ABORDAJE MULTIDISCIPLINAR DEL TRASTORNO DE ANSIEDAD GENERALIZADA: REVISIÓN BIBLIOGRÁFICA

Autores/as

DOI:

https://doi.org/10.47820/recima21.v5i3.5024

Palabras clave:

Trastorno de Ansiedad Generalizada. Enfoque multidisciplinar. Terapia integrativa. Tratamiento combinado

Resumen

Introducción: el trastorno de ansiedad generalizada (TAG) es un trastorno psiquiátrico frecuente caracterizado por una preocupación persistente y síntomas físicos y psicológicos. El enfoque multidisciplinar para tratar el TAG implica la colaboración de varios profesionales de la salud para proporcionar una intervención integral adaptada a las necesidades individuales de los pacientes. Objetivo: El objetivo de este artículo es analizar el papel y la eficacia del enfoque multidisciplinar en el tratamiento del Trastorno de Ansiedad Generalizada (TAG). Métodos: Se realizó una revisión bibliográfica utilizando bases de datos académicas, buscando estudios publicados en los últimos 15 años que investigaran enfoques multidisciplinares en el tratamiento del TAG. Veinticinco estudios cumplieron los criterios de inclusión y se incluyeron en el análisis. Resultados y Discusión: La terapia cognitivo-conductual (TCC) y la farmacoterapia se destacan como intervenciones eficaces en el tratamiento del TAG. Además, las terapias complementarias como el mindfulness y el yoga son reconocidas por su impacto positivo en los síntomas de ansiedad. Sin embargo, la aplicación del enfoque multidisciplinar se enfrenta a dificultades, como la escasez de profesionales formados, la falta de coordinación entre el equipo sanitario y problemas de financiación. Conclusión: El enfoque multidisciplinar ofrece una oportunidad única para proporcionar una atención más integral y personalizada a los pacientes con TAG. Es esencial promover la formación de los profesionales sanitarios, la colaboración interprofesional y la concienciación sobre el TAG y su enfoque terapéutico integrado para mejorar el acceso al tratamiento y promover mejores resultados clínicos.

 

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Lucas Mainardo Rodrigues Bezerra

    Instituto de Educação Superior do Vale do Parnaíba-IESVAP.

  • Aléxia Mourão Alves Carvalhal

    Acadêmica de Medicina.

  • Igor Inácio Aragão

    Acadêmico de medicina.

  • Luiz de Moura Correia Filho

    Acadêmico de medicina.

  • Jamylla Santos Lonsdale

    Acadêmica de medicina.

  • Alexandre Bruno Veras Bogea Cardoso

    Acadêmica de Medicina.

  • Vilma Cristina Pereira Sardinha

    Academica de medicina.

  • Geovana Alencar Freitas

    Acadêmica de Medicina.

Referencias

APOLINÁRIO-HAGEN, Jennifer; DRÜGE, Marie; FRITSCHE, Lara. Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: integrating traditional with digital treatment approaches. Anxiety disorders: Rethinking and understanding recent discoveries, p. 291-329, 2020. DOI: https://doi.org/10.1007/978-981-32-9705-0_17

BEHAR, Evelyn et al. Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of anxiety disorders, v. 23, n. 8, p. 1011-1023, 2009. DOI: https://doi.org/10.1016/j.janxdis.2009.07.006

CAREK, Peter J.; LAIBSTAIN, Sarah E.; CAREK, Stephen M. Exercise for the treatment of depression and anxiety. The international journal of psychiatry in medicine, v. 41, n. 1, p. 15-28, 2011. DOI: https://doi.org/10.2190/PM.41.1.c

CARL, Emily et al. Psychological and pharmacological treatments for generalized anxiety disorder (GAD): a meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, v. 49, n. 1, p. 1-21, 2020. DOI: https://doi.org/10.1080/16506073.2018.1560358

CUIJPERS, Pim et al. Relative effects of cognitive and behavioral therapies on generalized anxiety disorder, social anxiety disorder and panic disorder: A meta-analysis. Journal of Anxiety Disorders, v. 43, p. 79-89, 2016. DOI: https://doi.org/10.1016/j.janxdis.2016.09.003

DEMARTINI, Jeremy; PATEL, Gayatri; FANCHER, Tonya L. Generalized anxiety disorder. Annals of internal medicine, v. 170, n. 7, p. ITC49-ITC64, 2019. DOI: https://doi.org/10.7326/AITC201904020

FAGAN, Harry A.; BALDWIN, David S. Pharmacological Treatment of Generalised Anxiety Disorder: Current Practice and Future Directions. Expert Review of Neurotherapeutics, p. 1-14, 2023. DOI: https://doi.org/10.1080/14737175.2023.2211767

GOODWIN, Guy M.; STEIN, Dan J. Generalised anxiety disorder and depression: contemporary treatment approaches. Advances in Therapy, v. 38, n. Suppl 2, p. 45-51, 2021. DOI: https://doi.org/10.1007/s12325-021-01859-8

HERSHENBERG, Rachel; GROS, Daniel F.; BRAWMAN-MINTZER, Olga. Role of atypical antipsychotics in the treatment of generalized anxiety disorder. CNS drugs, v. 28, p. 519-533, 2014. DOI: https://doi.org/10.1007/s40263-014-0162-6

HOFMANN, Stefan G. et al. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive therapy and research, v. 36, p. 427-440, 2012. DOI: https://doi.org/10.1007/s10608-012-9476-1

HOGE, Elizabeth A. et al. Mindfulness-based stress reduction vs escitalopram for the treatment of adults with anxiety disorders: a randomized clinical trial. JAMA psychiatry, v. 80, n. 1, p. 13-21, 2023. DOI: https://doi.org/10.1001/jamapsychiatry.2022.3679

HOGE, Elizabeth A. et al. Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: effects on anxiety and stress reactivity. The Journal of clinical psychiatry, v. 74, n. 8, p. 16662, 2013. DOI: https://doi.org/10.4088/JCP.12m08083

JOTHI, Neesha et al. Predicting generalized anxiety disorder among women using Shapley value. Journal of infection and public health, v. 14, n. 1, p. 103-108, 2021. DOI: https://doi.org/10.1016/j.jiph.2020.02.042

KACZKURKIN, Antonia N.; FOA, Edna B. Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, v. 17, n. 3, p. 337-346, 2015. DOI: https://doi.org/10.31887/DCNS.2015.17.3/akaczkurkin

KANDOLA, Aaron et al. Moving to beat anxiety: epidemiology and therapeutic issues with physical activity for anxiety. Current psychiatry reports, v. 20, p. 1-9, 2018. DOI: https://doi.org/10.1007/s11920-018-0923-x

KASPER, Siegfried et al. Silexan in anxiety disorders: Clinical data and pharmacological background. The world journal of biological psychiatry, v. 19, n. 6, p. 412-420, 2018. DOI: https://doi.org/10.1080/15622975.2017.1331046

KELLY, Kristen M.; MEZUK, Briana. Predictors of remission from generalized anxiety disorder and major depressive disorder. Journal of Affective Disorders, v. 208, p. 467-474, 2017. DOI: https://doi.org/10.1016/j.jad.2016.10.042

KWOK, Jojo Y. Y. et al. Effects of mindfulness yoga vs stretching and resistance training exercises on anxiety and depression for people with Parkinson disease: a randomized clinical trial. JAMA neurology, v. 76, n. 7, p. 755-763, 2019. DOI: https://doi.org/10.1001/jamaneurol.2019.0534

LUO, Wei et al. Disorder-specific impaired neurocognitive function in major depression and generalized anxiety disorder. Journal of Affective Disorders, v. 318, p. 123-129, 2022. DOI: https://doi.org/10.1016/j.jad.2022.08.129

MARON, Eduard; NUTT, David. Biological markers of generalized anxiety disorder. Dialogues in clinical neuroscience, v. 19, n. 2, p. 147-158, 2017. DOI: https://doi.org/10.31887/DCNS.2017.19.2/dnutt

NEWMAN, Michelle G. et al. A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy?. Clinical psychology review, v. 31, n. 1, p. 89-103, 2011. DOI: https://doi.org/10.1016/j.cpr.2010.09.008

PATEL, Gayatri; FANCHER, Tonya L. Generalized anxiety disorder. Annals of internal medicine, v. 159, n. 11, p. ITC6-1, 2013. DOI: https://doi.org/10.7326/0003-4819-159-11-201312030-01006

RIBEIRO, Maria Margarida; ANDRADE, Ana; NUNES, Inês. Physical exercise in pregnancy: Benefits, risks and prescription. Journal of perinatal medicine, v. 50, n. 1, p. 4-17, 2022. DOI: https://doi.org/10.1515/jpm-2021-0315

SAEED, Sy Atezaz; CUNNINGHAM, Karlene; BLOCH, Richard M. Depression and anxiety disorders: benefits of exercise, yoga, and meditation. American family physician, v. 99, n. 10, p. 620-627, 2019.

SHOWRAKI, Mostafa; SHOWRAKI, Tiffany; BROWN, Kimberly. Generalized anxiety disorder: revisited. Psychiatric Quarterly, v. 91, p. 905-914, 2020. DOI: https://doi.org/10.1007/s11126-020-09747-0

SLEE, April et al. Pharmacological treatments for generalised anxiety disorder: a systematic review and network meta-analysis. The Lancet, v. 393, n. 10173, p. 768-777, 2019. DOI: https://doi.org/10.1016/S0140-6736(18)31793-8

STARCEVIC, Vladan. Generalized anxiety disorder: psychopharmacotherapy update on a common and commonly overlooked condition. Australasian Psychiatry, v. 23, n. 4, p. 338-342, 2015. DOI: https://doi.org/10.1177/1039856215587233

STRÖHLE, Andreas. Physical activity, exercise, depression and anxiety disorders. Journal of neural transmission, v. 116, p. 777-784, 2009. DOI: https://doi.org/10.1007/s00702-008-0092-x

Publicado

16/03/2024

Cómo citar

ABORDAJE MULTIDISCIPLINAR DEL TRASTORNO DE ANSIEDAD GENERALIZADA: REVISIÓN BIBLIOGRÁFICA. (2024). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(3), e535024. https://doi.org/10.47820/recima21.v5i3.5024