A importância das estratégias não farmacológicas e o controle da depressão em pacientes com esclerose múltipla: uma revisão integrativa

• Autor(a) principal: Cananéa Neto , Simeão Fernandes Cardoso
• Data de Publicação: 2020
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/1461
• topic: Esclerose múltipla; Depressão; Terapias complementares; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Introduction: Multiple sclerosis (MS) is a chronic and demyelinating disease of the central nervous system (CNS), whose clinical picture is quite varied. Among the symptoms that patients with MS may develop, depression stands out, which is associated with an importante decline in quality of life. The presence of this symptom is associated with a worse prognosis, emphasizing, therefore, the importance of fighting it in the best possible way. There is much support in the literature of the positive role that non-pharmacological measures play in controlling depression in patients with MS, with a range of options for the patient to choose from. The adoption of drug therapy and non-pharmacological practices appears to be the best path to the best therapeutic response. Objectives: The objective of this scientific article was to carry out a synthesis of studies that deal with non-pharmacological therapeutic strategies against depression in patients with MS. Materials and methods: This scientific article was written in the form of an integrative literature review, which used the databases of the Scientific Eletronic Library Online- Scielo and the United States National Library of Medicine- PubMed as a source of extraction of publications. The keywords used were: "Esclerose múltipla", "Depressão" and "Terapias Complementares", according to the Health Sciences Descriptors (DeCS). By Medical Subject Heading (MeSH), “Multiple sclerosis”, “Depression” and “Complementary Therapies” were used. Among the inclusion criteria, articles were included between the years 2015 and 2020, published in English or Portuguese, available in full and in the form of meta-analyzes, systematic reviews and randomized clinical trials. Publications that did not involve human beings or that worked with neurological diseases were excluded, with the exception of MS. Conclusion: The survey of data for the construction of the scientific article led to the conclusion that non-pharmacological measures play an important role in the control of depressive episodes in patients with MS. The combination of drug therapy and non-pharmacological practice leads to better responses.