Os efeitos das intervenções baseadas em mindfulness na sintomatologia de ansiedade social em adultos: revisão sistemática
The effects of mindfulness-based interventions on social anxiety symptomatology in adults: A systematic review
Gabrielly Oliveira Silva , Paloma Cavalcante Bezerra de Medeiros , Lucas Pereira dos Santos , Maria Carolina de Carvalho Sousa
Suma Psicológica, (2025), 32(1), pp. 1-10.
Recebido em 14 de abril de 2024
Aceito em 17 de outubro de 2024
Introdução/Objetivo: O Transtorno de Ansiedade Social (TAS) é caracterizado pelo medo ou pela ansiedade com relação a uma ou mais situações sociais, em que o indivíduo é exposto à avaliação de terceiros; a manifestação precoce dos sintomas traz complicações futuras. Portanto, faz-se necessário catalogar intervenções/tratamentos eficazes. Assim, o presente estudo tem como objetivo realizar revisão sistemática referente aos efeitos das intervenções baseadas em mindfulness (IBMs) no tratamento da ansiedade social na população adulta. Método: Trata-se de revisão sistemática, pautada no Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) para revisões sistemáticas. Os artigos foram pesquisados em outubro de 2023, utilizando os seguintes descritores (“social anxiety” OR “social anxiety disorder” OR “social phobia”) AND (yoga OR mindfulness OR “mindful awareness” OR meditation) AND (“randomized controlled trial” OR “randomized controlled” OR “controlled clinical trial” OR randomized) em seis bases de dados eletrônicas: PubMed Central, Embase, SciELO, Crochrane, PsycInfo e Web of Science. Resultados: Foram identificados 173 estudos, dos quais oito foram incluídos na análise final. Entre as Intervenções Baseadas em Mindfulness (IBMs) utilizadas, a Redução de Estresse Baseada em Mindfulness foi a mais presente. Observa-se que o mindfulness vem sendo amplamente difundido e aplicado como intervenção na área de saúde mental. Os resultados dos estudos indicam uma efetividade das IBMs na redução dos sintomas de ansiedade social. Conclusão: Por fim, destaca-se a importância de estudos futuros buscarem controlar os vieses em pesquisa, uma vez que, como levantado na presente revisão, alguns estudos apresentaram risco de viés, no processo de randomização e cegamento na avaliação dos resultados, bem como informações insuficientes.
Palavras-chave:
Terapia cognitiva, mindfulness, ensaio clínico, revisão sistemática, ansiedade social.
Introduction/Objectives: Social Anxiety Disorder (SAD) is characterized by marked fear or anxiety about one or more social situations in which the individual is exposed to the evaluation of others, the early manifestation of symptoms directly influences the future complications. Therefore, it is necessary to catalog effective interventions/treatments. The present study aims to conduct a systematic review regarding the effects of Mindfulness-Based Interventions (MBIs) in treating social anxiety. Method: This is a systematic review based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) checklist for systematic reviews. Articles were searched in October 2023 using the following descriptors: (“social anxiety” OR “social anxiety disorder” OR “social phobia”) AND (yoga OR mindfulness OR “mindful awareness” OR meditation) AND (“randomized controlled trial” OR “randomized controlled” OR “controlled clinical trial” OR randomized) in six electronic databases: PubMed Central, Embase, Scielo, Cochrane, PsycInfo, and Web of Science. Results: A total of 173 studies were identified, of which eight were included in the final analysis. Among the MBIs used, Mindfulness-Based Stress Reduction (MBSR) was identified in most studies. Mindfulness has been increasingly disseminated and used as an intervention in the field of mental health. The study results indicate the effectiveness of MBIs in reducing social anxiety symptoms. Conclusion: Finally, it is important for future studies to address research biases, as highlighted in the present review; some studies showed risk of bias in the randomization process and in the blinding of outcome assessments, as well as insufficient information.
Keywords:
Cognitive therapy, mindfulness, clinical trial, systematic review, social anxiety.
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