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1.
Acta Paul. Enferm. (Online) ; 35: eAPE002212, 2022. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1364222

ABSTRACT

Resumo Objetivo Identificar e sintetizar as evidências oriundas de ensaios clínicos randomizados que avaliaram os efeitos da musicoterapia sobre os sintomas de ansiedade e de depressão em adultos com transtornos mentais. Métodos Revisão sistemática guiada pelo protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analysis. A busca dos artigos nas bases de dados MEDLINE, Embase, CENTRAL Cohcrane, CINAHL, PsycINFO e LILACS, bem como a busca manual, seleção dos estudos, extração dos dados e avaliação metodológica pela Escala de Jadad e pela ferramenta do Risco de Viés da Cochrane foram realizadas por dois revisores de forma independente. Resultados Foram identificados 1649 estudos, sendo oito selecionados e analisados. Os achados mostraram um efeito positivo da musicoterapia nos sintomas de ansiedade e depressão na população adulta em diferentes contextos. De acordo com a Risco de Viés da Cochrane, quatro estudos foram classificados como baixo risco de viés, e os outros quatro como alto risco de viés. Os adultos que receberam musicoterapia apresentaram relaxamento físico e mental, redução dos sintomas ansiosos e depressivos, promovendo o bem-estar de forma consciente e saudável. Conclusão A musicoterapia se apresenta como uma potencial estratégia para reduzir a ansiedade e a depressão bem como para auxiliar na manutenção e recuperação da saúde das pessoas adultas com transtornos mentais.


Resumen Objetivo Identificar y sintetizar las evidencias oriundas de ensayos clínicos aleatorizados que evaluaron los efectos de la musicoterapia sobre los síntomas de ansiedad y depresión en adultos con trastornos mentales. Métodos Revisión sistemática orientada por el protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analysis. La búsqueda de los artículos en las bases de datos MEDLINE, Embase, CENTRAL Cohcrane, CINAHL, PsycINFO y LILACS fue realizada por dos revisores de forma independiente, así como también la búsqueda manual, selección de los estudios, extracción de datos y evaluación metodológica a través de la Escala de Jadad y la herramienta de riesgo de sesgo de Cochrane. Resultados Se identificaron 1649 estudios, de los cuales ocho fueron seleccionados y analizados. Los resultados mostraron un efecto positivo de la musicoterapia en los síntomas de ansiedad y depresión en la población adulta en diferentes contextos. De acuerdo con el riesgo de sesgo de Cochrane, cuatro estudios fueron clasificados con bajo riesgo de sesgo y otros cuatro con alto riesgo de sesgo. Los adultos que recibieron musicoterapia presentaron relajamiento físico y mental, reducción de los síntomas ansiosos y depresivos, lo que promueve el bienestar de forma consciente y saludable. Conclusión La musicoterapia se presenta como una estrategia potencial para reducir la ansiedad y la depresión, así como para ayudar a mantener y recuperar la salud de las personas adultas con trastornos mentales.


Abstract Objective To identify and synthesize evidence from randomized clinical trials that assessed the effects of music therapy on anxiety and depression symptoms in adults with mental disorders. Methods This is a systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocol. The search for articles in the MEDLINE, Embase, CENTRAL Cohcrane, CINAHL, PsycINFO and LILACS databases, as well as manual search, selection of studies, data extraction and methodological assessment using the Jadad Scale and the Cochrane risk-of-bias, was performed by two reviewers independently. Results 1,649 studies were identified, eight of which were selected and analyzed. The findings showed a positive effect of music therapy on anxiety and depression symptoms in the adult population in different contexts. According to the Cochrane risk-of-bias, four studies were classified as low risk of bias, and the other four as high risk of bias. Adults who received music therapy showed physical and mental relaxation, reduced anxiety and depressive symptoms, promoting well-being in a conscious and healthy way. Conclusion Music therapy presents itself as a potential strategy to reduce anxiety and depression as well as to help maintain and recover the health of adults with mental disorders.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Anxiety/therapy , Mental Health , Depression/therapy , Mental Disorders/diagnosis , Music Therapy
2.
Evid. actual. práct. ambul ; 25(1): e002065, 2022. tab
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1367549

ABSTRACT

La depresión es un trastorno del estado de ánimo que se caracteriza por la existencia de un sentimiento de tristeza lo suficientemente intenso como para interferir en el desarrollo de las actividades habituales. A partir de un caso clínico real, en el que una paciente con depresión solicita a su médico de cabecera sumar un suplemento de vitaminas a su plan terapéutico, revisamos la evidencia disponible sobre el uso de estos micronutrientes para el tratamiento de la depresión, y encontramos que no existen pruebas robustas que avalen la suplementación vitamínica en pacientes con este problema de salud. (AU)


Depression is a mood disorder characterised by the existence of a feeling of sadness intense enough to interfere with the performance of normal activities. Based on a real clinical case, in which a patient with depression asked her family doctor to add a vitamin supplement to her therapeutic plan, we reviewed the available evidence on the use of these micronutrients for the treatment of depression and found that there is no robust evidence to support vitamin supplementation in patients with this health problem. (AU)


Subject(s)
Humans , Female , Aged, 80 and over , Vitamin B Complex/therapeutic use , Vitamin D/therapeutic use , Depression/drug therapy , Folic Acid/therapeutic use , Anxiety , Exercise , Serotonin Uptake Inhibitors/therapeutic use , Depression/physiopathology , Depression/therapy , Systematic Reviews as Topic , Antidepressive Agents/therapeutic use
3.
Article in English | WPRIM | ID: wpr-922578

ABSTRACT

OBJECTIVE@#To compare the clinical effects of interactive dynamic scalp acupuncture (IDSA), simple combination therapy (SCT), and traditional scalp acupuncture (TSA) on cognitive function, depression and anxiety in patients with post-stroke cognitive impairment.@*METHODS@#A total of 660 patients with post-stroke cognitive impairment who were admitted to 3 hospitals in Shenzhen City between May 2017 and May 2020 were recruited and randomly assigned to the IDSA (218 cases), SCT (222 cases) and TSA groups (220 cases) according to a random number table. All the patients received conventional drug therapy for cerebral stroke and exercise rehabilitation training. Scalp acupuncture and computer-based cognitive training (CBCT) were performed simultaneously in the IDSA group, but separately in the morning and in the afternoon in the SCT group. The patients in the TSA group underwent scalp acupuncture only. The course of treatment was 8 weeks. Before treatment (M0), 1 (M1) and 2 months (M2) after treatment, as well as follow-up at 1 (M3) and 2 months (M4), the cognitive function of patients was assessed using the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Scale (MoCA) Scales; depression, anxiety, sleep quality, and self-care ability of patients were assessed using Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and Modified Barthel Index (MBI), respectively. During this trial, all adverse events (AEs) were accurately recorded.@*RESULTS@#There were no significant differences in the MMSE, MoCA, HAMD, HAMA, PSQI, and MBI scores among the 3 groups at M0 (all P>0.05). In the IDSA group, the MMSE, MoCA and MBI scores from M2 to M4 were significantly higher than those in the SCT and TSA groups, while the HAMD, HAMA and PSQI scores were significantly reduced (all P<0.01). The changes of all above scores (M2-M0, M4-M0) were significantly superior to those in the SCT and TSA groups (all P<0.01, except M4-M0 of HAMD). At M2, the severity of MMSE, HAMD, HAMA, PSQI and MBI in the IDSA group was significantly lower than that in the SCT and TSA groups (all P<0.01). There was no serious AE during this trial.@*CONCLUSIONS@#IDSA can not only significantly improve cognitive function, but also reduce depression, anxiety, which finally improves the patient's self-care ability. The effect of IDSA was significantly better than SCT and TSA. (Trial registration No. ChiCTR1900027206).


Subject(s)
Acupuncture Therapy , Anxiety/therapy , Cognition , Depression/therapy , Humans , Scalp , Stroke/therapy , Treatment Outcome
4.
Femina ; 49(12): 699-704, 20211130. ilus
Article in Portuguese | LILACS | ID: biblio-1358207

ABSTRACT

A perda gestacional de repetição (PGR) é definida classicamente como três perdas consecutivas antes de 20 semanas de gestação. Ela afeta aproximadamente 3% dos casais que tentam conceber, quando se consideram pelo menos duas perdas, e cerca de 1%, quando acima de três perdas. A PGR está associada a diferentes fatores causais. Algumas mulheres não terão nenhuma anormalidade identificável nos protocolos investigativos atuais. O aborto pode causar doenças mentais, tais como depressão e ansiedade, e ser responsável por sentimentos como medo, raiva e culpa. Embora existam intervenções já estabelecidas para pacientes com perda gestacional com fator causal determinado, não existe nenhum tratamento comprovadamente efetivo em mulheres com perda gestacional inexplicada. O oferecimento do chamado Tender Loving Care pode levar a melhores resultados gestacionais nessas pacientes. Este artigo irá fazer uma revisão sobre os aspectos psíquicos em PGR e o cuidado suportivo que poderá ser realizado nessas pacientes.(AU)


Recurrent pregnancy loss (RPL) is classically defined as three consecutive losses before 20 weeks of gestation. It affects approximately 3% of couples who try to conceive, when considering at least two losses, and about 1%, when considering three or more. RPL is associated with different causal factors. Some women will have no identificable abnormalities in current investigative protocols. Abortion can cause mental illness, such as depression and anxiety, and be responsible for feelings like fear, anger and guilt. Although there are interventions already established for patients with pregnancy loss with a determined causal factor, there is no proven effective treatment for women with unexplained pregnancy loss. The offer of the so-called Tender Loving Care can lead to better pregnancy results in these patients. This article will review the psychic aspects of recurrent pregnancy losses and the supportive care that can be performed in these patients.(AU)


Subject(s)
Humans , Female , Pregnancy , Cognitive Behavioral Therapy/statistics & numerical data , Abortion, Habitual/psychology , Abortion, Habitual/therapy , Stress, Psychological/psychology , Stress, Psychological/therapy , Clinical Protocols , Stress Disorders, Traumatic/psychology , Stress Disorders, Traumatic/therapy , Depression/psychology , Depression/therapy , Patient Health Questionnaire
5.
Ciênc. Saúde Colet ; 26(9): 4087-4099, set. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1339604

ABSTRACT

Resumo Esta revisão visa a conhecer e analisar os efeitos dos probióticos na depressão, ansiedade e estresse psicológico. Esses distúrbios estão entre as principais causas de incapacidades no mundo. As farmacoterapias convencionais costumam apresentar fraca resposta ou efeitos colaterais adversos. Estudos mais recentes têm demonstrado uma densa comunicação bidirecional chamada de eixo cérebro-intestino. Pesquisas estão evidenciando as relações entre alterações no microbioma entérico e distúrbios psiquiátricos, abrindo caminho para o surgimento de terapêuticas alternativas. Fez-se uma busca sistemática por ensaios clínicos randomizados duplo/triplo cego controlados por placebo no PubMed, Scopus e Lilacs. Para seleção dos estudos usaram-se as recomendações dos principais itens para relatar revisões sistemáticas e meta-análises (PRISMA). Nove artigos preencheram os critérios e foram analisados quanto aos efeitos na depressão, ansiedade, estresse psicológico e em biomarcadores. Sete encontraram resultados positivos em ao menos um dos itens. Conclui-se que o uso de probióticos para aliviar sintomas desses distúrbios é promissor, principalmente, por seu potencial efeito anti-inflamatório, mas são necessários ensaios clínicos randomizados duplo-cegos mais amplos e rigorosos para balizar tais conclusões.


Abstract This review aims to understand and analyse the effects of probiotics on depression, anxiety and psychological stress. These disorders are among the leading causes of disability worldwide. Conventional pharmacotherapies usually have a poor response or adverse side effects. In this context, recent studies have demonstrated a dense bi-directional communication named gut-brain axis. Evidences are demonstrating the relationship between disturbance in the enteric microbiome and psychiatric disorders, paving the way for the emergence of alternative therapies. A systematic search for randomized double/triple blind placebo-controlled clinical trials was performed in PubMed, Scopus and Lilacs. The studies selection followed the recommendations of the main items for report systematic reviews and meta-analyses (PRISMA). Nine articles met the criteria and were analysed for effects on depression, anxiety, psychological stress and biomarkers. Seven found positive results in at least one of the items. We concluded that the use of probiotics to alleviate depressive symptoms and anxiety is promising, mainly due to its potential anti-inflammatory effect, but additional and more rigorous double blind randomized clinical trials are necessary to endorse such conclusions.


Subject(s)
Humans , Complementary Therapies , Probiotics , Anxiety/therapy , Anxiety Disorders/therapy , Randomized Controlled Trials as Topic , Depression/therapy
6.
Rev. medica electron ; 43(3): 686-702, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289812

ABSTRACT

RESUMEN Introducción: la depresión es uno de los problemas de salud que más afecta a los seres humanos a nivel mundial. En Cuba, un elevado número de personas padece este flagelo, sin distinción de razas, sexos u otras categorías. Objetivo: evaluar la efectividad de la hipnosis como modalidad terapéutica en pacientes deprimidos. Materiales y métodos: se realizó un estudio explicativo de tipo experimental de comparación de grupo pre-post prueba en 30 pacientes con trastornos depresivos; 15 de ellos se atendieron con hipnoterapia (grupo estudio) y otros 15 mediante terapia racional emotiva conductual (grupo control). Por la importancia para enriquecer la investigación, se definió como variable independiente el tratamiento empleado según el grupo, y como variables dependientes la respuesta psicológica antidepresiva y ansiolítica. Los datos se procesaron cuantitativa y cualitativamente. Se empleó la prueba de las probabilidades exactas de Fisher y la t de Student para validar la significación del cambio. Resultados: en términos de evolución clínica, la hipnoterapia fue efectiva, ya que el 93,3 % de los pacientes mejoraron significativamente en comparación con los resultados obtenidos con la terapia conductual racional emotiva, dados en un 73,33 %. Conclusión: la hipnoterapia es tan efectiva como la terapia racional emotiva conductual, y si bien no hubo diferencias significativas por los resultados del estadígrafo matemático empleado, sí las hubo desde el punto de vista práctico y clínico, pues evolucionaron más rápido los pacientes del grupo estudio que los del grupo control (AU).


ABSTRACT Introduction: depression is one of the health problems more affecting the human being around the world. A high number of persons suffers this scourge, without distinction of race, sex or any other category. Objective: to assess hypnosis effectiveness as a therapeutic modality in depressed patients. Materials and methods: an experimental-kind explanatory study was carried out comparing a group of 30 patients with depressive disorders before and after test; 15 of them were treated with hypnotherapy (study group) and 15 with rational emotive behavioral therapy (control group). For the importance of enriching the research the treatment used according to each group was defined as independent variable and the anxiolytic and anti-depressive psychological answer. Data were quantitative and qualitatively processed. Fisher's exact test and T student test were used to validate the change significance. Results: in terms of clinical evolution, hypnotherapy was effective, since 93.3% of patients significantly improved in comparison to the results achieved with the rational emotive behavioral therapy, reaching 73.33%. Conclusions: hypnotherapy is as effective as rational emotive behavioral therapy, and although there were not significant differences due to the results of the used mathematical statistic, there they were from the practical and clinical point of view, because the patients from the study group improved faster than the ones in the control group AU).


Subject(s)
Humans , Male , Female , Depression/therapy , Hypnosis/methods , Patients/psychology , Therapeutics/methods , Health Services/standards
7.
Rev. bras. med. esporte ; 27(spe): 47-49, Mar. 2021. tab
Article in English | LILACS | ID: biblio-1156136

ABSTRACT

ABSTRACT To explore the clinical effect of music therapy in the treatment of middle-aged and elderly patients with depression. From June 2019 to June 2020, 100 patients with depression in a community were selected as the object of this study, and were divided into a control group and an observation group according to the order of visits, with 50 patients in each group. There was no significant difference between the two groups in terms of gender, age, education level and drug treatment (medication dose, type) (P>0.05). The patients in the control group were treated with conventional antidepressant drugs. The patients in the observation group added music therapy to the conventional therapy. The music therapist needs to fully understand the basic situation of the patient and formulate a suitable music treatment plan according to the actual state of the patient. Compare the HANA and PSP scores between the two groups of depressive patients after treatment to judge the treatment effect on the patients. The Hana and PSP scores in the observation group after treatment were significantly higher than those in the control group (P<0.05). To treat depression, in addition to selecting appropriate drugs, alleviating the emotional state of patients is more important. Music therapy as an auxiliary treatment of traditional therapy, in the treatment of depression in the elderly, has been effectively verified, we should actively promote its application.


RESUMO Explorar o efeito clínico da terapia musical no tratamento de pacientes de meia-idade e idosos com depressão. De junho de 2019 a junho de 2020, 100 pacientes com depressão foram selecionados como objeto deste estudo, e foram divididos em um grupo controle e um grupo de observação de acordo com a ordem de consultas, sendo 50 pacientes incluídos em cada grupo. Não houve diferença significativa entre os dois grupos em termos de gênero, idade, escolaridade e tratamento medicamentoso (dose, tipo de medicação) (P>0.05). Os pacientes do grupo controle foram tratados com medicamentos antidepressivos convencionais. Os pacientes do grupo de observação adicionaram a terapia musical à terapia convencional. O terapeuta musical precisa entender completamente a situação básica do paciente e formular um plano de tratamento musical adequado de acordo com o estado real do paciente. Comparar os escores HANA e PSP entre os dois grupos de pacientes com depressão após tratamento para avaliar o efeito terapêutico dos pacientes. Os escores Hana e PSP no grupo de observação após o tratamento foram significativamente superiores às do grupo controle (P< 0.05). Para o tratamento da depressão, além da seleção de medicamentos apropriados, o estado emocional dos pacientes é mais importante. A terapia musical Como tratamento auxiliar da Terapia tradicional no tratamento da depressão nos idosos foi efetivamente verificada, portanto devemos promover ativamente sua aplicação.


RESUMEN Explorar el Efecto Clínico de la Musicoterapia en el Tratamiento de Pacientes de Mediana Edad y Ancianos con Depresión. Desde junio de 2019 a junio de 2020, se seleccionaron 100 pacientes con depresión en una comunidad como objeto de este estudio, y se dividieron en un grupo de control y un grupo de observación según el orden de visitas, con 50 pacientes en cada grupo. No hubo diferencias significativas entre los dos grupos en términos de sexo, edad, nivel de educación y tratamiento farmacológico (dosis de medicación, tipo) (P> 0,05). Los pacientes del grupo de control fueron tratados con fármacos antidepresivos convencionales. Los pacientes del grupo de observación agregaron la musicoterapia a la terapia convencional. El musicoterapeuta debe comprender completamente la situación básica del paciente y formular un plan de tratamiento musical adecuado de acuerdo con el estado real del paciente. Se compararon las puntuaciones de HANA y PSP entre los dos grupos de pacientes depresivos después del tratamiento para juzgar su efecto del tratamiento en los pacientes. Las puntuaciones de Hana y PSP en el grupo de observación después del tratamiento fueron significativamente más altas que las del grupo de control (P <0,05). Para tratar la depresión, además de seleccionar los fármacos adecuados, es más importante aliviar el estado emocional de los pacientes. La musicoterapia como tratamiento auxiliar de la terapia tradicional, en el tratamiento de la depresión en el anciano, ha sido efectivamente comprobada, debemos promover activamente su aplicación.


Subject(s)
Humans , Middle Aged , Aged , Depression/therapy , Music Therapy , Case-Control Studies , Treatment Outcome , Health Services for the Aged
8.
Braz. j. med. biol. res ; 54(3): e10010, 2021. tab, graf
Article in English | LILACS | ID: biblio-1153525

ABSTRACT

We aimed to conduct a meta-analysis to evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) in patients with post-stroke depression (PSD). Six relevant electronic databases (PubMed, CENTRAL, Embase, Web of Science, CINAHL, and PsycINFO) were searched. Randomized controlled trials (RCTs) that compared rTMS with control condition for PSD were included. The mean change in depression symptom scores was defined as the primary efficacy outcome. Secondary outcomes included the remission rate of depression, stroke recovery, and cognitive function recovery. In total, 7 RCTs with 351 participants were included. At post-treatment, rTMS was significantly more effective than the control condition, with a standardized mean difference (SMD) of -1.15 (95%CI: -1.62 to -0.69; P<0.001, I2=71%) and remission with an odds ratio (OR) of 3.46 (95%CI: 1.68 to 7.12; P<0.001; I2=11%). As for stroke recovery, rTMS was also better than the control condition (SMD=-0.67, 95%CI: -1.02 to -0.32; P<0.001). However, no significant difference was found for cognitive function recovery between the two groups (SMD=4.07, 95%CI: -1.41 to 9.55; P=0.15). To explore the potential moderators for the primary outcome, a series of subgroup and sensitivity analyses were performed. The results implied that rTMS may be more effective in Asian samples than in North American samples (P=0.03). In conclusion, from the current evidence in this study, rTMS could be an effective treatment for patients with PSD. Further clinical studies with larger sample sizes and clearer subgroup definitions are needed to confirm these outcomes.


Subject(s)
Humans , Stroke/complications , Transcranial Magnetic Stimulation , Randomized Controlled Trials as Topic , Treatment Outcome , Recovery of Function , Depression/etiology , Depression/therapy
9.
Rev. eletrônica enferm ; 23: 1-9, 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1146933

ABSTRACT

Objetivou avaliar o efeito antes e depois de uma sessão de auriculoterapia nos níveis de ansiedade, depressão e estresse nos profissionais de enfermagem escalados para atuar na assistência durante a pandemia do coronavírus. Estudo de caso, com casos múltiplos e uma unidade de análise. Estabeleceu-se uma amostra por conveniência de 41 profissionais. Aplicou-se o instrumento de caracterização sociodemográfica e a escala de Depression, Anxiety, and Stress Scale, antes e após uma sessão de auriculoterapia com protocolo de 10 acupontos. Teste de Wilcoxon e T emparelhado foram empregados para análise. Níveis de ansiedade, depressão e estresse apresentaram resultados significativos, cujas medianas reduziram de seis para quatro (p<0,001), nas variáveis depressão e ansiedade, e a média de estresse reduziu de 19,37 para 11,95 (p<0,001). A auriculoterapia foi efetiva na redução de distúrbios emocionais nos profissionais de enfermagem.


This study aimed to evaluate the levels of anxiety, depression and stress before and after an auriculotherapy session, in nursing professionals working during the coronavirus pandemic. Case study, with multiple cases and one unit of analysis. A convenience sample of 41 professionals was established. The sociodemographic characterization instrument and the Depression, Anxiety, and Stress Scale were applied before and after an auriculotherapy session with a 10-acupoint protocol. The Wilcoxon and t tests were paired for analysis. Anxiety, depression and stress levels showed significant results, the medians decreased from six to four (p<0.001), in the variables depression and anxiety, and the average stress decreased from 19.37 to 11.95 (p<0.001). Auriculotherapy was effective in reducing emotional disorders in nursing professionals.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/therapy , Stress, Psychological/therapy , Acupuncture, Ear/psychology , Depression/therapy , Nurse Practitioners/psychology , Socioeconomic Factors , Treatment Outcome , Coronavirus Infections/psychology , Pandemics , Betacoronavirus
10.
Chinese Acupuncture & Moxibustion ; (12): 1049-1054, 2021.
Article in Chinese | WPRIM | ID: wpr-921007

ABSTRACT

OBJECTIVE@#To analyze the literature knowledge structure and acupoint matching rules of acupuncture for depression.@*METHODS@#The articles regarding acupuncture for depression published from January 1 of 1984 to October 19 of 2020 were searched in CNKI database. CiteSpace5.7.R2 software was used to import the literature data, and the keyword cluster analysis, emergence analysis and time-zone analysis of articles and acupoints were conducted, and the map of scientific knowledge was draw.@*RESULTS@#A total of 3524 articles were included to the knowledge structure analysis, while 601 articles into the acupoint matching rules analysis. There were 13 keyword clusters of acupuncture for depression, with "post-stroke depression" and "electroacupuncture treatment" as high-frequency keywords, and "electroacupuncture treatment" and "Hamilton depression scale" had high centrality, and "electroacupuncture treatment" had the highest emergence intensity. The keywords such as "electroacupuncture treatment" and "Hamilton depression scale", etc. appeared the earliest, followed by "post-stroke depression", "fluoxetine" and "auricular point therapy", etc. According to traditional Chinese medicine theory, acupoint keywords were divided into four clusters: ①core acupoint, ②replenishing-spleen and dispelling phlegm, dispersing-liver and relieving depression, reinforcing @*CONCLUSION@#The main knowledge structure of acupuncture for depression includes five parts: treatment method, depression type, TCM-related diseases, literature type and curative effect index. Clinical acupoint matching should adhere to the principle of "focusing the disease before syndrome" and "combination of disease and syndrome", and treatment should be modified for the syndromes of phlegm stagnation blocking, liver-stagnation and


Subject(s)
Acupuncture Points , Acupuncture Therapy , Depression/therapy , Electroacupuncture , Medicine, Chinese Traditional
11.
Article in Chinese | WPRIM | ID: wpr-887500

ABSTRACT

OBJECTIVE@#To observe the clinical therapeutic effect on mild and moderate postpartum depression treated with acupuncture of @*METHODS@#A total of 116 patients with mild and moderate postpartum depression were divided into an acupuncture group (103 cases) and a non-acupuncture group (13 cases) according to treatment regimen provided. In the acupuncture group, acupuncture of @*RESULTS@#The total effective rate of the acupuncture A group was 100.0% (31/31), better than 76.9% (10/13) in the non-acupuncture group and 58.1% in the acupuncture B group (18/31) (@*CONCLUSION@#Acupuncture of


Subject(s)
Acupuncture Points , Acupuncture Therapy , Depression/therapy , Depression, Postpartum/therapy , Female , Humans , Needles , Treatment Outcome
12.
Article in Chinese | WPRIM | ID: wpr-877668

ABSTRACT

OBJECTIVE@#To observe the effect of five-element acupuncture on the cognitive function repair of migraine patients with depression/anxiety disorder.@*METHODS@#The migraine patients with depression/anxiety disorder (19 cases, 5 cases dropped off) were taken as the observation group, and received five-element acupuncture twice a week for 8 weeks. Healthy subjects (19 cases) were selected by demographic data matching as the control group. The cognitive function was evaluated with the event related potential (ERP) technique, and the latency and amplitude of visual evoked potential P300 were adopted as the observation indexes. The headache days (every 4 weeks), headache intensity [visual analogue scale(VAS) score], and headache impact test-6 (HIT-6) score, Hamilton depression scale (HAMD) score and Hamilton anxiety scale (HAMA) score were used as the observation indexes for curative effect.@*RESULTS@#Before the treatment, latency of target stimulus at Fz [ (417.5±34.3) ms] in the observation group was extended compared with the healthy subjects of the control group [(388.6±42.1) ms, @*CONCLUSION@#There are some cognitive impairments in migraine patients with depression/anxiety disorder. Five-element acupuncture not only relieves headache, anxiety and depression effectively, but also improves the activation level of the frontal lobe. It significantly repairs the impaired cognitive function.


Subject(s)
Acupuncture Points , Acupuncture Therapy , Anxiety Disorders , Cognition , Depression/therapy , Evoked Potentials, Visual , Humans , Migraine Disorders/therapy , Treatment Outcome
13.
Article in Chinese | WPRIM | ID: wpr-877624

ABSTRACT

OBJECTIVE@#To compare the therapeutic effect of acupuncture combined with wheat-grain moxibustion and oral fluoxetine hydrochloride capsule on perimenopausal depression with kidney deficiency and liver depression.@*METHODS@#A total of 60 patients of perimenopausal depression with kidney deficiency and liver depression were randomized into an observation group and a control group, 30 cases in each one. Acupuncture combined with wheat-grain moxibustion were adopted in the observation group. Acupuncture was applied at Baihui (GV 20), Yintang (GV 29), Fengchi (GB 20), etc. for 30 min. Wheat-grain moxibustion was applied at Ganshu (BL 18), Shenshu (BL 23), Mingmen (GV 4) and Yongquan (KI 1), 3 moxa-cones for each acupoint. The treatment in the observation group was given once every 2 days, 3 times a week. Fluoxetine hydrochloride capsule was given orally in the control group, 20 mg each time, once a day. Treatment for 8 weeks was required in the both groups. The scores of Hamilton depression scale (HAMD) and modified Kupperman scale were observed in the both groups before and after treatment, and at 1, 3, 6-month follow-up. The therapeutic efficacy was evaluated after treatment.@*RESULTS@#Compared before treatment, the scores of HAMD and modified Kupperman scale after treatment and at each time point of follow-up were decreased in the both groups (@*CONCLUSION@#Acupuncture combined with wheat-grain moxibustion can effectively treat perimenopausal depression with kidney deficiency and liver depression, and have more stable and sustained therapeutic effect compared with oral fluoxetine hydrochloride capsule.


Subject(s)
Acupuncture Points , Acupuncture Therapy , Depression/therapy , Humans , Kidney , Liver , Moxibustion , Perimenopause , Treatment Outcome , Triticum
14.
Geriatr., Gerontol. Aging (Impr.) ; 14(3): 152-159, 30-09-2020. tab
Article in English | LILACS | ID: biblio-1127740

ABSTRACT

OBJECTIVE: To analyze the effects of an exergame-based training compared to resistance training on the quality of life and symptoms of depression in older adults. METHODS: This was a two-arm, non-blinded, randomized clinical trial. Thirty-five participants (62.09 ± 7.11 years) were randomized either on the Exergame-based Training Group (n = 17) or the Resistance Training Group (n = 18). Sessions lasted 50 to 60 minutes, three times per week, for 13 weeks. For the Exergame-based Training Group, we used games that simulate sports and adventure activities through Xbox360 Kinect™. The Resistance Training Group performed ten exercises per session for upper and lower limbs using free weights and machines, following linear periodization and individualized loads. Quality of life and symptoms of depression were assessed using the World Health Organization Quality of Life assessment - an abbreviated version (WHOQOL-BREF) and the Geriatric Depression Scale, respectively. We performed a two-way analysis of variance (p < 0.05). RESULTS: Only time effects were identified for overall quality of life, general health, and symptoms of depression. After the intervention, overall quality of life score increased (3.82 ± 0.95 versus 4.18 ± 0.53, p = 0.05), whereas symptoms of depression decreased (3.35 ± 1.73 versus 2.59 ± 1.54, p = 0.02) in the Exergame-based Training Group, and the general health improved in the Resistance Training Group (3.78 ± 0.81 versus 4.11 ± 0.68, p = 0.05) compared with the baseline scores. CONCLUSION: Both training groups improved different aspects of quality of life. The Exergaming-based Training Group improved the overall perception, whereas the Resistance Training Group improved the general health-related perception. Participants in the Exergame-based Training Group also decreased the number of symptoms of depression.


OBJETIVO: Analisar os efeitos de um treinamento baseado em exergames comparado ao treinamento contra resistência na qualidade de vida e nos sintomas depressivos em adultos mais velhos. METODOLOGIA: Trata-se de um estudo clínico randomizado, com dois braços e não cego. Trinta e cinco participantes (62,09 ± 7,11 anos) foram randomizados para o Grupo de Treinamento com Exergames (n = 17) ou Treinamento de Resistência (n = 18). As sessões tiveram duração de 50 a 60 minutos, três vezes por semana, durante 13 semanas. Para o Grupo de Treinamento com Exergames, foram utilizados jogos que simulavam atividades esportivas e de aventura por meio do Xbox360 Kinect™. O Grupo de Treinamento contra Resistência realizou dez exercícios por sessão, para membros superiores e inferiores, utilizando pesos livres e máquinas, seguindo periodização linear e ajuste de carga individualizado. A qualidade de vida e os sintomas depressivos foram avaliados usando o instrumento de Qualidade de Vida da Organização Mundial da Saúde ­ versão abreviada (WHOQOL-BREF) e a Escala de Depressão Geriátrica, respectivamente. Foram realizadas análises de variância two-way (p ≤ 0,05). RESULTADOS: Apenas efeitos no tempo foram identificados para qualidade de vida geral, saúde geral e sintomas depressivos. Após a intervenção, o escore de qualidade de vida geral aumentou (3,82 ± 0,95 versus 4,18 ± 0,53, p = 0,05) e os sintomas depressivos diminuíram (3,35 ± 1,73 versus 2,59 ± 1,54, p = 0,02) no Grupo de Treinamento com Exergames, e a saúde geral melhorou no Grupo de Treinamento contra Resistência (3,78 ± 0,81 versus 4,11 ± 0,68, p = 0,05) quando comparados com os escores da linha de base. CONCLUSÃO: Ambos os grupos de treinamento melhoraram diferentes aspectos da qualidade de vida. O Grupo de Treinamento com Exergames melhorou a percepção geral, enquanto o Grupo de Treinamento contra Resistência apresentou melhorias na percepção geral relacionada à saúde. Os participantes do Grupo de Treinamento com Exergames também diminuíram o número de sintomas depressivos.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Depression/therapy , Exercise Therapy , Virtual Reality Exposure Therapy , Quality of Life , Randomized Controlled Trials as Topic , Health of the Elderly
15.
Medisan ; 24(5) tab
Article in Spanish | LILACS, CUMED | ID: biblio-1135205

ABSTRACT

Introducción: La propagación de la COVID-19 y su exponencial crecimiento como pandemia, abarcando a todas las regiones del mundo, ha sido, sin duda, un estresor social, psicológico y fisiológico sin precedentes. Objetivo: Evaluar la efectividad de la psicoterapia breve en un grupo de estudiantes caribeños de Medicina. Métodos: Se efectuó un estudio de intervención psicoterapéutica, monocéntrico, en 16 estudiantes caribeños de la Facultad de Medicina No. 1 en la Universidad de Ciencias Médicas de Santiago de Cuba, durante abril de 2020, los cuales presentaron diversas manifestaciones psicológicas y/o psicopatológicas debido al impacto ante la COVID-19. A cada uno se le aplicó la escala de autoevaluación de depresión de Zung y Conde y el IDARE para evaluar el estado de ansiedad antes y después del tratamiento; también se les realizó una entrevista semiestructurada para profundizar en el problema y determinar el funcionamiento emocional y las situaciones generadoras de esos estados. Resultados: El sexo predominante fue el femenino y el rango etario de mayor frecuencia el de 20-30 años. Luego de la intervención existió una reducción tácita de los niveles de ansiedad y los síntomas depresivos, y se obtuvo una evolución clínica favorable. Conclusiones: La intervención psicoterapéutica resultó ser efectiva, pues se actuó directamente sobre los aspectos relacionados con la enfermedad que infundían temor a los educandos, y con ello se logró una buena respuesta clínica.


Introduction: The propagation of the COVID-19 and its exponential growth as pandemic, extended to all the regions of the world, has been, undoubtedly, a social, psychological and physiologic stressor without precedents. Objective: To evaluate the effectiveness of the brief psychotherapy in a group of Caribbean Medicine students. Methods: A monocentric study of psychotherapeutic intervention was carried out in 16 Caribbean students from the No. 1 Medicine Faculty in the University of Medical Sciences in Santiago de Cuba, during April, 2020, which presented diverse psychological and/or psychopathological signs due to the impact of COVID-19. The depression self-appraisal scale of Zung-Conde and IDARE was applied to all of them to evaluate the state of anxiety before and after the treatment; a semistructured interview was also carried out to deepen in the problem and to determine the emotional performance and the generating situations of those states. Results: The predominant sex was the female and the age range of more frequency was that of 20-30 years. After the intervention it existed a tacit reduction of the anxiety levels and the depressive symptoms, and there was a favorable clinical course. Conclusions: The psychotherapeutic intervention was effective, because it directly acted on the aspects related to the disease that instill fear to the students, and a good clinical answer was achieved.


Subject(s)
Students, Medical , Mental Health , COVID-19/psychology , Anxiety/therapy , Depression/therapy
16.
Brasília; Fiocruz Brasília;Instituto de Saúde de São Paulo; jul. 29, 2020. 72 p.
Non-conventional in Portuguese | ColecionaSUS, LILACS, ColecionaSUS, MTYCI, PIE | ID: biblio-1118195

ABSTRACT

A acupuntura se caracteriza pela estimulação de pontos cutâneos específicos por meio do uso de agulhas. A auriculoterapia consiste na estimulação mecânica de pontos específicos do pavilhão auricular com esferas de aço, ouro, prata, plástico, agulhas ou sementes de mostarda. A acupuntura é recomendada para promoção, manutenção e recuperação da saúde, bem como prevenção de agravos e doenças. Além disso, parece propiciar a liberação de neurotransmissores e outras substâncias responsáveis pela promoção da analgesia. A auriculoterapia promove a regulação psíquico-orgânica do indivíduo. Ambas as práticas foram incorporadas no SUS mediante Portaria nº 971, de 03 de maio de 2006. Qual é a eficácia/efetividade e a segurança da acupuntura e da auriculoterapia para o tratamento da ansiedade ou depressão em adultos e/ou idosos? As buscas foram realizadas em sete bases de dados sem restrição de ano de publicação. Foram incluídas revisões sistemáticas em inglês, português e espanhol que avaliaram os efeitos da acupuntura e auriculoterapia no tratamento de ansiedade e depressão na população adulta e idosa. A avaliação da qualidade metodológica foi realizada por meio da ferramenta AMSTAR 2, feita por uma pesquisadora e revisada por outra. Nesta revisão rápida, produzida em cinco dias, foram utilizados atalhos metodológicos, de maneira que apenas o processo de seleção foi realizado em duplicidade e de forma independente. De 881 relatos recuperados nas bases de dados, foram incluídas treze revisões sistemáticas que atenderam aos critérios de elegibilidade. Na avaliação da qualidade metodológica duas revisões apresentaram qualidade moderada, uma baixa qualidade e dez qualidade criticamente baixa. A auriculoterapia, analisada em poucos ensaios clínicos, mostrou eficácia na melhora da ansiedade, na remissão e redução dos sintomas da depressão. Os estudos sobre acupuntura mostraram que os resultados não foram diferentes em relação aos comparadores para remissão do quadro de depressão e melhora da qualidade de vida. Quanto à redução dos sintomas e taxa de resposta ao tratamento da depressão, bem como à redução da gravidade do quadro, em geral os resultados dos estudos foram divergentes. Poucos estudos analisaram os efeitos sobre abandono do tratamento e taxas de recidiva ou recaída. Algumas revisões relataram eventos adversos leves com o uso de acupuntura, sendo mais segura do que os antidepressivos. Esta revisão identificou alguns benefícios da acupuntura, eletroacupuntura e auriculoterapia no tratamento de ansiedade e depressão. No entanto, observam-se muitas divergências entre os resultados e grande heterogeneidade na condução dos estudos primários. Além disso, estas evidências devem ser vistas com cautela, uma vez que a confiança da maioria das revisões foi considerada criticamente baixa na avaliação da qualidade metodológica.


Subject(s)
Humans , Adult , Middle Aged , Aged , Anxiety/therapy , Acupuncture Therapy/methods , Electroacupuncture/methods , Treatment Outcome , Acupuncture, Ear/methods , Depression/therapy
17.
Ter. psicol ; 38(1): 63-84, abr. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1115941

ABSTRACT

Resumen Dada la alta prevalencia de los Trastornos Mentales Comunes (TMC), la aplicación grupal de la Activación Conductual (AC) puede ser un abordaje eficaz, efectivo y más eficiente. El objetivo del presente trabajo es revisar los estudios publicados sobre la utilidad de la AC grupal para el tratamiento de la ansiedad y/o depresión. Método: Revisión sistemática. Resultados: Se incluyeron 17 estudios. Los pacientes que recibieron AC experimentaron mejoras en ansiedad y/o depresión y se informa de una mayor eficacia de AC frente a grupos control sin intervención. Conclusiones: La AC es útil para la prevención y el tratamiento de trastornos emocionales. No obstante, la heterogeneidad y limitaciones de los estudios impiden determinar los ingredientes terapéuticos exactos, y si éstos son específicos del enfoque y procedimiento de esta terapia. Sería necesario más investigación, de mayor calidad metodológica, y que evalúe los cambios en los patrones de activación/evitación objeto de intervención.


Abstract Given the high prevalence of Common Mental Disorders (CMD), group-based Behavioral Activation (BA) could be an efficacious, effective and more efficient approach. The objective of this work is to review the published studies about the usefulness of group-based BA for the treatment of anxiety and/or depression. Method: Systematic review. Results: 17 studies were included in the review. Patients who received BA experienced improvements in anxiety and/or depression and studies reported a greater efficacy of BA compared with no-intervention control groups. Conclusions: BA is useful for the prevention and treatment of emotional disorders. However, heterogeneity and limitations of the studies make it impossible to determine the exact therapeutic elements, and if they are specific to the approach and procedure of this therapy. More research would be necessary of a higher methodological quality to evaluate changes in the activation/avoidance patterns, which are the object of the intervention.


Subject(s)
Humans , Anxiety/therapy , Psychotherapy, Group , Behavior Therapy/methods , Depression/therapy , Anxiety/psychology , Behavior , Depression/psychology
18.
Rev. Méd. Clín. Condes ; 31(2): 139-149, mar.-abr. 2020. tab
Article in Spanish | LILACS | ID: biblio-1223254

ABSTRACT

Para las mujeres, experimentar cambios emocionales durante el embarazo y hasta un año posterior al parto puede ser parte del proceso de adaptación a los cambios fisiológicos y emocionales de esta nueva etapa, siendo por lo general manejable por ellas mismas. Diferente es el desarrollo de síntomas depresivos durante este período perinatal que comprende el embarazo y hasta doce meses posterior al parto. La depresión perinatal constituye un trastorno de alta prevalencia que puede tener efectos negativos tanto para la salud de la madre, del hijo y de otros miembros de la familia.


For women it is natural to experience changes in mood and feelings during pregnancy and after twelve months after childbirth, these shifting moods are often manageable by themselves, it differs with depressive symptoms that appear during these period. Perinatal depression constitutes a high prevalence disorder that might have a negative effect not only in the mother, but the child and other familiy members.


Subject(s)
Humans , Female , Pregnancy , Pregnancy Complications/diagnosis , Pregnancy Complications/therapy , Depression, Postpartum/diagnosis , Depression, Postpartum/therapy , Depression/diagnosis , Depression/therapy , Pregnancy Complications/psychology , Risk Factors , Postpartum Period
19.
Rev. Méd. Clín. Condes ; 31(2): 114-121, mar.-abr. 2020. tab
Article in Spanish | LILACS | ID: biblio-1223379

ABSTRACT

Los trastornos del ánimo (uni o bipolares) constituyen un significativo problema de salud pública, tanto por su alta prevalencia como por el elevado índice de discapacidad que generan. El presente artículo aborda el problema de la resistencia a tratamiento como también las estrategias y guías clínicas para el manejo de los cuadros de mayor complejidad. Se analizan los aportes de la terapia farmacológica, de la psicoterapia y de las terapias somáticas no farmacológicas, intentando un enfoque integrativo. El equipo multidisciplinario de la Unidad de Trastornos del Ánimo del Departamento de Psiquiatría de Clínica Las Condes busca aplicar un modelo integrativo con una mirada amplia, con el objetivo de encontrar el mejor manejo para cada paciente, orientado no solo a la remisión sintomática sino también a la recuperación funcional (autonomía, calidad de vínculos, etc.), para incidir de este modo en la calidad de vida global de los pacientes.


Affective disorders (uni­ or bipolar) represent a significant public health issue, due both to its high prevalence as well as the high index of disability that they generate. This article addresses the problem of treatment resistance, as well the use of clinical guidelines and strategies for the treatment of more complex cases. We analyze the contributions of pharmacological treatments, psychotherapy and non-pharmacological somatic therapies, from an integrative point of view. The multidisciplinary team of Mood Disorders Unit at Clínica Las Condes Psychiatry Department seeks to apply a broad-view integrative model with the aim of finding the better management strategy for each patient. Our objectives are both symptomatic remission and functional recovery (autonomy, quality of affective bonds, etc.), in order to make a difference on the patients' overall quality of life.


Subject(s)
Humans , Practice Guidelines as Topic , Mood Disorders/therapy , Psychotherapy/methods , Bipolar Disorder/therapy , Remission Induction , Mood Disorders/drug therapy , Recovery of Function , Depression/therapy , Antidepressive Agents/therapeutic use
20.
Rev. Méd. Clín. Condes ; 31(2): 183-187, mar.-abr. 2020.
Article in Spanish | LILACS | ID: biblio-1223679

ABSTRACT

Los trastornos de salud mental como depresión y ansiedad tienden a coexistir frecuentemente con los trastornos de somatización, siendo estos últimos una causa frecuente de consulta en especialidades médicas en niños y adolescentes. Es necesario poder pesquisarlos y diagnosticarlos para poder tratarlos adecuadamente. En la actualidad se cuenta con tratamientos eficaces y seguros para estos cuadros, ya sea estén aislados o en comorbilidad. Tanto la terapia cognitivo conductual como los inhibidores selectivos de recaptura de serotonina, solos o combinados, han demostrado ser intervenciones exitosas en estos niños y adolescentes. En el presente artículo se realiza una revisión de cómo se conceptualizan como una dimensión psicopatológica actualmente estos trastornos y cómo se relacionan entre ellos.


Psychiatric disorders such as depression and anxiety are frequently comorbid with somatization disorders, the latter ones are a common cause for medical specialties consultation in the pediatric population. It is thus necessary to identify and diagnose these disorders in order to be able to treat them. Currently, there are safe and effective treatments for these disorders, whether they are isolated or comorbid. Both cognitive behavioral therapy and selective serotonin reuptake inhibitors, alone or combined, have proven to be successful in treating these children and adolescents. This is a review of the current conceptualization of this psychopathologic dimension and how these disorders are interrelated.


Subject(s)
Humans , Child , Adolescent , Anxiety Disorders/psychology , Somatoform Disorders/psychology , Somatoform Disorders/therapy , Psychology, Child , Psychology, Adolescent , Depression/psychology , Anxiety Disorders/diagnosis , Anxiety Disorders/therapy , Somatoform Disorders/diagnosis , Depression/diagnosis , Depression/therapy
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