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Instituto Nacional de Salud Pública

2019, Número 4

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salud publica mex 2019; 61 (4)


Intervenciones no farmacológicas para reducir síntomas depresivos en mujeres con cáncer de mama

Galván-García ÁF, Vértiz-Ramírez JJ, Sánchez-Domínguez MS, Sauceda-Valenzuela AL, Rueda-Neria CM, Poblano-Verástegui O

Idioma: Español
Referencias bibliográficas: 106
Paginas: 532-541
Archivo PDF: 346.81 Kb.


RESUMEN

Objetivo. Describir y discutir los resultados de las intervenciones no farmacológicas (INF) adyuvantes en el tratamiento de los síntomas depresivos entre mujeres con cáncer de mama (CaMa). Material y métodos. Se realizó una revisión sistemática sobre INF, aplicadas a pacientes con cáncer y síntomas depresivos en siete bases de datos. La revisión se limitó del 1 de enero de 2006 al 31 de diciembre de 2017 y a los idiomas inglés, español y portugués. Los descriptores médicos empleados fueron “breast neoplasm” y “depression”. Resultados. Existen diversas INF que pueden estimular principalmente las dimensiones físicas o psicosociales. En este artículo se propone una clasificación basada en nueve estrategias terapéuticas identificadas, entre las que sobresalen el ejercicio, la psicoterapia y el yoga con meditación. Conclusiones. Con base en la evidencia disponible, se concluye que la psicoterapia y yoga con meditación reducen los síntomas depresivos en pacientes con CaMa. Se requiere mayor investigación para determinar la magnitud de la reducción de los síntomas depresivos, de acuerdo con su gravedad, presencia de comorbilidades y diversidad de INF.


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