Eficácia de Intervenções para Depressão em Estudantes Universitários: Uma Revisão Sistemática

Conteúdo do artigo principal

Marina Kleinschmidt
https://orcid.org/0000-0002-6365-9182
Ariane Voltolini Paião
https://orcid.org/0000-0001-8250-2976
Tayane Aparecida Teizen Rufino
https://orcid.org/0000-0002-6065-8723
Yasmin Meireles Aragão
https://orcid.org/0000-0003-2775-5705
Camila Stefany da Silva
https://orcid.org/0009-0009-9791-8769
Andrés Eduardo Aguirre Antúnez
https://orcid.org/0000-0001-5317-4459

Resumo

Este estudo aborda a crescente crise de depressão em jovens, com prevalência notável em estudantes universitários que não recebem tratamento adequado. Tendo isso em vista, o objetivo deste estudo é avaliar a eficácia das intervenções em saúde mental com foco na melhora da depressão em universitários. Para isso, foi realizada uma revisão sistemática da literatura para identificar pesquisas avaliando esses tratamentos nas bases de dados Web of Science, Scopus, Pubmed, PsycInfo e Scielo, no período de 2018 a 2023. Foram incluídos 13 artigos com pesquisas realizadas em diversos países, totalizando 939 participantes com idade média homogênea de 19,7 ± 2,98 a 24,21 ± 5,21. Entre as intervenções, 61,5% seguiram abordagens provenientes da terapia cognitivo-comportamental (TCC), 77% foram realizadas no formato presencial e 53% foram em grupo. De 13 estudos, 12 demonstraram eficácia por meio da significância estatística “p”, considerando p < 0,05, comparando grupos tratamento e controle. Embora o pequeno tamanho das amostras possa limitar a generalização, os resultados encontrados sugerem a recomendação dessas intervenções. Outros estudos precisam ser realizados considerando as limitações encontradas e a diversidade cultural, além de visar à implementação de intervenções a longo prazo.

Downloads

Não há dados estatísticos.

Detalhes do artigo

Seção
Psicologia Clínica

Referências

Amanvermez, Y., Zhao, R., Cuijpers, P., Wit, LM., Ebert, DD., Kessler, RC., Bruffaerts, R., & Karyotaki, E. (2022). Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis, Internet Interventions, 28, 100503. https://doi.org/10.1016/j.invent.2022.100503

American College Health Association. (2022) American College Health Association-National College Health Assessment III: Undergraduate Student Reference Group Data Report Spring 2022. Silver Spring, MD: American College Health Association. https://www.acha.org/documents/ncha/NCHA-III_SPRING_2022_UNDERGRAD_REFERENCE_GROUP_DATA_REPORT.pdf

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., & Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization world mental health surveys. Psychological medicine, 46(14), 2955-2970. https://doi.org/10.1017/s0033291716001665

Arslan, G. (2021). Loneliness, college belongingness, subjective vitality, and psychological adjustment during coronavirus pandemic: Development of the College Belongingness Questionnaire. Journal of Positive School Psychology, 5(1), 17-31. https://doi.org/10.47602/jpsp.v5i1.240

Akhtar, P., Ma, L., Waqas, A., Naveed, S., Li, Y., Rahman, A., & Wang, Y. (2020). Prevalence of depression among university students in low and middle income countries (LMICs): a systematic review and meta-analysis. Journal of affective disorders, 274, 911-919. https://doi.org/10.1016/j.jad.2020.03.183

Barnett, P., Arundell, L. L., Saunders, R., Matthews, H., & Pilling, S. (2021). The efficacy of psychological interventions for the prevention and treatment of mental health disorders in university students: a systematic review and meta-analysis. Journal of affective disorders, 280, 381-406. https://doi.org/10.1016/j.jad.2020.10.060

Breedvelt, J. J. F., Kandola, A., Kousoulis, A. A., Brouwer, M. E., Karyotaki, E., Bockting, C. L. H., & Cuijpers, P. (2018). What are the effects of preventative interventions on major depressive disorder (MDD) in young adults? A systematic review and meta-analysis of randomized controlled trials. Journal of affective disorders, 239, 18-29. https://doi.org/10.1016/j.jad.2018.05.010

Centers for disease control and prevention (2023, 10 de outubro). Suicide Prevention. https://www.cdc.gov/suicide/prevention/index.html

Cully, J. A., & Teten, A. L. (2008). A therapist’s guide to brief cognitive behavioral therapy. Department of Veterans Affairs South Central MIRECC.

Cuijpers, P., Cristea, I. A., Ebert, D. D., Koot, H. M., Auerbach, R. P., Bruffaerts, R., & Kessler, R. C. (2016). Psychological treatment of depression in college students: A meta-analysis. https://doi.org/10.1002/da.22461

Cuijpers, P., Miguel, C., Ciharova, M., Aalten, P., Batelaan, N., Salemink, E., Spinhoven, P., Struijs, S., de Wit, L., Gentili, C., Ebert, D., Harrer, M., Bruffaerts, R., Kessler, R. C., & Karyotaki, E. (2021). Prevention and treatment of mental health and psychosocial problems in college students: An umbrella review of meta-analyses. Clinical Psychology: Science and Practice, 28(3), 229-244. https://doi.org/10.1037/cps0000030

Demir, S., & Ercan, F. (2022). The effectiveness of cognitive behavioral therapy‐based group counseling on depressive symptomatology, anxiety levels, automatic thoughts, and coping ways Turkish nursing students: A randomized controlled trial. Perspectives in Psychiatric Care, 58(4), 2394-2406. https://doi.org/10.1111/ppc.13073

Eisenberg, D., Golberstein, E., & Hunt, JB. (2009). Mental Health and Academic Success in College. Journal of Economic Analysis & Policy, 9(1). https://doi.org/10.2202/1935-1682.2191

Ezegbe, B. N., Eseadi, C., Ede, M. O., Igbo, J. N., Anyanwu, J. I., Ede, K. R., & Ozoemena, L. C. (2019). Impacts of cognitive-behavioral intervention on anxiety and depression among social science education students: a randomized controlled trial. Medicine, 98(15). https://doi.org/10.1097%2FMD.0000000000014935

Ezeudu, F. O., Eya, N. M., Nwafor, S. C., & Ogbonna, C. S. (2019). Intervention for depression among chemistry education undergraduates in a Nigerian university. Journal of International Medical Research, 48(1). https://doi.org/10.1177/0300060519865064

Fereydouni, S., & Forstmeier, S. (2022). An Islamic form of logotherapy in the treatment of depression, anxiety, and stress symptoms in university students in Iran. Journal of Religion and Health, 61(1), 139-157. https://doi.org/10.1007/s10943-021-01495-0

Fu, Z., Zhou, S., Burger, H,. Bockting, CLH., & Williams, AD. (2020). Psychological interventions for depression in Chinese university students: A systematic review and meta-analysis. Journal of Affective Disorders, 262, 440-450. https://doi.org/10.1016/j.jad.2019.11.058

Garcia, C., & Maldonado López, A. (2022). Una nueva aproximación cognitiva al tratamiento y prevención de la depresión en el ámbito universitario. Behavioral Psychology/Psicología Conductual, 30(1), 183-202. https://doi.org/10.51668/bp.8322109s

Hamed, N. S., Abdel-aziem, A. A., Alsufiany, M. B., Eid, M. M., Allam, H. A., El-Gendy, A. M., & El-Sayyad, L. K. (2021). The effect of aerobic training versus cognitive behavioral therapy in management of anxiety, depression, and stress related to COVID-19 pandemic among university students: A randomized controlled trial. Medical Science, 25(115), 2233-2246.

Huang, H., Huang, S., Chen, S., Gao, X., Cai, J., Feng, Y., Liu, J., Su, X., Qiu, J., Zhang, S., Xu, Y., Liu, Z., Wang, T., & Zeng, F. (2024.). Interventions for psychiatric disorders among university students: An umbrella review of systematic reviews and meta-analyses.

Huang, J., Nigatu, Y. T., Smail-Crevier, R., Zhang, X., & Wang, J. (2018). Interventions for common mental health problems among university and college students: A systematic review and meta-analysis of randomized controlled trials. https://doi.org/10.1016/j.jpsychires.2018.09.018

Hysenbegasi, A., Hass, SL., & Rowland, CR. (2005). The Impact of Depression on the Academic Productivity of University Students. The Journal of Mental Health Policy and Economics, 8, 145-151. https://pubmed.ncbi.nlm.nih.gov/16278502/

Lerardi, E., Bottini, M., & Riva Crugnola, C. (2022). Effectiveness of an online versus face- to-face psychodynamic counselling intervention for university students before and during the COVID-19 period. BMC psychology, 10(1), 1-10. https://doi.org/10.1186/s40359-022-00742-7

Liang, L., Feng, L., Zheng, X., Wu, Y., Zhang, C., & Li, J. (2021). Effect of dialectical behavior group therapy on the anxiety and depression of medical students under the normalization of epidemic prevention and control for the COVID-19 epidemic: a randomized study. Annals of Palliative Medicine, 10(10), 10591-10599. https://dx.doi.org/10.21037/apm-21-2466

Liberati, A., Atman, D., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ionnidis, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1-34. https://doi.org/10.7326/0003-4819-151-4-200908180-00136

Malinauskas, R., & Malinauskiene, V. (2022). Meta-Analysis of Psychological Interventions for Reducing Stress, Anxiety, and Depression among University Students during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19(15), 9199. http://dx.doi.org/10.3390/ijerph19159199

Martins, W. R. (2020). Eficácia e Efetividade de Ensaios Clínicos Randomizados: quais as diferenças entre eles? Arquivos Brasileiros de Educação Física, 3(1), 09-14. https://doi.org/10.20873/abef.2595-0096.v2n2p914.2020

Mizushima, H. (2011). Taijinkankei counseling no susumekata [How to proceed with interpersonal counseling]. Sogen-sha.

Mofatteh, M. (2021). Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS public health, 8(1), 36. https://doi.org/10.3934%2Fpublichealth.2021004

Ofoegbu, T. O., Asogwa, U., Otu, M. S., Ibenegbu, C., Muhammed, A., & Eze, B. (2020). Efficacy of guided internet-assisted intervention on depression reduction among educational technology students of Nigerian universities. Medicine, 99(6). https://doi.org/10.1097%2FMD.0000000000018774

Organização Mundial da Saúde (2023, 10 de outubro). Depressão. https://www.paho.org/pt/topicos/depressao

Pu, J., Zhou, X., Liu, L., Zhang, Y., Yang, L., Yuan, S., Zhang, H., Han, Y., Zou, D., & Xie, P. (2017). Efficacy and acceptability of interpersonal psychotherapy for depression in adolescents: A meta-analysis of randomized controlled trials. Psychiatry Research, 253, 226-232. https://doi.org/10.1016/j.psychres.2017.03.023

Rith-Najarian, L. R., Boustani, M. M., & Chorpita, B. F. (2019). A systematic review of prevention programs targeting depression, anxiety, and stress in university students. Journal of Affective Disorders, 257, 568-584. https://doi.org/10.1016/j.jad.2019.06.035

Ritkumrop, K., Surakarn, A. & Ekpanyaskul, C. (2022), The effectiveness of an integrated counseling program on emotional regulation among undergraduate students with depression. Journal of Health Research, 36(2), 186-198. https://doi.org/10.1108/JHR-03-2020-0067

Sawamura, Y., Taketani, R., Hirokawa-Ueda, H., Kawakami, T., Sakane, H., Teramoto, K., & Ono, H. (2022). Depression Among University Students with Attention-Deficit Hyperactivity Disorder Symptoms: A Study of Interpersonal Counseling. American Journal of Psychotherapy, 75(3), 141-144. https://doi.org/10.1176/appi.psychotherapy.2021.20210028

Taghvaienia, A., & Alamdari, N. (2020). Effect of Positive Psychotherapy on Psychological Well-Being, Happiness, Life Expectancy and Depression Among Retired Teachers with Depression: A Randomized Controlled Trial. Community Ment Health Journal, 56, 229-237. https://doi.org/10.1007/s10597-019-00471-z

Villarosa, M. C., Messer, M. A., Madson, M. B., & Zeigler-Hill, V. (2018). Depressive symptoms and drinking outcomes: The mediating role of drinking motives and protective behavioral strategies among college students. Substance Use & Misuse, 53(1), 143-153. https://doi.org/10.1080/10826084.2017.1327974

Wampold, BE. (2015). How important are the common factors in psychotherapy? An update. World Psychiatry, 14(3), 270-277. https://doi.org/10.1002/wps.20238

Worsley, J. D., Pennington, A., & Corcoran, R. (2022). Supporting mental health and wellbeing of university and college students: A systematic review of review-level evidence of interventions. https://doi.org/10.1371/journal.pone.0266725

Yamamoto, A., Tsujimoto, E., Taketani, R., Tsujii, N., Shirakawa, O., & Ono, H. (2018). The effect of interpersonal counseling for subthreshold depression in undergraduates: an exploratory randomized controlled trial. Depression research and treatment, 2018(1), 4201897. https://doi.org/10.1155/2018/4201897

Zbuinovicz, K. F., & Mariotti, M. C. (2021). The vulnerabilities of University Students: an integrative review. SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.3011

Zhang, Y., Huang, K., Cong, H., & Wang, M. (2022). Effects of group psychological counseling on nonsuicidal self-injury (NSSI) behaviors of college students with depression. Psychiatria Danubina, 34(2), 229-235. https://doi.org/10.24869/psyd.2022.229