematic review and meta-analysis. Sex Relatsh Ther. 2023;38(4):533–55. https://doi.org/10.1080/14681994.2021.1883578 DOI: https://doi.org/10.1080/14681994.2021.1883578

.20. Screening and diagnosis of mental health conditions during pregnancy and postpartum: ACOG Clinical Practice Guideline no. 4. Obstet Gynecol. 2023;141(6):1232-61. https://doi.org/10.1097/aog.0000000000005200 PMID:37486660 DOI: https://doi.org/10.1097/AOG.0000000000005200

.21. Yan H, Wu Y, Li H. Effect of mindfulness-based interventions on mental health of perinatal women with or without current mental health issues: a systematic review and meta-analysis of randomized controlled trials. J Affect Disord. 2022;305:102-14.https://doi.org/10.1016/j.jad.2022.03.002 PMID:35257692 DOI: https://doi.org/10.1016/j.jad.2022.03.002

.22. Corbally L, Wilkinson M. The effect of mindfulness-based interventions on stress, depression and anxiety during the perinatal period in women without pre-existing stress, depressive or anxiety disorders: a systematic review and meta-analysis of controlled trials. Mindfulness (N Y). 2021;12:2357–70. https://doi.org/10.1007/s12671-021-01697-3 DOI: https://doi.org/10.1007/s12671-021-01697-3

.23. Lonnberg G, Jonas W, Unternaehrer E, Branstrom R, Nissen E, Niemi M. Effects of a mindfulness based childbirth and parenting program on pregnant women's perceived stress and risk of perinatal depression-results from a randomized controlled trial. J Affect Disord. 2020;262:133-42. https://doi.org/10.1016/j.jad.2019.10.048 PMID:31733457 DOI: https://doi.org/10.1016/j.jad.2019.10.048

.24. Zhang D, Tsang KWK, Duncan LG, Yip BHK, Chan DCC, Lee EKP, Gao TT, Tam WH, Lam KY, Tong WH, Bardacke N, Wong SYS. Effects of the mindfulness-based childbirth and parenting (MBCP) program among pregnant women: a randomized controlled trial. Mindfulness (N Y). 2023;14:50–65. https://doi.org/10.1007/s12671-022-02046-8 DOI: https://doi.org/10.1007/s12671-022-02046-8

.25. American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5. ed. Porto Alegre: Artmed; 2014.

.26. Udo T, Grilo CM. Prevalence and correlates of DSM-5-defined eating disorders in a nationally representative sample of U.S. adults. Biol Psychiatry. 2018;84(5):345-54. https://doi.org/10.1016/j.biopsych.2018.03.014 PMID:29859631 - PMCID:PMC6097933 DOI: https://doi.org/10.1016/j.biopsych.2018.03.014

.27. Duncan AE, Ziobrowski HN, Nicol G. The prevalence of past 12-month and lifetime DSM-IV eating disorders by BMI category in US men and women. Eur Eat Disord Rev. 2017;25(3):165-71. https://doi.org/10.1002/erv.2503 PMID:28127825 DOI: https://doi.org/10.1002/erv.2503

.28. Beccia AL, Dunlap C, Hanes DA, Courneene BJ, Zwickey HL. Mindfulness-based eating disorder prevention programs: a systematic review and meta-analysis. Ment Health Prev. 2018;9:1–12. https://psycnet.apa.org/doi/10.1016/j.mhp.2017.11.001 DOI: https://doi.org/10.1016/j.mhp.2017.11.001

.29. Sala M, Shankar Ram S, Vanzhula IA, Levinson CA. Mindfulness and eating disorder psychopathology: a meta-analysis. Int J Eat Disord. 2020;53(6):834-51. https://doi.org/10.1002/eat.23247 PMID:32100320 DOI: https://doi.org/10.1002/eat.23247

.30. Katterman SN, Kleinman BM, Hood MM, Nackers LM, Corsica JA. Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eat Behav. 2014;15(2):197-204. https://doi.org/10.1016/j.eatbeh.2014.01.005 PMID:24854804 DOI: https://doi.org/10.1016/j.eatbeh.2014.01.005

.31. Dantas AEC, Silva ADM, Lins JA, Neves Filho GHC, Nunes GRB, Bezerra KFO. Mindfulness como terapêutica nos distúrbios alimentares: uma revisão integrativa de literatura. Braz J Health Rev. 2021;4(2):9076–93. https://doi.org/10.34119/bjhrv4n2-413 DOI: https://doi.org/10.34119/bjhrv4n2-413

.32. Sala L, Gorwood P, Vindreau C, Duriez P. Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food. Eur Psychiatry. 2021;64(1):e67. https://doi.org/10.1192/j.eurpsy.2021.2242 PMID:34706785 PMCID:PMC8668447 DOI: https://doi.org/10.1192/j.eurpsy.2021.2242

.33. Kristeller J, Wolever RQ, Sheets V. Mindfulness-based eating awareness training (MB-EAT) for binge eating: a randomized clinical trial. Mindfulness (N Y). 2014;5:282–97. https://doi.org/10.1007/s12671-012-0179-1 DOI: https://doi.org/10.1007/s12671-012-0179-1

.34. Ye M, Shou M, Zhang J, Hu B, Liu C, Bi C, Lv T, Luo F, Zhang Z, Liang S, Feng H, Qian C, Cao S, Liu Z. Efficacy of cognitive therapy and behavior therapy for menopausal symptoms: a systematic review and meta-analysis. Psychol Med. 2022;52(3):433-45. https://doi.org/10.1017/s0033291721005407 PMID:35199638 DOI: https://doi.org/10.1017/S0033291721005407

Downloads

Publicado

2024-05-30

Como Citar

1.
Gomes IEV e M, Oliveira MMN de, Lemos PP, Maistro PSM, Ribeiro CC, Ribeiro HL, Ribeiro J de AM, Silva RH da, Silva AG da, Rennó Junior J. Meditação de atenção plena na mulher: o que é ruído e o que é evidência? Uma revisão narrativa . Debates em Psiquiatria [Internet]. 30º de maio de 2024 [citado 22º de dezembro de 2024];14:1-21. Disponível em: https://revistardp.org.br/revista/article/view/1097

Edição

Seção

Artigos de Revisão

Plaudit

Artigos mais lidos do(s) mesmo(s) autor(es)

<< < 5 6 7 8 9 10