Síndrome pré-menstrual e transtorno disfórico pré-menstrual: a terapia cognitiva comportamental como tratamento
DOI:
https://doi.org/10.25118/2236-918X-7-6-2Palavras-chave:
Síndrome pré-menstrual, transtorno disfórico pré-menstrual, terapia cognitiva comportamentalResumo
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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Ussher JN, Perz J. Evaluati on of the relati ve effi cacy of a couple cogniti ve-behaviour therapy (CBT) for premenstrual disorders (PMDs), in comparison to one-to-one CBT and a wait list control: a randomized controlled trial. PLOS One. 2017;12:e0175068.
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Panahi F, Faramarzi M. The eff ects of mindfulnessbased cogniti ve therapy on depression and anxiety in women with premenstrual syndrome. Depress Res Treat. 2016;2016:9816481. doi: 10.1155/2016/9816481. Epub 2016 Nov 29.
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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