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Eficácia das intervenções psicológicas em grupo dirigidas a mulheres com cancro da mama: uma revisão sistemática
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RESUMO - Esta revisão pretende analisar os programas de intervenção psicológica dirigidos a mulheres com cancro da mama. Foi efetuada uma pesquisa com recurso a base de dados e pesquisa manual de ensaios clínicos aleatórios. Foram incluídos 48 estudos. A maioria dos estudos apresenta intervenções cognitivo-comportamentais, de apoio e expressão emocional, de psicoeducação e psicossociais. Os dados sugerem benefícios em dimensões psicológicas e biológicas. Doze estudos não reportaram quaisquer benefícios. Conclui-se que os programas de intervenção psicológica são eficazes na promoção da adaptação à doença. Estudos futuros devem centrar a sua análise nos processos de mudança subjacentes aos programas de intervenção.
ABSTRACT - This review aims to analyze the efficacy of psychological interventions programs for women with breast cancer. Studies were identified by searching multiple databases and hand-searching of randomized controlled trials. A total of 48 studies were identified. The majority of psychological interventions programs were based on cognitive-behavior therapy, supportive-expressive therapy, psychoeducation and psychosocial therapy. These studies suggested positive results in psychological and biological dimensions. Twelve studies did not report any benefits. We can conclude that psychological interventions programs for women with breast cancer are effective in the promotion of breast cancer adaptation. Future studies should focus on overcoming the methodological limitations identified and focus on analyzing the processes of changes associated with the psychological interventions programs implemented.
ABSTRACT - This review aims to analyze the efficacy of psychological interventions programs for women with breast cancer. Studies were identified by searching multiple databases and hand-searching of randomized controlled trials. A total of 48 studies were identified. The majority of psychological interventions programs were based on cognitive-behavior therapy, supportive-expressive therapy, psychoeducation and psychosocial therapy. These studies suggested positive results in psychological and biological dimensions. Twelve studies did not report any benefits. We can conclude that psychological interventions programs for women with breast cancer are effective in the promotion of breast cancer adaptation. Future studies should focus on overcoming the methodological limitations identified and focus on analyzing the processes of changes associated with the psychological interventions programs implemented.
Descrição
Palavras-chave
Revisão sistemática Intervenção psicológica em grupo Intervenção psicossocial Cancro da mama Systematic review Psychological intervention in group Psychosocial care Breast cancer
Contexto Educativo
Citação
Brandão, Tânia; Matos, Paula Mena - Eficácia das intervenções psicológicas em grupo dirigidas a mulheres com cancro da mama: uma revisão sistemática = Efficacy of psychological group interventions for women with breast cancer: a systematic review. Revista Portuguesa de Saúde Pública. ISSN 0870-9025. Vol. 33, Nº 1 (Janeiro/Junho 2015), p. 98-106
Editora
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública