Mindfulness y compasión en el Sistema Nacional de Salud
DOI:
https://doi.org/10.37536/RIECS.2019.4.S1.128Palabras clave:
Mindfulness, Psicoterapia, Compasión, Sistema Nacional de SaludResumen
En las últimas décadas se ha producido un interés creciente por las intervenciones basadas en mindfulness en contextos de salud. Nuestro grupo de trabajo, con profesionales de la red de salud mental de los hospitales públicos Príncipe de Asturias, en Alcalá de Henares (Madrid), y La Paz, en Madrid, se ha centrado principalmente en las psicoterapias ofertadas desde el sistema nacional de salud, integrando elementos de mindfulness desde el año 2010, tanto en el trabajo con los pacientes como en el modo de entender la práctica de la psicoterapia. Mindfulness es un proceso psicológico central para cambiar la forma en que nos relacionamos no sólo con problemas existenciales cotidianos (enfermedad, pérdidas, muerte) sino también con problemas de salud mental como las ideas suicidas, la depresión crónica o los síntomas psicóticos, que generan importante malestar emocional. En este trabajo revisamos la experiencia de la introducción del mindfulness en la atención a los pacientes en los servicios de salud mental correspondientes a estos dos hospitales de Madrid y, además, en el cuidado de los profesionales y en la formación de especialistas.
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19. Godfrey KM, Gallo LC, Afari N. Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med. 2015 Apr;38(2):348–62.
20. Dunn C, Haubenreiser M, Johnson M, Nordby K, Aggarwal S, Myer S, et al. Mindfulness Approaches and Weight Loss, Weight Maintenance, and Weight Regain. Curr Obes Rep. 2018 Mar;7(1):37–49.
21. Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017 Apr;51(2):199–213.
22. Rodríguez Vega B, Bayón Pérez C, PalaoTarrero A, Fernández Liria A. Mindfulness-based Narrative Therapy for Depression in Cancer Patients. Clin Psychol Psychother. 2014 Sep;21(5):411–9.
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26. Secretaría General del Servicio Madrileño de Salud. Memoria 2017 Hospital Universitario La Paz.
27. Rodríguez Vega B FLA. Terapia Narrativa Basada en Atención Plena para la depresión. Bilbao: Desclée de Brouwer; 2012.
28. Ferna?ndez Liria A, Rodríguez Vega B. La pra?ctica de la psicoterapia?: la construccio?n de narrativas terape?uticas. 363 p.
29. Fernández Liria A, Rodríguez Vega B. Psicoterapias en la red comunitaria de atención a la salud mental.
30. Norcross JC, Lambert MJ. Psychotherapy relationships that work III. Psychotherapy. 2018 Dec;55(4):303–15.
31. Norcross JC, Lambert MJ. Psychotherapy relationships that work II. Psychotherapy. 2011;48(1):4–8.
32. Lambert MJ. Bergin and Garfield’s handbook of psychotherapy and behavior change. John Wiley & Sons; 2012.
33. Muñoz San José A. Eficacia de una intervención basada en mindfulness sobre la calidad de vida, depresión, ansiedad, fatiga y cognición social en pacientes con esclerosis múltiple. Universidad Autónoma de Madrid; 2017.
34. Palao Tarrero A, Rodríguez Vega B. Intervenciones Basadas en Mindfulness para El Dolor Crónico. Rev Psicoter ISSN 1130-5142, ISSN-e 2339-7950. 2016;27(103):21–35.
35. Rodríguez Vega B, Bayón Pérez C, Fernández Liria A. Intervenciones Basadas en Mindfulness: Tratamiento de las Personas Supervivientes de Trauma. Rev Psicoter ISSN 1130-5142, ISSN-e 2339-7950, Vol 27, No 103, 2016 (Ejemplar Dedic a Mindfulness y Psicoter 10 años después (2006-2016)), págs 7-20. 1990;27(103):7–20.
36. Lahera G, Bayón C, Bravo-Ortiz MF, Rodríguez-Vega B, Barbeito S, Sáenz M, et al. Mindfulness-based cognitive therapy versus psychoeducational intervention in bipolar outpatients with sub-threshold depressive symptoms: a randomized controlled trial. BMC Psychiatry. 2014 Dec;14(1):215.
37. REM Volver a casa.
38. En calma en el quirófano - Aplicaciones en Google Play.
39. Hick SF, Bien T. Mindfulness and the therapeutic relationship. Guilford; 2010. 240 p.
40. Watkins CE. Handbook of psychotherapy supervision. Wiley; 1997. 651 p.
41. Rodriguez Vega B, Melero-Llorente J, Bayon Perez C, Cebolla S, Mira J, Valverde C, et al. Impact of mindfulness training on attentional control and anger regulation processes for psychotherapists in training. Psychother Res. 2014 Mar;24(2):202–13.
42. Eisenach JH, Sprung J, Clark MM, Shanafelt TD, Johnson BD, Kruse TN, et al. The psychological and physiological effects of acute occupational stress in new anesthesiology residents: a pilot trial. Anesthesiology. 2014 Oct;121(4):878–93.
43. van der Heijden F, Dillingh G, Bakker A, Prins J. Suicidal Thoughts Among Medical Residents with Burnout. Arch Suicide Res. 2008 Sep;12(4):344–6.
44. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and Medical Errors Among American Surgeons. Ann Surg. 2010 Jun;251(6):995–1000.
45. Thomas NK. Resident Burnout. JAMA. 2004 Dec;292(23):2880.
46. Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled Interventions to Reduce Burnout in Physicians. JAMA Intern Med. 2017 Feb;177(2):195.
47. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov;388(10057):2272–81.
48. de Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial. Moitra E, editor. PLoS One. 2018 Apr;13(4):e0196053.
49. Davidson JE, Graham P, Montross-Thomas L, Norcross W, Zerbi G. Code Lavender: Cultivating Intentional Acts of Kindness in Response to Stressful Work Situations. EXPLORE. 2017 May;13(3):181–5.
2. Ludwig D, Kabat-Zinn J. Mindfulness in medicine. JAMA. 2008 Sep;300(11):1350–2.
3. Linehan MM, Korslund KE, Harned MS, Gallop RJ, Lungu A, Neacsiu AD, et al. Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline Personality Disorder. JAMA Psychiatry. 2015 May;72(5):475.
4. McCauley E, Berk MS, Asarnow JR, Adrian M, Cohen J, Korslund K, et al. Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide. JAMA Psychiatry. 2018 Aug;75(8):777.
5. Segal Z V., Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression. Guilford Press; 2002. 451 p.
6. Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM LM. Prevention of relapse/recurrence in major depression by mindfulnessbased cognitive therapy. 2000, 68(4):. J Consult Clin Psychol. 2000;68(4):615.
7. Shawyer F, Farhall J, Thomas N, Hayes SC, Gallop R, Copolov D, et al. Acceptance and commitment therapy for psychosis: Randomised controlled trial. Br J Psychiatry. 2017 Feb;210(02):140–8.
8. Chadwick P, Strauss C, Jones A-M, Kingdon D, Ellett L, Dannahy L, et al. Group mindfulness-based intervention for distressing voices: A pragmatic randomised controlled trial. Schizophr Res. 2016 Aug;175(1–3):168–73.
9. Chadwick P. Mindfulness for psychosis. Br J Psychiatry [Internet]. 2014 May [cited 2014 Jun 2];204:333–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24785766
10. Zessin U, Dickhäuser O, Garbade S. The Relationship Between Self-Compassion and Well-Being: A Meta-Analysis. Appl Psychol Health Well Being. 2015 Nov;7(3):340–64.
11. Bishop SR, Lau M, Shapiro SL, Carlson L A, ND CJ et al. Mindfulness: A proposed operational definition. Clin Psychol Sci Pract. 2004;11:230–41.
12. Germer CK, Neff KD. Self-Compassion in Clinical Practice. J Clin Psychol. 2013 Aug;69(8):856–67.
13. Gilbert P. The origins and nature of compassion focused therapy. Br J Clin Psychol. 2014 Mar;53(1):6–41.
14. Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, et al. Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry. 2016 Jun;73(6):565.
15. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993. (Diagnosis and treatment of mental disorders).
16. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy?: an experiential approach to behavior change. Guilford Press; 1999. 304 p.
17. Neacsiu AD, Eberle JW, Kramer R, Wiesmann T, Linehan MM. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behav Res Ther. 2014 Aug;59:40–51.
18. Warren JM, Smith N, Ashwell M. A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms. Nutr Res Rev. 2017 Dec;30(02):272–83.
19. Godfrey KM, Gallo LC, Afari N. Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med. 2015 Apr;38(2):348–62.
20. Dunn C, Haubenreiser M, Johnson M, Nordby K, Aggarwal S, Myer S, et al. Mindfulness Approaches and Weight Loss, Weight Maintenance, and Weight Regain. Curr Obes Rep. 2018 Mar;7(1):37–49.
21. Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017 Apr;51(2):199–213.
22. Rodríguez Vega B, Bayón Pérez C, PalaoTarrero A, Fernández Liria A. Mindfulness-based Narrative Therapy for Depression in Cancer Patients. Clin Psychol Psychother. 2014 Sep;21(5):411–9.
23. Muñoz San José A, Oreja-Guevara C, Cebolla Lorenzo S, Carrillo Notario L, Rodríguez Vega B, Bayón Pérez C. Psychotherapeutic and psychosocial interventions for managing stress in multiple sclerosis: the contribution of mindfulness-based interventions. Neurología. 2016 Mar;31(2):113–20.
24. Simpson R, Mair FS, Mercer SW. Mindfulness-based stress reduction for people with multiple sclerosis - a feasibility randomised controlled trial. BMC Neurol. 2017 May;17(1):94.
25. Fernández Liria A, Moreno Pérez A, González Cases J. La red de atención a la salud mental correspondiente al hospital universitario Príncipe de Asturias en Madrid (España). Estud Psicol [Internet]. 2011 Dec;16(3):319–27. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-294X2011000300016&lng=es&nrm=iso&tlng=en
26. Secretaría General del Servicio Madrileño de Salud. Memoria 2017 Hospital Universitario La Paz.
27. Rodríguez Vega B FLA. Terapia Narrativa Basada en Atención Plena para la depresión. Bilbao: Desclée de Brouwer; 2012.
28. Ferna?ndez Liria A, Rodríguez Vega B. La pra?ctica de la psicoterapia?: la construccio?n de narrativas terape?uticas. 363 p.
29. Fernández Liria A, Rodríguez Vega B. Psicoterapias en la red comunitaria de atención a la salud mental.
30. Norcross JC, Lambert MJ. Psychotherapy relationships that work III. Psychotherapy. 2018 Dec;55(4):303–15.
31. Norcross JC, Lambert MJ. Psychotherapy relationships that work II. Psychotherapy. 2011;48(1):4–8.
32. Lambert MJ. Bergin and Garfield’s handbook of psychotherapy and behavior change. John Wiley & Sons; 2012.
33. Muñoz San José A. Eficacia de una intervención basada en mindfulness sobre la calidad de vida, depresión, ansiedad, fatiga y cognición social en pacientes con esclerosis múltiple. Universidad Autónoma de Madrid; 2017.
34. Palao Tarrero A, Rodríguez Vega B. Intervenciones Basadas en Mindfulness para El Dolor Crónico. Rev Psicoter ISSN 1130-5142, ISSN-e 2339-7950. 2016;27(103):21–35.
35. Rodríguez Vega B, Bayón Pérez C, Fernández Liria A. Intervenciones Basadas en Mindfulness: Tratamiento de las Personas Supervivientes de Trauma. Rev Psicoter ISSN 1130-5142, ISSN-e 2339-7950, Vol 27, No 103, 2016 (Ejemplar Dedic a Mindfulness y Psicoter 10 años después (2006-2016)), págs 7-20. 1990;27(103):7–20.
36. Lahera G, Bayón C, Bravo-Ortiz MF, Rodríguez-Vega B, Barbeito S, Sáenz M, et al. Mindfulness-based cognitive therapy versus psychoeducational intervention in bipolar outpatients with sub-threshold depressive symptoms: a randomized controlled trial. BMC Psychiatry. 2014 Dec;14(1):215.
37. REM Volver a casa.
38. En calma en el quirófano - Aplicaciones en Google Play.
39. Hick SF, Bien T. Mindfulness and the therapeutic relationship. Guilford; 2010. 240 p.
40. Watkins CE. Handbook of psychotherapy supervision. Wiley; 1997. 651 p.
41. Rodriguez Vega B, Melero-Llorente J, Bayon Perez C, Cebolla S, Mira J, Valverde C, et al. Impact of mindfulness training on attentional control and anger regulation processes for psychotherapists in training. Psychother Res. 2014 Mar;24(2):202–13.
42. Eisenach JH, Sprung J, Clark MM, Shanafelt TD, Johnson BD, Kruse TN, et al. The psychological and physiological effects of acute occupational stress in new anesthesiology residents: a pilot trial. Anesthesiology. 2014 Oct;121(4):878–93.
43. van der Heijden F, Dillingh G, Bakker A, Prins J. Suicidal Thoughts Among Medical Residents with Burnout. Arch Suicide Res. 2008 Sep;12(4):344–6.
44. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and Medical Errors Among American Surgeons. Ann Surg. 2010 Jun;251(6):995–1000.
45. Thomas NK. Resident Burnout. JAMA. 2004 Dec;292(23):2880.
46. Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled Interventions to Reduce Burnout in Physicians. JAMA Intern Med. 2017 Feb;177(2):195.
47. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov;388(10057):2272–81.
48. de Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial. Moitra E, editor. PLoS One. 2018 Apr;13(4):e0196053.
49. Davidson JE, Graham P, Montross-Thomas L, Norcross W, Zerbi G. Code Lavender: Cultivating Intentional Acts of Kindness in Response to Stressful Work Situations. EXPLORE. 2017 May;13(3):181–5.
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28-01-2019
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