Avaliação da prática de terapia complementar espiritual/religiosa em saúde mental
DOI:
https://doi.org/10.25118/2236-918X-5-6-4Palavras-chave:
Espiritualidade, religião e medicina, terapia complementar, ensaios clínicos randomizadosResumo
Diversos estudos têm sido publicados sobre a infl uência as crenças e práti cas espirituais e religiosas na saúde mental. Diante de tais evidências, foram propostas estratégias com o objeti vo de esti mular a dimensão espiritual de pacientes, focando-se principalmente no enfrentamento de diferentes doenças. Porém, ainda são poucos os estudos que avaliam os possíveis efeitos e mecanismos de ação dessas intervenções espirituais/religiosas (IERs) através de ensaios clínicos randomizados. De acordo com a literatura cientí fi ca, as IERs têm obti do resultados similares ou superiores a outras abordagens complementares em saúde, incluindo redução de sintomas de ansiedade e estresse, diminuição na intensidade do consumo de drogas, menor exaustão emocional em profi ssionais da saúde e uma tendência a menor sintomatologia depressiva. Comoessas intervenções são heterogêneas, há uma discussão acerca da adequação dos conteúdos das IERs, na tentati va de uniformizar o treinamento dos profi ssionais de saúde e o material ofertado aos pacientes. Notase, também, a necessidade de um cuidado no desenho metodológico desse ti po de intervenção, com a realização de estudos com metodologias mais robustas. A busca e avaliação dessas novas intervenções poderão auxiliar no desenvolvimento de estratégias mais integrati vas, facilitando o tratamento complementar em saúde mental.
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Koenig HG, King D, Carson VB. Handbook of religion and health. New York: Oxford University Press; 2012.
Moreira-Almeida A, Koenig HG, Lucchetti G. Clinical implicati ons of spirituality to mental health:review of evidence and practical guidelines. Rev Bras Psiquiatr. 2014;36:176-82.
Chida Y, Steptoe A, Powell LH. Religiosity/ spirituality and mortality. A systematic quantitative review. Psychother Psychosom. 2009;78:81-90.
Bormann JE, Thorp S, Wetherell JL, Golshan S. A spiritually based group intervention for combat veterans with posttraumatic stress disorder feasibility study. J Holist Nurs. 2008;26:109-16.
Huguelet P, Mohr S, Betrisey C, Borras L, Gillieron C, Marie AM, et al. A randomized trial of spiritual assessment of outpatients with schizophrenia: patients’ and clinicians’ experience. Psychiatr Serv. 2011;62:79-86.
Bowland S, Edmond T, Fallot RD. Evaluation of a spiritually focused intervention with older trauma survivors. Soc Work. 2012;57:73-82.
McCullough ME. Research on religionaccommodative counseling: review and metaanalysis. J Couns Psychol. 1999;46:92-8.
Smith TB, Bartz J, Richards PS. Outcomes of religious and spiritual adaptations to psychotherapy: a meta-analytic review. Psychother Res. 2007;17:643-55.
Oh PJ, Kim YH. [Meta-analysis of spiritual intervention studies on biological, psychological, and spiritual outcomes]. J Korean Acad Nurs. 2012;42:833-42.
Gonçalves JP, Lucchetti G, Menezes PR, Vallada H. Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychol Med. 2015 Jul 23. [Epub ahead of print]
Hook JN, Worthington EL Jr, Davis DE, Jennings DJ 2nd, Gartner AL, Hook JP. Empirically supported religious and spiritual therapies. J Clin Psychol. 2010;66:46-72.
Nyer M, Doorley J, Durham K, Yeung AS, Freeman MP, Mischoulon D. What is the role of alternative treatments in late-life depression? Psychiatr Clin North Am. 2013;36:577-96.
Lucchetti AL, Peres MF, Vallada HP, Lucchetti G. Spiritual treatment for depression in Brazil: an experience from Spiritism. Explore (NY). 2015;11:377-86.
Stein EM, Kolidas E, Moadel A. Do spiritual patients want spiritual interventions?: A qualitative exploration of underserved cancer patients’ perspectives on religion and spirituality. Palliat Support Care. 2015;13:19-25.
Morita T, Murata H, Kishi E, Miyashita M, Yamaguchi T, Uchitomi Y, et al. Meaninglessness in terminally ill cancer patients: a randomized controlled study. J Pain Symptom Manage. 2009;37:649-58.
Sloan RP, Bagiella E, Powell T. Religion, spirituality, and medicine. Lancet. 1999;353:664-7.
Miller WR, ForcehimesA, O’Leary MJ, LaNoue MD. Spiritual direction in addiction treatment: two clinical trials. J Subst Abuse Treat. 2008;35:434-42.
Zwerenz R, Gerzymisch K, Edinger J, Holme M, Knickenberg RJ, Spörl-Dönch S, et al. Evaluation of an internet-based aftercare program to improve vocational reintegration after inpatient medical rehabilitation: study protocol for a clusterrandomized controlled trial. Trials. 2013;14:26.
Moritz S, Quan H, Rickhi B, Liu M, Angen M, Vintila R, et al. A home study-based spirituality education program decreases emotional distress and increases quality of life--a randomized, controlled trial. Altern Ther Health Med. 2006;12:26-35.
McCauley J, Haaz S, Tarpley MJ, Koenig HG, Bartlett SJ. A randomized controlled trial to assess effectiveness of a spiritually-based intervention to help chronically ill adults. Int J Psychiatry Med. 2011;41:91-105.
Halbesleben JR, Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev. 2008;33:29-39.
Oman D, Hedberg J, Thoresen CE. Passage meditation reduces perceived stress in health professionals: a randomized, controlled trial. JConsult Clin Psychol. 2006;74:714-9.
Oman D, Richards TA, Hedberg J, Thoresen CE. Passage meditation improves caregiving selfefficacy among health professionals a randomized trial and qualitative assessment. J Health Psychol. 2008;13:1119-35.
Burkhart L, Schmidt W. Measuring eff ecti veness of a spiritual care pedagogy in nursing educati on. J Prof Nurs. 2012;28:315-21.
Mohr S, Brandt PY, Borras L, Gilliéron C, Huguelet P. Toward an integrati on of spirituality and religiousness into the psychosocial dimension of schizophrenia. Am J Psychiatry. 2006;163:1952-9.
Sanchez ZM, Nappo SA. A religiosidade, a espiritualidade e o consumo de drogas. Rev Psiquiatr Clin. 2007;34:73-81.
Kelly JF, Stout RL, Magilli M, Tonigan JS, Pagano ME. Spirituality in recovery: a lagged mediati onal analysis of alcoholics anonymous’ principal theoreti cal mechanism of behavior change. Alcohol Clin Exp Res. 2011;35:454-63.
Pargament KI, Koenig HG, Tarakeshwar N, Hahn J. Religious struggle as a predictor of mortality among medically ill elderly pati ents. Arch Intern Med. 2001;161:1881-5.
Stratt a P, Capanna C, Riccardi I, Carmassi C, Piccinni A, Dell’Osso L, et al. Suicidal intenti on and negati ve spiritual coping one year aft er the earthquake of L’Aquila (Italy). J Aff ect Disord. 2012;136:1227-31.
Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P; CONSORT Group. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanati on and elaborati on. Ann Intern Med. 2008;148:295-309.
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