Eficacia de los tratamientos psicológicos basados en mindfulness para los trastornos de ansiedad y depresión: una revisión sistemática

• Autores: María Teresa Miró Barrachina, Lilisbeth Perestelo Pérez, Jeanette Pérez Ramos, Amado Rivero Santana, Marién González Lorenzo, Juan Antonio de la Fuente Portero, Pedro Jesús Serrano Castro
• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 16, Nº. 1, 2011, págs. 1-14
• Idioma: español
• DOI: 10.5944/rppc.vol.16.num.1.2011.10347
• Títulos paralelos:
  • Effectiveness of mindfulness based treatments for anxiety and depressive disorders: a systematic review
• Enlaces
  • Texto completo
• Dialnet Métricas: 19 Citas
• Resumen
  • español

    El objetivo de este estudio fue conocer el grado de eficacia clínica de los tratamientos psicológicos basados en la atención plena (minfulness) para tratar síntomas asociados a los trastornos de ansiedad y/o depresión, a partir de la revisión sistemática de trabajos relevantes existentes en la literatura científica. De un total de 1450 referencias bibliográficas detectadas, se seleccionaron 15 estudios que cumplían los criterios de selección definidos. El análisis sistemático de estos estudios parece indicar que las intervenciones terapéuticas basadas en la atención plena resultan moderadamente eficaces en la reducción de síntomas de depresión y ansiedad y, dado que estas intervenciones se pueden llevar a cabo en grupo, podrían ser un coadyuvante significativo en el abordaje de tales síntomas. No obstante, hacen falta más estudios aleatorizados y con grupos de control adecuados para establecer con claridad la eficacia de este tipo de tratamientos.

  • English

    The aim of this study was to determine the degree of clinical efficacy of mindfulness based treatments in the treatment of anxiety and/or depressive disorders, from a systematic review of relevant studies in the scientific literature. From a total of 1450 references identified, 15 studies met the selection criteria. Systematic analysis of these studies showed that interventions based on Mindfulness, using a group format and structured exercises, were moderately effective in reducing depressive and anxious symptoms. Given that mindfulness based treatments can be administered in group format, they can be an important co-adjuvant in treating such symptoms. Nevertheless, more randomized studies with controls are needed to clearly establish the efficacy of this kind of treatments.

• Referencias bibliográficas
  • Baer, R.A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice,...
  • Barnhofer, T., Crane, C., Hargus, E., Amarasingue, M., Winder, R., & Williams, J.M. (2009). Mindfulness based cognitive therapy as a treatment...
  • Bishop, S.R., Lau, M., Shapiro, S., Carlson, L., Anderson, N.D., Carmody, J., et al. (2004). Mindfulness: A Proposed Operational Defi nition....
  • Cebolla, A., y Miró, M.T. (2007). Efi cacia de la terapia cognitiva basada en la AP en el tratamiento de la depresión. Revista de Psicoterapia,...
  • Damasio, A. (1999). The Feeling of What Happens: Body and Emotion in the Making of Consciousness. New York: Harcourt Trade Publishers.
  • Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkrantz, M., Muller, D., Santorelli, S.F., et al. (2003). Alterations in brain and immune...
  • Davis, E.N., & Nolen-Hoesksema, S. (2000). Cognitive infl exibility among ruminators and non-ruminators. Cognitive Therapy and Research,...
  • Echeburúa, E., de Corral, P., y Salaberría, K. (2010). Efectividad de las terapias psicológicas: Un análisis de la realidad actual. Revista...
  • Estabrooks, C.A., Goel, V., Thiel, E., Pinfold, S.P., Sawka, C., y Williams, J. (2000). Consumer Decision Aids: Where do we stand? A systematic...
  • Evans, S., Ferrando, S., Findler, M., Strowell, C., Smart, C., & Haglin, D. (2007). Mindfulness based cognitive therapy for generalized...
  • Farb, N.A., Segal, Z.V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., et al. (2007), Attending to the present: Mindfulness meditation reveals...
  • Fresco, D.M., Frankel, A.N., Mennin, D.S., Turk, C.L., & Heimberg, R.G. (2002). Distinct and overlapping features of rumination and worry:...
  • Grossman, P., Niemann, L., Schmid, S., & Walach, H. (2004). Mindfulness based stress reduction and health benefi ts: A meta-analysis....
  • Hofmann, S., Sawyer, A.T., Witt, A.A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic...
  • Jadad, A.R., Moore, R.A., Carroll, D., Jenkinson, C., Reynolds, J.M., Gavaghan, D.J., et al. (1996). Assessing the quality of reports of randomized...
  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation:...
  • Kabat-Zinn, J. (2003). Mindfulness based interventions in context: Past, present and future. Clinical Psychology: Science and Practice, 10,...
  • Kabat-Zinn, J. (2009). Foreword. In F. Didonna (Ed.) Clinical Handbook of mindfulness. New York. Springer.
  • Kabat-Zinn, J., Massion, A.O., Kristeller, J., Peterson, L.G., Fletcher, K.E., Pbert, L., et al. (1992). Effectiveness of a meditation-based...
  • Katz, L.Y., Cox, B.J., Gunasekara, S., & Miller, A.L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients....
  • Keeny, M.A., & Williams, J.M. (2007). Treatment-resistant depressed patients show a good response to mindfulness based cognitive therapy....
  • Kendall, P., & Imgram, R. (1989). Cognitive-behavioural perspectives: Theory and Research on depresión and anxiety. In P. Kendal y D....
  • Kim, Y.W., Lee, S.H., Choi, T.K., Suh, S.Y, Kim, B., Kim, C.M., et al. (2009). Effectiveness of mindfulness based cognitive therapy as an...
  • Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms....
  • Ledesma, D., & Kumano, H. (2008). Mindfulness-based stress reduction and cancer: A meta-analysis. Psycooncology, 18, 571-579.
  • Lee, S.H., Ahn, S.C., Lee, Y.J., Choi, T.K., Yook, K.H., & Suh, S.Y. (2007). Effectiveness of a meditation-based stress management program...
  • Lutz, A., Slagter, H.A., Dunne, J.D., & Davidson, R.J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive...
  • Lynch, T.R., Cheavens, J.S., Cukrowicz, K.C., Thorp, S.R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with co-morbid personality...
  • Lynch, T.R., Morse, J.Q., Mendelson, T., & Robins, C.J. (2003). Dialectical behavior therapy for depressed older adults: A randomized...
  • Ma, S.H., & Teasdale, J.D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse...
  • Miller, J.J., Fletcher, K., & Kabat-Zinn, J. (1995). Threeyear follow-up and clinical implications of a mindfulness meditation-based stress...
  • Miró, M.T. (2007). La AP (mindfulness) como intervención clínica para aliviar el sufrimiento y mejorar la convivencia. Revista de Psicoterapia,...
  • Oxman, A.D., Cook, D.J., & Guyatt, G.H. (1994). Users’ guides to the medical literature. VI. How to use an overview. The Evidence-Based...
  • Pelechano, V. (2007). Viejas y nuevas cuestiones en las viejas y nuevas terapias psicológicas. Revista de Psicopatología y Psicología Clínica,...
  • Ramel, W., Goldin, P.R., Carmona, P.E., & McQuaid, J.R. (2004). The effects of mindfulness meditation on cognitive processes and affect...
  • Roemer, L., & Orsillo, S.M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based...
  • Roemer, L., & Orsillo, S.M. (2005). An acceptance-based behavior therapy for generalizad anxiety disorder. In S.M. Orsillo y L. Roemer...
  • Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse....
  • Teasdale, J. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247-274.
  • Teasdale, J.D., Moore, R.G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z.V. (2002). Metacognitive awareness and prevention of relapse...
  • Teasdale, J.D., Segal, Z.V., Williams, J.M., Ridgeway, V.A., Soulsby, J.M., & Lau, M.A. (2000). Prevention of relapse/recurrence in major...
  • The National Institute for Clinical Excellence. (2004). Depression: Management of depression in primary and secondary care (National clinical...
  • Toneatto, T., & Nguyen, L. (2007). Does mindfulness meditation improve anxiety and mood symptoms? A review of the controlled research....
  • Wallace, A.B. (2006). The attention revolution. Chicago: Open Cort Press.
  • Weiss, M., Nordlie, J.W., & Siegel, E.P. (2005). Mindfulness-based stress reduction as an adjunct to outpatient psychotherapy. Psychotherapy...
  • Williams, J.M. (2010). Mindfulness and psychological process. Emotion, 10, 1-7.
  • Williams, J.M., Teasdale, J.D., Segal, Z.V., & Soulsby, J. (2000). Mindfulness-based cognitive therapy reduces overgeneral autobiographical...
  • Williams, J.M., Alatiq, Y., Crane, C., Banhofer, T., Fennell, M.J.V., Duggan, D.S., et al. (2008). Mindfulness- based Cognitive Therapy (MBCT)...