Resumo

CASTELLANO, Graciela et al. Effects of a Mindfulness-based stress reduction intervention (MBSRP) on clinical parameters in Rheumatoid Arthritis. Rev. Urug. Med. Int. [online]. 2019, vol.4, n.2, pp.15-23. ISSN 2393-6797.  https://doi.org/10.26445/04.02.2.

Rheumatoid arthritis is a systemic autoimmune disorder that causes extensive and persistent inflammation of the joints. Persistent inflammation leads to many systemic and extra-articular manifestations that affect most of the organ systems, leading to serious complications and comorbidities. Psychological stress is a major provocative factor of symptoms in chronic inflammatory diseases. In recent years, interest in addressing the stress response through practices such as meditation has increased dramatically, despite the paucity of evidence that the benefits reported are specific to that practice. The present systematic review aims to evaluate the effectiveness and safety of meditation techniques as a complementary treatment of RA. A systematic review of the literature was carried out. The databases Cochrane Collaboration, MEDLINE, World Health Organization, International Registry Platform of Clinical Trials for all the trials registered and in progress and Clinicaltrials.gov were consulted. extracted data were included in the COVIDENCE toolkit and in the REVMAN software of the Cochrane collaboration. Meta-analysis could not be performed, making a narrative synthesis of the results. Conclusions: the technique of Full Attention (MBSR) is beneficial as a complementary treatment of Rheumatoid Arthritis, modifying clinical parameters, but with heterogeneous results in terms of serum markers of inflammation.

Palavras-chave : Rheumatoid Arthritis; chronic stress; meditation.

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