EFETIVIDADE DA TELEPSICOTERAPIA COGNITIVO-COMPORTAMENTAL E TELEPSICOTERAPIA INTERPESSOAL SÍNCRONAS EM ADULTOS COM SINTOMAS DE DEPRESSÃO, ANSIEDADE E IRRITABILIDADE: UM ENSAIO CLÍNICO RANDOMIZADO
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Data
2022-09
Autores
Orientador
Shansis, Flávio Milman
Banca
Passos, Ives Cavalcante
Bucker, Joana
Timmers, Luís Fernando Saraiva Macedo
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Resumo
A pandemia da COVID-19 tem causado um grande impacto populacional relacionado a problemas de saúde mental. O objetivo desta pesquisa é comparar a eficácia da Telepsicoterapia Cognitiva Comportamental (TTCC) e Telepsicoterapia Interpessoal (TTIP) na redução dos sintomas de ansiedade, depressão e irritabilidade no contexto da pandemia da COVID-19. Nossa hipótese é que TTCC e TTIP são igualmente eficazes. Métodos: Foi realizado um ensaio clínico randomizado de não inferioridade com dois grupos paralelos randomizados aleatoriamente. As intervenções e avaliações foram baseadas no site projetado especificamente para o estudo. Os participantes eram adultos com sintomas de ansiedade, depressão ou irritabilidade que receberam quatro sessões de TTCC ou TTIP. As principais medidas de desfecho foram o Questionário de Saúde do Paciente-9 (PHQ-9) para sintomas depressivos, Transtorno de Ansiedade Generalizada-7 (GAD-7) para sintomas de ansiedade e Índice de Reatividade Afetiva (IRA) para irritabilidade. Resultados: 149 indivíduos (TTCC n= 73; TTIP 76), média de idade 32,5 anos (± 10,7) e predominância do sexo feminino (73,8%), 7 participantes desistiram das intervenções (TTCC n=4; TIP n=3) e 20 participantes finalizaram as intervenções, mas não preencheram os questionários de acompanhamento (TTCC n=9; TTIP n=11) . Realizamos uma análise de intenção de tratar. Houve uma diminuição geral dos sintomas de depressão, ansiedade e irritabilidade (p<0,001), em ambos os grupos de tratamento, e essa melhora não foi superior em um tipo de psicoterapia. A análise de efetividade mostrou que as intervenções foram equivalentes. Conclusão: TTCC e TTIP foram igualmente eficazes para tratar adultos da comunidade com sintomas de ansiedade, depressão ou irritabilidade.
The COVID-19 pandemic has caused a large population impact related to mental health problems. The aim of this research is to compare the effectiveness of Tele-Cognitive Behavioral Therapy (t-CBT) and Tele-Interpersonal Psychotherapy (t-IPT) in reducing symptoms of anxiety, depression and irritability in the context of the COVID-19 pandemic. Our hypothesis is that (t-CBT) and (t-IPT) are equally effective. Methods: A randomized clinical noninferiority trial was conducted with two parallel groups and equal randomization. Interventions and assessments were based on the website designed specifically for this study. Participants were adults with symptoms of anxiety, depression, or irritability who received four sessions of t-CBT or t-IPT. The main outcome measures were Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms, and Affective Reactivity Index (ARI) for irritability. Results: 149 individuals (t-CBT n=73; t-IPT 76), mean age 32.5 years (± 10.7) and female predominance (73.8%), 7 participants withdrew from the interventions (t-CBT n=4; t-IPT n=3) and 20 participants completed the interventions but did not complete the follow-up questionnaires (t-CBT n=9; t-IPT n=11) . We performed an intention-to-treat analysis. There was an overall decrease in symptoms of depression, anxiety and irritability (p<0.001) in both treatment groups, and this improvement was not superior in one type of psychotherapy. The effectiveness analysis showed that the interventions were equivalent. Conclusion: t-CBT and t-IPT were equally effective to treat community adults with symptoms of anxiety, depression, or irritability.
The COVID-19 pandemic has caused a large population impact related to mental health problems. The aim of this research is to compare the effectiveness of Tele-Cognitive Behavioral Therapy (t-CBT) and Tele-Interpersonal Psychotherapy (t-IPT) in reducing symptoms of anxiety, depression and irritability in the context of the COVID-19 pandemic. Our hypothesis is that (t-CBT) and (t-IPT) are equally effective. Methods: A randomized clinical noninferiority trial was conducted with two parallel groups and equal randomization. Interventions and assessments were based on the website designed specifically for this study. Participants were adults with symptoms of anxiety, depression, or irritability who received four sessions of t-CBT or t-IPT. The main outcome measures were Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms, and Affective Reactivity Index (ARI) for irritability. Results: 149 individuals (t-CBT n=73; t-IPT 76), mean age 32.5 years (± 10.7) and female predominance (73.8%), 7 participants withdrew from the interventions (t-CBT n=4; t-IPT n=3) and 20 participants completed the interventions but did not complete the follow-up questionnaires (t-CBT n=9; t-IPT n=11) . We performed an intention-to-treat analysis. There was an overall decrease in symptoms of depression, anxiety and irritability (p<0.001) in both treatment groups, and this improvement was not superior in one type of psychotherapy. The effectiveness analysis showed that the interventions were equivalent. Conclusion: t-CBT and t-IPT were equally effective to treat community adults with symptoms of anxiety, depression, or irritability.
Descrição
Palavras-chave
Ansiedade; COVID-19; Depressão; Irritabilidade; Anxiety; Depression; Irritability
Citação
BORBA, Bruno Lo Iacono. EFETIVIDADE DA TELEPSICOTERAPIA COGNITIVO-COMPORTAMENTAL E TELEPSICOTERAPIA INTERPESSOAL SÍNCRONAS EM ADULTOS COM SINTOMAS DE DEPRESSÃO, ANSIEDADE E IRRITABILIDADE: UM ENSAIO CLÍNICO RANDOMIZADO. 2022. Artigo (Mestrado) – Curso de Ciências Médicas, Universidade do Vale do Taquari - Univates, Lajeado, set. 2022. Disponível em: http://hdl.handle.net/10737/3939.