Revisão sistemática da eficácia da meditação no bem-estar psicológico de estudantes de ciência da saúde
DOI:
https://doi.org/10.22235/cp.v18i2.3730Palavras-chave:
bem-estar psicológico, intervenção psicossocial, meditação, mindfulness, estudantes, saúdResumo
A meditação é uma ferramenta eficaz para promover o bem-estar psicológico, administrar o estresse e os transtornos psicológicos associados a situações acadêmicas, clínicas e assistenciais altamente demandantes em contextos acadêmicos sanitários. Este artigo avalia o impacto de intervenções baseadas na meditação para o bem-estar psicológico de estudantes de Ciências da Saúde. Foram buscados ensaios clínicos controlados na Biblioteca Virtual de Saúde (BVS), Biblioteca Cochrane, Trip Database, Sage Pub, Springer Link, Wiley Online Library, Medline (via PubMed), Europe PMC, Science Direct, APA PsycInfo e ERIC. Foram identificados 651 estudos. Foram incluídos 13 estudos que cumpriram os critérios de elegibilidade. Foi encontrado que a prática da meditação não clínica, predominantemente por meio de intervenções baseadas na atenção plena (mindfulness), realizadas em contextos acadêmicos, tem um efeito positivo no bem-estar psicológico e na competência socioemocional dos estudantes. Os benefícios a longo prazo dependem de que os estudantes pratiquem a meditação regularmente. Essas descobertas têm implicações para a educação sanitária. Sugerimos integrar a meditação como uma abordagem preventiva para melhorar o bem-estar psicológico dos estudantes.
Downloads
Referências
Abu Bakar, N., Lim, S. L., Basri, N. A., & Mohamed Ludin, S. (2021). Mental health and well-being of undergraduate dental students: A systematic review. International Journal of Care Scholars, 4(2), 56-70. https://doi.org/10.31436/ijcs.v4i2.190
Alhawatmeh, H., Rababa, M., Alfaqih, M., Albataineh, R., Hweidi, I., & Awwad, A. (2022). The benefits of mindfulness meditation on trait mindfulness, perceived stress, cortisol, and c-reactive protein in nursing students: A randomized controlled trial. Advances in Medical Education and Practice, 13, 47-58. https://doi.org/10.2147/AMEP.S348062
Alrashdi, D., Chen, K., Meyer, C., & Gould, R. (2023). A Systematic review and meta-analysis of online mindfulness-based interventions for university students: an examination of psychological distress and well-being, and attrition rates. Journal of Technology in Behavioral Science, 0123456789. https://doi.org/10.1007/s41347-023-00321-6
Alvarado-García, P., Soto-Vásquez, M., & Rosales-Cerquin, L. (2019). Atención plena y bienestar psicológico: un estudio controlado y aleatorizado. Medicina Naturista, 13(2), 1-6.
Alzahem, A. M., Molen, H., Alaujan, A., & Benjamin, J. (2014). Stress management in dental students: A systematic review. Advances in Medical Education and Practice, 2014, 167-176. https://doi.org/10.2147/AMEP.S46211
Balasooriya Lekamge, R., Gasevic, D., Karim, M., & Ilic, D. (2022). Mindfulness for academic performance in health professions students: a systematic review. BMJ Evidence-based Medicine, 28, 341-347. https://doi.org/10.1136/bmjebm-2021-111853
Black, D., & Grant, J. (2013). DSM-5® Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. American Psychiatric Publishing. https://doi.org/10.1097/01.pra.0000462610.04264.fa
Bramlett, L. (2014). The impact of stress on the academic performance of second year dental hygiene students: A pilot study [Tesis de maestría, Eastern Washington University]. EWU Digital Commons. https://dc.ewu.edu/theses/217/
Carmona-Rincón, I., García, A., & Segovia, S. (2023). Bienestar eudaimónico y meditación mindfulness en los contextos laborales: Una revisión sistemática. Anales de Psicología, 39(2), 273-286. https://doi.org/10.6018/analesps.493671
Chattu, V., Sahu, P., Seedial, N., Seecharan, G., Simboo, S., & Singh, A. (2020). Subjective well-being and its relation to academic performance among students in Medicine, Dentistry, and other health professions. Education Science, 10(224). https://doi.org/10.3390/educsci10090224
Chiodelli, R., Mello, L., Jesus, S., Beneton, E., Russel, T., & Andretta, I. (2022). Mindfulness-based interventions in undergraduate students: a systematic review. Journal of American College Health, 70(3), 791-800. https://doi.org/10.1080/07448481.2020.1767109
Da Silva, C., Bolognani, C. Amorim, F., & Imoto, A. (2023). Effectiveness of training programs based on mindfulness in reducing psychological distress and promoting well-being in medical students: a systematic review and meta-analysis. Systematic Reviews, 12(1), 1-28. https://doi.org/10.1186/s13643-023-02244-y
Dawson, A., Brown, W., Anderson, J., Datta, B., Donald, J., Hong, K., Allan, S., Mole, T., Jones, P., & Galante, J. (2020). Mindfulness-based interventions for university students: A systematic review and meta-analysis of randomised controlled trials. Applied Psychology: Health and Well-Being, 12(2), 384-410. https://doi.org/10.1111/aphw.12188
De Araujo, A., de Santana, C., Kozasa, E., Lacerda, S., & Tanaka, L. (2020). Effects of a mindfulness meditation course on healthcare students in Brazil. ACTA Paulista de Enfermagem, 33, eAPE20190170. https://doi.org/10.37689/ACTA-APE/2020AO0170
Delgado, M., Salazar, M., Vargas, D., Uribe, J., & Palencia, F. (2023). Intervenciones del tipo espacio seguro para generar bienestar en contextos universitarios y su efectividad: una revisión rápida de la literatura. PsyArXiv., 5, 1-23. https://doi.org/10.31234/osf.io/f6kd3
Escobar-Domingo, J., Escobar-Domingo, M., Becerra, L., Moreno, F., & Moreno, S. (2021). Relación entre la disminución del estrés académico y la práctica de yoga en estudiantes de las áreas de la salud. Revisión de la literatura. Universitas Médica, 62(4), 1-12. https://doi.org/10.11144/Javeriana.umed62-4.yoga
Fazia, T., Bubbico, F., Nova, A., Buizza, C., Cela, H., Iozzi, D., Calgan, B., Maggi, F., Floris, V., Sutti, I., Bruno, S., Ghilardi, A., & Bernardinelli, L. (2023). Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study. Nature Scientific Reports, 13(1), 1-13. https://doi.org/10.1038/s41598-023-35483-z
Gál, É., Ștefan, S., & Cristea, I. A. (2021). The efficacy of mindfulness meditation apps in enhancing users’ well-being and mental health related outcomes: a meta-analysis of randomized controlled trials. Journal of Affective Disorders, 279, 131-142. https://doi.org/10.1016/j.jad.2020.09.134
García Campayo J. (2022). Nuevo manual de mindfulness. Siglantana.
Gómez, C., Lamas, A., Ramirez-Martinez, F. R., Blunk, D., & Leiner, M. (2021). Rethinking strategies and programs to improve physical and emotional well-being among healthcare professionals: facing the new normalcy. Medical Science Educator, 31(2), 565-572. https://doi.org/10.1007/s40670-021-01214-0
González-Valero, G., Zurita-Ortega, F., Ubago-Jiménez, J., & Puertas-Molero, P. (2019). Use of meditation and cognitive behavioral therapies for the treatment of stress, depression and anxiety in students. A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 16(22). https://doi.org/10.3390/ijerph16224394
Gupta, R., Arora, R., & Grover, R. (2021). Effectiveness of mantra meditation as a neurophysiological phenomenon for stress management in undergraduate medical students. National Journal of Physiology, Pharmacy and Pharmacology, 11(6), 1. https://doi.org/10.5455/njppp.2021.11.07190202020012021
Hathaisaard, C., Wannarit, K., & Pattanaseri, K. (2022). Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis. Asian Journal of Psychiatry, 69, 102997. https://doi.org/10.1016/j.ajp.2021.102997
Henderson, S. (2021). A pilot study of meditation as a stress reliever for dental hygiene students during times of heightened stress. [Tesis de maestría, Eastern Washington University]. EWU Digital Commons. https://dc.ewu.edu/cgi/viewcontent.cgi?article=1687&context=theses
Higgins, J., Green, S., & Cochrane Collaboration. (2008). Cochrane handbook for systematic reviews of interventions. Wiley-Blackwell.
Kabat-Zinn, J. (1990). The foundations of mindfulness practice: Attitudes and commitment. En J. Kabat-Zinn (Ed.), Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness (pp. 19-38). Delta.
Ko, C. M., Grace, F., Chavez, G. N., Grimley, S. J., Dalrymple, E. R., & Olson, L. E. (2018). Effect of seminar on compassion on student self-compassion, mindfulness and well-being: A randomized controlled trial. Journal of American College Health, 66(7), 537-545. https://doi.org/10.1080/07448481.2018.1431913
Langer, Á. I., Ulloa, V. G., Cangas, A. J., Rojas, G., & Krause, M. (2015). Intervenciones basadas en mindfulness en educación secundaria: Una revisión sistemática cualitativa. Estudios de Psicologia, 36(3), 533-570. https://doi.org/10.1080/02109395.2015.1078553
Lavadera, P., Millon, E. M., & Shors, T. J. (2020). MAP Train My Brain: meditation combined with aerobic exercise reduces stress and rumination while enhancing quality of life in medical students. Journal of Alternative and Complementary Medicine, 26(5), 418-423. https://doi.org/10.1089/acm.2019.0281
López, I., Gené, J., & Hernaiz, N. (2021). Mindfulness y educación física en la población universitaria. Una revisión sistemática. Retos, 42(4), 821-830. https://doi.org/10.47197/retos.v42i0.86382
Malheiros, P. C., Vanderlei, A. D., & Brum, E. H. M. de. (2023). Meditation for stress and anxiety relief in undergraduate students: a randomized clinical trial. Revista Brasileira de Educação Médica, 47(1). https://doi.org/10.1590/1981-5271v47.1-20220021.ing
McConville, J., Mcaleer, R., & Hahne, A. (2017). Mindfulness training for health profession students the effect of mindfulness training on psychological wellbeing, learning and clinical performance of health professional students: a systematic review of randomised and non- randomised controlled trials. Explore: The Journal of Science and Healing, 13(1), 26-45. https://doi.org/10.1016/j.explore.2016.10.002
Moher, D, Liberati, A., Tetzlaff, J., Altman, D. G., & Grp, P. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Physical Therapy, 89(9), 873-880. https://doi.org/10.1371/journal.pmed.1000097
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberatî, A., Petticrew, M., Shekelle, P., Stewart, L. A., & Prisma-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Review, 4(1), 1-9. https://doi.org/10.1186/2046-4053-4-1
Moore, S., Barbour, R., Ngo, H., Sinclair, C., Chambers, R., Auret, K., Hassed, C., & Playford, D. (2020). Determining the feasibility and effectiveness of brief online mindfulness training for rural medical students: A pilot study. BMC Medical Education, 20(1), 1-12. https://doi.org/10.1186/s12909-020-02015-6
Neto, A., Lucchetti, A. G., Da Silva, O., & Lucchetti, G. (2020). Effects of a required large-group mindfulness meditation course on first-year medical students’ mental health and quality of life: A randomized controlled trial. Journal of General Internal Medicine, 35(3), 672-678. https://doi.org/10.1007/s11606-019-05284-0
O’Driscoll, M., Byrne, S., Mc Gillicuddy, A., Lambert, S., & Sahm, L. J. (2017). The effects of mindfulness-based interventions for health and social care undergraduate students: A systematic review of the literature. Psychology, Health and Medicine, 22(7), 851-865. https://doi.org/10.1080/13548506.2017.1280178
Oblitas, L. A., Soto, D. E., Anicama, J. C., & Arana, A. A. (2019). Incidencia del mindfulness en el estrés académico en estudiantes universitarios: Un estudio controlado. Terapia Psicológica, 37(2), 116-128. http://doi.org/10.4067/S0718-48082019000200116
Ortiz León, S., Sandoval Bosch, E., Adame Rivas, S., Ramírez Ávila, C. E., Jaimes Medrano, A. L., & Ruiz Ruisánchez, A. (2019). Manejo del estrés; resultado de dos intervenciones: cognitivo conductual y yoga, en estudiantes irregulares de medicina. Investigación en Educación Médica, 30(2), 9-17. https://doi.org/10.22201/facmed.20075057e.2019.30.1764
Querstret, D., Morison, L., Dickinson, S., Cropley, M., & John, M. (2020). Mindfulness-based stress reduction and mindfulness-based cognitive therapy for psychological health and well-being in nonclinical samples: A systematic review and meta-analysis. International Journal of Stress Management, 27(4), 394-411. https://doi.org/10.1037/str0000165
Repo, S., Elovainio, M., Pyörälä, E., Iriarte-Lüttjohann, M., Tuominen, T., Härkönen, T., Gluschkoff, K., & Paunio, T. (2022). Comparison of two different mindfulness interventions among health care students in Finland: A randomised controlled trial. Advances in Health Sciences Education, 27(3), 709-734. https://doi.org/10.1007/s10459-022-10116-8
Rong, R., Chen, W., Dai, Z., Gu, J., Chen, W., Zhou, Y., Kuang, M., & Xiao, H. (2021). Improvement of the management of mental well-being and empathy in Chinese medical students: a randomized controlled study. BMC Medical Education, 21(1), 1-10. https://doi.org/10.1186/s12909-021-02813-6
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
Shirahatti, R. V, Shah, C., Kazi, M., Bhosale, A., & Panchaw, D. (2014). Impact of gibberish meditation on student’s learning. International Journal of Medical Science and Public Health, 2(2), 446-452. https://doi.org/10.5455/ijmsph.2013.2.446-452
Stone, P. (2002). Popping the (PICO) question in research and evidence-based practice. Applied Nursing Research, 15(3), 197-198. https://doi.org/10.1053/apnr.2002.34181
Ungar, P., Schindler, A. K., Polujanski, S., & Rotthoff, T. (2022). Online programs to strengthen the mental health of medical students: A systematic review of the literature. Medical Education Online, 27(1). https://doi.org/10.1080/10872981.2022.2082909
van der Riet, P., Levett-Jones, T., & Aquino-Russell, C. (2018). The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review. Nurse Education Today, 65, 201-211. https://doi.org/10.1016/j.nedt.2018.03.018
Waters, L., Barsky, A., Ridd, A., & Allen, K. (2015). Contemplative education: a systematic, evidence-based review of the effect of meditation interventions in schools. Educational Psychology Review, 27(1), 103-134. https://doi.org/10.1007/s10648-014-9258-2
Wolkin, J. R. (2015). Cultivating multiple aspects of attention through mindfulness meditation accounts for psychological well-being through decreased rumination. Psychology Research and Behavior Management, 8, 171-180. https://doi.org/10.2147/PRBM.S31458
Worsley, J. D., Pennington, A., & Corcoran, R. (2022). Supporting mental health and wellbeing of university and college students: A systematic review of review-level evidence of interventions. PLoS ONE, 17(7), 1-20. https://doi.org/10.1371/journal.pone.0266725
Yogeswaran, V., & El Morr, C. (2021). Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review. BMC Public Health, 21(1), 1-12. https://doi.org/10.1186/s12889-021-12341-z
Yosep, I., Mardhiyah, A., & Sriati, A. (2023). Mindfulness intervention for improving psychological wellbeing among students during COVID-19 pandemic: A Scoping Review. Journal of Multidisciplinary Healthcare, 16, 1425-1437. https://doi.org/10.2147/jmdh.s411849
Zollars, I., Poirier, T. I., & Pailden, J. (2019). Effects of mindfulness meditation on mindfulness, mental well-being, and perceived stress. Currents in Pharmacy Teaching and Learning, 11(10), 1022-1028. https://doi.org/10.1016/j.cptl.2019.06.005
Publicado
Como Citar
Edição
Secção
Licença
Direitos de Autor (c) 2024 Ciencias Psicológicas
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.