Terapia Cognitivo-Comportamental com Influência Religiosa/Espiritual: Uma Revisão Sistemática
Conteúdo do artigo principal
Resumo
Há um aumento de estudos da Terapia Cognitivo-Comportamental integrada com religiosidade/espiritualidade. Os objetivos desta pesquisa são apresentar revisão sistemática da literatura sobre o impacto da Terapia Cognitivo-Comportamental Religiosa/Espiritual sobre a saúde mental; se apresenta bons resultados e se estes são superiores à Terapia Cognitivo-Comportamental convencional; e verificar a qualidade científica desses estudos. Foram consultadas múltiplas bases de dados. Trinta estudos foram incluídos nesta pesquisa, sendo ensaios clínicos randomizados ou não randomizados, ensaios clínicos semiexperimentais e ensaios clínicos de grupo único. Estes estudos trabalharam com depressão, ansiedade, transtorno obsessivo-compulsivo, estresse, qualidade de vida, aumento do Coping Religioso/Espiritual positivo e diminuição no Coping Religioso/Espiritual negativo. A grande maioria dos estudos incluídos demonstra melhora nos sintomas dos participantes, embora tenham sido encontradas falhas metodológicas em quantidade considerável destes estudos, assinaladas a partir do uso do sistema Grades of Recommendation, Assessment, Development, and Evaluation. Há estudos que demonstraram resultados equivalentes entre a Terapia Cognitivo-Comportamental convencional e a Terapia Cognitivo-Comportamental Religiosa/Espiritual, de modo que não se pode afirmar a superioridade daquela em relação a esta, embora a Terapia Cognitivo-Comportamental Religiosa/Espiritual possa ser atrativa para populações que demonstrem maior resistência a procurar psicoterapia, e abordar o paciente por meio de sua Religiosidade/Espiritualidade pode levar a conteúdos que não seriam apresentados em psicoterapia, uma vez que o paciente deseje que esta demanda seja trabalhada, é pertinente que o profissional esteja disponível para desenvolver o trabalho.
Downloads
Detalhes do artigo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos publicados na Revista Psicologia: Teoria e Prática pertencem aos autores, que concedem à Universidade Presbiteriana Mackenzie os direitos não exclusivos de publicação do conteúdo.
Referências
Abreu, R., Oliveira, C. B., Costa, J. A., Brito, J., & Teixeira, V. (2023.) Effects of dietary supplements on athletic performance in elite soccer players: a systematic review. Journal Of The International Society Of Sports Nutrition, 20(1), 536-565. http://dx.doi.org/10.1080/15502783.2023.2236060
Alagheband, M., Mahmoodabad, S. S. M, Ardekani, S. M. Y., Fallahzadeh, H., Rezaei, M. R., Yavari, M. R., & Moghadam J.A. (2019). The impact of religious cognitive behavioural therapy (RCBT) on general health among Iranians. Mental Health, Religion & Culture, 22(1), 73–81. https://doi.org/10.1080/13674676.2018.1517254
Akuchekian, S. H., Almasi, A., Meracy, M. R., & Jamshidian, Z. (2011). Effect of religious cognitive- behavior therap on religious content obsessive compulsive disorder. Procedia - Social and Behavioral Sciences, 30, 1647–1651. https://doi:10.1016/j.sbspro.2011.10.319
Akuchekian, S., Jamshidian, Z., Maracy, M. R., Almasi, A., & Jazi, A. H. D. (2011). Effectiveness of religious-cognitive-behavioral therapy on religious oriented obsessive compulsive disorder and its co-morbidity. Journal of Isfahan Medical School, 28(114), 801-811. https://doi.org/10.4103/abr.abr_115_16
Aouchekian, S., Karimi, R., Najafi, M., Shafiee, K., Maracy, M., & Almasi, A. (2017). Effect of Religious Cognitive Behavioral Therapy on Religious Obsessive-compulsive Disorder (3 and 6 months Follow-up). Advanced biomedical research, 6(1), 1-5. https://doi.org/10.4103/abr.abr_115_16
Armento, M. E. A., McNulty, J. K., & Hopko, D. R. (2012). Behavioral activation of religious behaviors (BARB): Randomized trial with depressed college students. Psychology of Religion and Spirituality, 4(3), 206–222. https://doi.org/10.1037/a0026405
Aslami E., Alipour A., Najib F. S., & Aghayosefi A. R. (2017). A Comparative Study of Mindfulness Efficiency Based on Islamic-Spiritual Schemes and Group Cognitive Behavioral Therapy on Reduction of Anxiety and Depression in Pregnant Women. International Journal of Community Based Nursing and Midwifery, 5(2), 144-152. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385237
Cajanding R. J. (2016). The Effectiveness of a Nurse-Led Cognitive-Behavioral Therapy on the Quality of Life, Self-Esteem and Mood Among Filipino Patients Living With Heart Failure: a Randomized Controlled Trial. Applied nursing research: ANR, 31, 86-93. https://doi.org/10.1016/j.apnr.2016.01.002.
Costa, M. A., & Moreira-Almeida, A. (2021). Religion-adapted cognitive behavioral therapy: A review and description of techniques. Journal of Religion and Health, 61, 443–466. https://doi.org/10.1007/s10943-021-01345-z
Ebrahimi, A., Neshatdoost, H. T., Mousavi, S. G., Asadollahi, G. A., & Nasiri, H. (2013). 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. Advanced biomedical research, 2(53). https://doi.org/10.4103/2277-9175.114201
Ford, K., & Garzon, F. (2017). Research note: A randomized investigation of evangelical Christian accommodative mindfulness. Spirituality in Clinical Practice, 4(2), 92–99. https://doi.org/10.1037/scp0000137
Guyatt, G. Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Norris, S., Falck-Ytter, Y., Glasziou, P., deBeer, H., Jaeschke R., Rind, D., Meerpohl, J., Dahm, P., & Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction GRADE evidence profiles and summary of findings tables. Journal Of Clinical Epidemiology, 64(4), 383–394. http://dx.doi.org/10.1016/j.jclinepi.2010.04.026
Hamid, N. (2020). The effectiveness of positive mental imagery of recovery and cognitive behavioral therapy based on religious beliefs on anxiety and life quality in women with breast cancer. Onkologia i Radioterapia, 14 (1), 1-9. https://www.oncologyradiotherapy.com/abstract/the-effectiveness-ofpositive-mental-imagery-of-recovery-and-cognitive-behavioral-therapy-based-on-religiousbeliefs-on--53164.html
Hawkins, R. S., Tan, S.-Y., & Turk, A. A. (1999). Secular versus Christian inpatient cognitive-behavioral therapy programs: Impact on depression and spiritual well-being. Journal of Psychology and Theology, 27(4), 309–318. https://doi.org/10.1177/009164719902700403
Hosseini, S. H., Rafiei, A., Gaemian, A., Tirgari, A., Zakavi, A., Yazdani, J., Bolhari, J., Golzari, M., Esmaeili Douki, Z., & Vaezzadeh, N. (2017). Comparison of the Effects of Religious Cognitive Behavioral Therapy (RCBT), Cognitive Behavioral Therapy (CBT), and Sertraline on Depression in Patients after Coronary Artery Bypass Graft Surgery: a Randomized Controlled Trial. World Family Medicine/Middle East Journal of Family Medicine, 15(10), 32-41. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640583/
Hosseini S. H., Rafiei, A., Janbabai, G., Tirgari, A., Zakavi, A. Yazdani, J., Bolhari, J., Golzari, M., Vaezzadeh, N., & Douki, Z. E. (2018). Comparison of Religious Cognitive Behavioral Therapy (RCBT), Cognitive Behavioral Therapy (CBT) and Citalopram on Depression and Anxiety among Women with Breast Cancer: A Randomized Controlled Trial. Pharmacophore, 9(3), 37-47. https://pharmacophorejournal.com/RKBSE3F
Johnson, W. B., & Ridley, C. R. (1992). Brief Christian and non-Christian rational-emotive therapy with depressed Christian clients: An exploratory study. Counseling and Values, 36(3), 220–229. https://doi.org/10.1002/j.2161-007X.1992.tb00790.x
Knabb, J. J., & Vazquez, V. E. (2018). A randomized controlled trial of a 2-week internet-based contemplative prayer program for Christians with daily stress. Spirituality in clinical Practice, 5(1), 37–53. https://doi.org/10.1037/scp0000154
Koenig, H. G. (2012). Definitions. In: Koenig, H. G.; King, D.; Carson, V. Handbook of religion and health. (pp. 35-50). Oxford University Press.
Koenig, H. G., Pearce, M. J., Nelson, B., Shaw, S. F., Robins, C. J., Daher, N. S., Cohen, H. J., Berk, L. S., Bellinger, D. L., Pargament, K. I., Rosmarin, D. H., Vasegh, S., Kristeller, J., Juthani, N., Nies, D., & King, M. B. (2015). Religious vs. conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: a pilot randomized trial. The Journal of nervous and mental disease, 203(4), 243– 251. https://doi.org/10.1097/NMD.0000000000000273
Lucchetti, G., Koenig, H. G., & Lucchetti, A. L. G. (2021). Spirituality, religiousness, and mental health: A review of the current scientific evidence. World journal of clinical cases, 9(26), 7620. doi: 10.12998/wjcc.v9.i26.7620
Luskin, F. M., Ginzburg, K., & Thoresen, C. E. (2005). The efficacy of forgiveness intervention in college age adults: Randomized controlled study. Humboldt Journal of Social Relations, 29(2), 163-184. https://psycnet.apa.org/record/2005-13899-007
Mathielson, F., Mihaere, K., Collings, S., Dowell, A., & Stanley, J. (2012). Maori cultural adaptation of a brief mental health intervention in primary care. Journal of primary health care, 4(3), 231–238. https://pubmed.ncbi.nlm.nih.gov/22946072/
McCrae, R. R. (1984). Situational determinants of coping responses: loss, threat, and challenge. Journal of personality and social psychology, 46(4), 919. https://doi.org/10.1037//0022-3514.46.4.919
Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I.; Hoffmann, T. C.; Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou R., Glanville J., Grimshaw J. M., Hróbjartsson A., Lalu M. M., Li T., Loder E. W., Mayo-Wilson E., McDonald S., ... McKenzie J. E. (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ, 372(160), 1-36. http://dx.doi.org/10.1136/bmj.n160
Pargament, K. I. (1997). The psychology of religion and coping: Theory, Research, Practice. Guilford Press.
Pargament, K. I. (2011). Spiritually integrated psychotherapy: Understanding and addressing the sacred. Guilford Press.
Pargament, K. I. (2023). From Research to Practice: Three Waves in the Evolution of the Psychology of Religion and Spirituality. Spiritual Psychology and Counseling, 8(3), 207-225.
Pearce, M. J., & Koenig, H. G. (2016). Spiritual struggles and religious cognitive behavioral therapy: A randomized clinical trial in those with depression and chronic medical illness. Journal of Psychology and Theology, 44(1), 3–15. https://doi.org/10.1177/009164711604400101
Pecheur, D. R., & Edwards, K. J. (1984). A comparison of secular and religious versions of cognitive therapy with depressed Christian college students. Journal of Psychology and Theology, 12(1), 45–54. https://doi.org/10.1177/009164718401200106
Pityaratstian, N., Liamwanich, K., Ngamsamut, N., Narkpongphun, A., Chinajitphant, N., Burapakajornpong, N., Thongphitakwong, W., Khunchit, W., Weerapakorn, W., Rojanapornthip, B., & Jayasvasti, K. (2007). Cognitive-behavioral intervention for young tsunami victims. Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 90(3), 518–523. https://pubmed.ncbi.nlm.nih.gov/17427530/
Propst, L. R. (1980). The comparative efficacy of religious and nonreligious imagery for the treatment of mild depression in religious individuals. Cognitive Therapy and Research, 4(2), 167–178. https://doi.org/10.1007/BF01173648
Propst, L. R., Ostrom, R., Watkins, P., Dean, T., & Mashburn, D. (1992). Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of consulting and clinical psychology, 60(1), 94–103. https://doi.org/10.1037//0022-006x.60.1.94
Ravaei, F., Hosseinian, S., & Tabatabaei, S. (2013). Effectiveness of cognitive behavioral and spiritual trainings on improving mental health of HIV positive drug addicts. Archives of Clinical Infectious Diseases, 8(1), pp. 23-26. DOI: 10.5812/archcid.14378.
Rosmarin, D. H., Pargament, K. I., Pirutinsky, S., & Mahoney, A. (2010). A randomized controlled evaluation of a spiritually integrated treatment for subclinical anxiety in the Jewish community, delivered via the Internet. Journal of Anxiety Disorders, 24(7), 799–808. https://doi.org/10.1016/j.janxdis.2010.05.014
Rosmarin, D. H., Bocanegra, E. S., Hoffnung, G., & Appel, M. (2019). Effectiveness of cognitive behavioral therapy for anxiety and depression among Orthodox Jews. Cognitive and Behavioral Practice, 26(4), 676687. https://doi.org/10.1016/j.cbpra.2019.07.005
Rosmarin, D. H., & Koenig, H. G. (Eds.). (2020). Handbook of spirituality, religion, and mental health (2nd ed.). Elsevier Academic Press.
Subica, A. M., & Yamada, A. M. (2018). Development of a spirituality-infused cognitive behavioral intervention for individuals with serious mental illnesses. Psychiatric Rehabilitation Journal, 41(1), 8–15. https://doi.org/10.1037/prj0000102
Trammel, R. (2018). Effectiveness of an MP3 Christian mindfulness intervention on mindfulness and perceived stress. Mental Health, Religion & Culture, 21(5), 500–514. https://doi.org/10.1080/13674676.2018.1505837
Tulbure, B. T., Andersson, G., Sălăgean, N., Pearce, M., & Koenig, H. G. (2018). Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression. Journal of religion and health, 57(5), 1634– 1648. https://doi.org/10.1007/s10943-017-0503-0
Wang, D. C., Aten, J. D., Boan, D., Jean-Charles, W., Griff, K. P., Valcin, V. C., Davis, E. B., Hook, J. N., Davis, D. E., Van Tongeren, D. R., Abouezzeddine, T., Sklar, Q., & Wang, A. (2016). Culturally adapted spiritually oriented trauma-focused cognitive-behavioral therapy for child survivors of restavek. Spirituality in Clinical Practice, 3(4), 224–236. https://doi.org/10.1037/scp0000101