Mindfulness-based interventions for the treatment of depressive ruminationsystematic review and meta-analysis

  1. Lilisbeth Perestelo-Perez 1
  2. Jorge Barraca 2
  3. Wenceslao Peñate 3
  4. Amado Rivero-Santana 1
  5. Yolanda Alvarez-Perez 4
  1. 1 Red de Investigación de Servicios de Salud en Enfermedades Crónicas
    info

    Red de Investigación de Servicios de Salud en Enfermedades Crónicas

    Madrid, España

  2. 2 Universidad Camilo José Cela
    info

    Universidad Camilo José Cela

    Villanueva de la Cañada, España

    ROR https://ror.org/03f6h9044

  3. 3 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    ROR https://ror.org/01r9z8p25

  4. 4 Fundación Canaria Instituto de Investigación Sanitaria de Canarias
    info

    Fundación Canaria Instituto de Investigación Sanitaria de Canarias

    Las Palmas de Gran Canaria, España

Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2017

Volumen: 17

Número: 3

Páginas: 282-295

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2017.07.004 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Antecedentes/Objetivo: Revisión sistemática para evaluar el efecto de las intervenciones basadas en la atención plena y/o en el proceso de aceptación de pensamientos rumiativos en la depresión. Método: Búsquedas sistemáticas en Medline, Embase, Cochrane Central, PsycInfo y Cinahl hasta diciembre 2016 y búsquedas manuales identificaron once estudios. Resultados: Un metanálisis que comparó el efecto de la intervención basada en Mindfulness con la atención habitual mostró una reducción significativa y moderada de pensamientos rumiativos. Los hallazgos sugieren que los procesos de atención/aceptación producen cambios en las rumiaciones e influyen en el efecto clínico de las intervenciones. Otro metanálisis con estudios que compararon la intervención basada en Mindfulness con otros tratamientos activos (medicación, activación conductual y terapia cognitivo-conductual, respectivamente) no mostraron diferencias significativas (g=−0,02, 95% CI: −0,39, 0,35; I2=0%). Conclusiones: Mindfulness en comparación con la atención habitual, produce una reducción significativa y moderada en la rumia. Este efecto parece independiente de la fase de tratamiento o del número de episodios depresivos pasados, y se mantuvo un mes después del final del tratamiento. Sin embargo, se necesitan más estudios controlados con pacientes reales que comparen las técnicas cognitivo-conductuales más utilizadas para tratar los pensamientos rumiativos con técnicas de aceptación y atención plena.

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