Terapia cognitivo-conductual adaptada a la religiosidad: una guía práctica del pacientes espiritistas
DOI:
https://doi.org/10.25118/2763-9037.2023.v13.437Palabras clave:
espiritualidad, religión, terapia cognitivo-conductual, espiritismoResumen
Se sabe que la religiosidad y la espiritualidad (R/S) impactan la salud física y mental y existe un creciente reconocimiento por parte de entidades clínicas y científicas de la necesidad de abordar la R/S en la práctica, especialmente en el contexto psicoterapéutico. Las revisiones sistemáticas han demostrado la eficacia de la terapia cognitivo-conductual (TCC) adaptada a diferentes religiones. Sin embargo, no existen lineamientos que aborden el espiritismo, la tercera religión más grande de Brasil y que tiene influencia en la sociedad brasileña, ya que sus creencias y prácticas a menudo son adoptadas por personas de otras afiliaciones religiosas. Así, el presente estudio pretende cubrir dos vacíos importantes en la literatura: la disociación que existe entre el cuerpo de evidencia y la práctica clínica y la falta de estudios que aborden el espiritismo. De esta forma, se presentan descripciones prácticas de técnicas de TCC adaptadas al contexto espírita, enfatizando la necesidad de una intervención ética y centrada en el paciente.
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Chida Y, Steptoe A, Powell LH. Religiosity/spirituality and mortality. A systematic quantitative review. Psychother Psychosom. 2009;78(2):81-90. https://doi.org/10.1159/000190791 PMID:19142047
Koenig HG. Research on religion, spirituality, and mental health: a review. Can J Psychiatry. 2009;54(5):283-91. https://doi.org/10.1177/070674370905400502 PMID:19497160
Moreira-Almeida A, Mosqueiro BP, Bhugra D, editors. Spirituality and mental health across cultures. New York: Oxford University Press; 2021. https://doi.org/10.1093/med/9780198846833.001.0001
VanderWeele TJ, Li S, Tsai AC, Kawachi I. Association between religious service attendance and lower suicide rates among US women. JAMA Psychiatry. 2016;73(8):845-51. https://doi.org/10.1001/jamapsychiatry.2016.1243 PMID:27367927 PMCID:PMC7228478
Moreira-Almeida A, Sharma A, van Rensburg BJ, Verhagen PJ, Cook CCH. WPA position statement on spirituality and religion in psychiatry. World Psychiatry. 2016;15(1):87-8. https://doi.org/10.1002/wps.20304 - PMID:26833620 PMCID:PMC4780301
Hackett C, Grim BJ, Stonawski M, Skirbekk V, Potancoková M, Abel G. The global religious landscape: a report on the size and distribution of the world's major religious groups as of 2010. Washington: Pew Research Center; 2012. https://doi.org/10.13140/2.1.4573.8884
Baetz M, Griffin R, Bowen R, Marcoux G. Spirituality and psychiatry in Canada: psychiatric practice compared with patient expectations. Can J Psychiatry. 2004;49(4):265-71. https://doi.org/10.1177/070674370404900407 - PMID:15147025
Post BC, Wade NG. Religion and spirituality in psychotherapy: a practice-friendly review of research. J Clin Psychol. 2009;65(2):131-46. https://doi.org/10.1002/jclp.20563 - PMID:19132737
Pargament KI. Spiritually integrated psychotherapy: understanding and addressing the sacred. New York: Guilford Press; 2011.
Zimpel RR, Mosqueiro BP, Rocha NS. Espiritualidade como mecanismo de coping em transtornos mentais. Debates Psiquiatr. 2015;5(2):28-30. https://doi.org/10.25118/2763-9037.2015.v5.172
Johnson CV, Hayes JA, Wade NG. Psychotherapy with troubled spirits: a qualitative investigation. Psychother Res. 2007;17(4):450-60. https://doi.org/10.1080/10503300600953520
Pearce MJ, Koenig HG, Robins CJ, Nelson B, Shaw SF, Cohen H J, King MB. Religiously integrated cognitive behavioral therapy: a new method of treatment for major depression in patients with chronic medical illness. Psychotherapy. 2015;52(1):56–66. https://doi.org/10.1037/a0036448
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(1):46-72. https://doi.org/10.1002/jclp.20626 - PMID:19904806
Worthington EL Jr, Hook JN, Davis DE, McDaniel MA. Religion and spirituality. J Clin Psychol. 2011;67(2):204-14. https://doi.org/10.1002/jclp.20760 - PMID:21108313
Lim C, Sim K, Renjan V, Sam HF, Quah SL. Adapted cognitive-behavioral therapy for religious individuals with mental disorder: a systematic review. Asian J Psychiatr. 2014;9:3-12. https://doi.org/10.1016/j.ajp.2013.12.011 - PMID:24813028
Anderson N, Heywood-Everett S, Siddiqi N, Wright J, Meredith J, McMillan D. Faith-adapted psychological therapies for depression and anxiety: systematic review and meta-analysis. J Affect Disord. 2015;176:183-96. https://doi.org/10.1016/j.jad.2015.01.019 - PMID:25723562
Gonçalves JPB, 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;45(14):2937-49. https://doi.org/10.1017/S0033291715001166 - PMID:26200715 - PMCID:PMC4595860
Armento MEA. Behavioral activation of religious behaviors: treating depressed college students with a randomized controlled trial [dissertation]. [Knoxville]: University of Tennessee; 2011. 111 p. http://trace.tennessee.edu/utk_graddiss/1052
Bowland S, Edmond T, Fallot RD. Evaluation of a spiritually focused intervention with older trauma survivors. Soc Work. 2012;57(1):73-82. https://doi.org/10.1093/sw/swr001 PMID:22768630
Ebrahimi A, Neshatdoost HT, Mousavi SG, Asadollahi GA, Nasiri H. Controlled randomized clinical trial of spirituality integrated psychotherapy, cognitive-behavioral therapy and medication intervention on depressive symptoms and dysfunctional attitudes in patients with dysthymic disorder. Adv Biomed Res. 2013;2:53. https://doi.org/10.4103/2277-9175.114201 - PMID:24516853 - PMCID:PMC3905344
Johnson WB, Ridley CR. Brief christian and non-christian rational-emotive therapy with depressed christian clients: an exploratory study. Couns Values. 1992;36(3):220-9. https://doi.org/10.1002/j.2161-007X.1992.tb00790.x
Koenig HG, Pearce MJ, Nelson B, Shaw SF, Robins CJ, Daher NS, Cohen HJ, Berk LS, Bellinger DL, Pargament KI, Rosmarin DH, Vasegh S, Kristeller J, Juthani N, Nies D, King MB. Religious vs. conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: a pilot randomized trial. J Nerv Ment Dis. 2015;203(4):243-51. https://doi.org/10.1097/NMD.0000000000000273 - PMID:25816046
Pecheur DR, Edwards KJ. A comparison of secular and religious versions of cognitive therapy with depressed Christian College students. J Psychol Theol. 1984;12(1):45-54. https://doi.org/10.1177/009164718401200106
Propst LR. The comparative efficacy of religious and nonreligious imagery for the treatment of mild depression in religious individuals. Cognit Ther Res. 1980;4(2):167-78. https://doi.org/10.1007/BF01173648
Propst LR, Ostrom R, Watkins P, Dean T, Mashburn D. Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. J Consult Clin Psychol. 1992;60(1):94-103. https://doi.org/10.1037/0022-006X.60.1.94 - PMID:1556292
Razali SM, Aminah K, Khan UA. Religious-cultural psychotherapy in the management of anxiety patients. Transcult Psychiatry. 2002;39(1):130-6. https://doi.org/10.1177/136346150203900106
Zhang Y, Young D, Lee S, Zhang H, Xiao Z, Hao W, Feng Y, Zhou H, Chang DF. Chinese taoist cognitive psychotherapy in the treatment of generalized anxiety disorder in contemporary China. Transcult Psychiatry. 2002;39(1):115-29. https://doi.org/10.1177/136346150203900105
Costa MA, Moreira-Almeida A. Religion-adapted cognitive behavioral therapy: a review and description of techniques. J Relig Health. 2022;61:443-66. https://doi.org/10.1007/s10943-021-01345-z - PMID:34518980 - PMCID:PMC8837510
Menegatti-Chequini MC, Gonçalves JPB, Leão FC, Peres MFP, Vallada H. A preliminary survey on the religious profile of Brazilian psychiatrists and their approach to patients' religiosity in clinical practice. BJPsych Open. 2016;2(6):346-52.
https://doi.org/10.1192/bjpo.bp.116.002816 - PMID:27847592 PMCID:PMC5099984
Menegatti-Chequini MC, Maraldi EO, Peres MFP, Leão FC, Vallada H. How psychiatrists think about religious and spiritual beliefs in clinical practice: findings from a university hospital in São Paulo, Brazil. Braz J Psychiatry. 2019;41(1):58-65. https://doi.org/10.1590/1516-4446-2017-2447 - PMID:30427386 - PMCID:PMC6781700
Paulino PRV. Religiosidade/espiritualidade em uma amostra nacional de psicólogos brasileiros: perfil e implicações na prática profissional [dissertação]. [Juiz de Fora]: Universidade Federal de Juiz de Fora; 2019. 237 p. https://repositorio.ufjf.br/jspui/handle/ufjf/12370
Moreira-Almeida A, Koenig HG, Lucchetti G. Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Braz J Psychiatry. 2014;36(2):176-82. https://doi.org/10.1590/1516-4446-2013-1255 - PMID:24839090
Instituto Brasileiro de Geografia e Estatística. Censo - amostra religião. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2010. https://cidades.ibge.gov.br/brasil/pesquisa/23/22107
Datafolha Instituto de Pesquisas. [local desconhecido]: Datafolha; 2007. http://media.folha.uol.com.br/datafolha/2013/05/02/religiao_03052007.pdf
Carvalho ACP. Orientações ao Centro Espírita. Organizado pela equipe da Secretaria Geral do Conselho Federativo Nacional. Rio de Janeiro: Federação Espírita Brasileira; 2007.
Pimentel MG. O método de Allan Kardec para investigação dos fenômenos mediúnicos (1854-1869) [dissertação]. [Juiz de Fora]: Universidade Federal de Juiz de Fora; 2014. 156 p. https://repositorio.ufjf.br/jspui/handle/ufjf/513
Kardec A. O que é o espiritismo: introdução ao conhecimento do mundo invisível, pelas manifestações dos espíritos. 56. ed. Brasília: Federação Espírita Brasileira; 2013. https://www.febnet.org.br/wp-content/uploads/2014/05/o-que-e-o-espiritismo.pdf
Moreira-Almeida A, Lotufo Neto F. Spiritist views of mental disorders in Brazil. Transcult Psychiatry. 2005;42(4):570-95. https://doi.org/10.1177/1363461505058916 - PMID:16570518
Kardec A. O céu e o inferno: ou a justiça divina segundo o espiritismo. 61. ed. Brasília: Federação Espírita Brasileira; 2013. https://www.febnet.org.br/wp-content/uploads/2014/05/ceu-e-inferno-Manuel-Quintao.pdf
Kardec A. O evangelho segundo o espiritismo. 131. ed. Brasília: Federação Espírita Brasileira; 2013.
Stroppa A, Moreira-Almeida A. Religiosity, mood symptoms, and quality of life in bipolar disorder. Bipolar Disord. 2013;15(4):385-93. https://doi.org/10.1111/bdi.12069 - PMID:23601141
Kardec A. O livro dos espíritos: princípios da doutrina espírita. 93. ed. Brasília: Federação Espírita Brasileira; 2013. https://www.febnet.org.br/wp-content/uploads/2014/05/Livro-dos-Espiritos.pdf
VanderWeele TJ, Balboni TA, Koh HK. Invited commentary: religious service attendance and implications for clinical care, community participation, and public health. Am J Epidemiol. 2022;191(1):31-5. https://doi.org/10.1093/aje/kwab134 PMID:33977296 - PMCID:PMC8751781
Pearce MJ, Koenig HG, Robins CJ, Daher N, Shaw SF, Nelson B, Berk LS, Bellinger D, Cohen HJ, King MB. Effects of religious versus conventional cognitive-behavioral therapy on generosity in major depression and chronic medical illness: a randomized clinical trial. Spiritual Clin Pract (Wash D C ). 2015;2(3):202-15. https://doi.org/10.1037/scp0000076
Kardec A. A gênese: os milagres e as predições segundo o espiritismo. 2. ed. Brasília: Federação Espírita Brasileira; 2013. https://www.febnet.org.br/wp-content/uploads/2012/07/A-genese_Noleto.pdf
Rosmarin DH. Spirituality, religion, and cognitive-behavioral therapy: a guide for clinicians. New York: Guilford Press; 2018.
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