Síndrome pré-menstrual e transtorno disfórico pré-menstrual: a terapia cognitiva comportamental como tratamento

Autores

  • Leiliane Aparecida Diniz Tamashiro Mestre em Ciências, Programa de Ginecologia e Obstetrícia, Instituto Central – Hospital das Clínicas – Faculdade de Medicina da Universidade São Paulo (IC-HC-FMUSP), São Paulo, SP. Psicóloga clínica/neuropsicóloga colaboradora, Programa Saúde Mental da Mulher, Instituto de Psiquiatria – Hospital das Clínicas – Faculdade de Medicina da Universidade São Paulo (IPq-HC-FMUSP), São Paulo, SP.
  • Bianca Cristina Tunes Nakad Psicóloga clínica colaboradora, Programa Saúde Mental da Mulher, IPq-HC-FMUSP, São Paulo, SP.
  • Joel Rennó Psiquiatra, Instituto e Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP.
  • Antônio Geraldo da Silva Diretor científico, Programa de Atualização em Psiquiatria (PROPSIQ), Sistema de Educação Continuada a Distância (SECAD). https://orcid.org/0000-0003-3423-7076
  • Renan Rocha Coordenador, Serviço de Saúde Mental da Mulher, Clínicas Integradas, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC.
  • Amaury Cantilino Professor adjunto, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco (UFPE), Recife, PE.
  • Gislene Valadares Membro fundadora, Serviço de Saúde Mental da Mulher, Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG), Seção de Saúde Mental da Mulher da WPA, e International Association of Women’s Mental Health.
  • Hewdy Lobo Ribeiro Psiquiatra, Pro-Mulher, Instituto de Psiquiatria, Hospital das Clínicas, USP, São Paulo, SP.

DOI:

https://doi.org/10.25118/2763-9037.2017.v7.69

Palavras-chave:

Síndrome pré-menstrual, transtorno disfórico pré-menstrual, terapia cognitiva comportamental

Resumo

Objetivo: Elucidar as principais hipóteses atuais sobre o transtorno disfórico pré-menstrual (TDPM), a síndrome pré-menstrual (SPM) e a terapia cognitiva comportamental (TCC) como tratamento. Método: Foi realizada uma pesquisa nos bancos de dados PubMed, Cochrane e BIREME (LILACS/BVS), nos idiomas português, espanhol e inglês, no período de 2000 a 2017, utilizando os seguintes descritores: transtorno disfórico pré-menstrual, síndrome prémenstrual e terapia cognitiva comportamental. Resultados: Um total de 107 estudos enquadrou-se nos critérios de inclusão – artigos de revisão da literatura, estudos do tipo corte transversal, estudos do tipo coorte prospectivo e estudo do tipo coorte retrospectivo. Cento e cinco estudos identificaram fatores fundamentais para o desenvolvimento da TDPM – as hipóteses da função ovariana, função hormonal, neurotransmissores, genética e fatores ambientais e vulnerabilidade. Desde 2009, temos estudos sobre a TCC como tratamento de primeira linha. Conclusão: Os fundamentos do TDPM podem ser vistos como uma complexa multiplicidade de fatores. Ainda não há nada conclusivo; futuras pesquisas são necessárias para definir os processos etiopatogênicos do TDPM. A TCC demonstrou sua eficácia como tratamento de primeira linha para SPM e TDPM.

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Izadi-Mazidi M, Davoudi I, Mehrabizadeh M. Effect of group cogniti ve-behavioral therapy on health-related quality of life in females with premenstrual syndrome. Iran J Psychiatry Behav Sci. 2016;10:e4961.

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Kues JN, Janda C, Kleinstäuber M, Weise C. Internet-based cogniti ve behavioural self-help for premenstrual syndrome: study protocol for a randomised controlled trial. Trials. 2014;15:472.

Cuijpers P, Sijbrandij M, Koole S, Huibers M, Berking M, Andersson G. Psychological treatment of generalized anxiety disorder: a meta-analysis. Clin Psychol Rev. 2014;34:130-40.

Taghizadeh Z, Shirmohammadi M, Feizi A, Arbabi M. The eff ect of cogniti ve behavioural psychoeducati on on premenstrual syndrome and related symptoms. J Psychiatr Ment Health Nurs. 2013;20:705-13.

Dennerstein L, Lehert P, Heinemann K. Global study of women’s of premenstrual symptoms and their eff ects on daily life. Menopause Int. 2011;17:88-95.

Busse JW, Montori VM, Krasnick C, Patelis-Sioti s I, Guyatt GH. Psychological interventi on for premenstrual syndrome: a meta-analysis of randomized controlled trials. Psychoter Psychosom. 2009;78:6-15.

Witt chen HU, Becker E, Lieb R, Krause P. Prevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychol Med. 2002;32:119-32.

Pearlstein T, Steiner M. Non-anti depressant treatment of premenstrual syndrome. J Clin Psychiatry. 2000;61:22-7.

Christensen AP, Oei TP. The effi cacy of cogniti ve behaviour therapy in treati ng premenstrual dysphoric changes. J Aff ect Disord. 1995;33:57-63.

Lustyk MK, Gerrish WG, Shaver S, Keys SL. Cogniti ve-behavioral therapy for premenstrual syndrome and premenstrual dysphoric disorder: a systemati c review. Arch Womens Ment Health. 2009;12:85-96.

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Publicado

2017-12-29

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1.
Tamashiro LAD, Nakad BCT, Rennó J, Silva AG da, Rocha R, Cantilino A, Valadares G, Ribeiro HL. Síndrome pré-menstrual e transtorno disfórico pré-menstrual: a terapia cognitiva comportamental como tratamento. Debates em Psiquiatria [Internet]. 29º de dezembro de 2017 [citado 7º de dezembro de 2022];7(6):15-22. Disponível em: https://revistardp.org.br/revista/article/view/69

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