Terapia Cognitiva Baseada em Mindfulness e Depressão: Exploração, Aplicações e Modelo de Implementação em Escala Ampliada no contexto do SUS

Abstract

Depression is experiencing increasing prevalence globally and in Brazil. Consequently, the demand for its treatment has risen, predominantly met by private practices, posing a challenge as a significant portion of the population faces restricted access due to the elevated costs associated with conventional therapy. Concurrently, diverse treatment alternatives for depression have emerged, among which are mindfulness-based interventions like Mindfulness-Based Cognitive Therapy (MBCT). Mindfulness interventions, accessible online at no cost in certain countries such as England, can be adapted similarly in the Brazilian context through MBCT as an alternative to conventional therapy. Consequently, online MBCT interventions have the potential to enhance mental health promotion and prevention for the general population, thereby mitigating socioeconomic barriers in Brazil. This research aims to explore and compile information on MBCT, encompassing its applications, contraindications, and evidence regarding depression treatment. The objective is to propose a model for the extensive implementation of MBCT within the Unified Health System (SUS). Despite its generally perceived safety, contraindications to mindfulness practices have been identified and should be duly considered. There is a recognized necessity to modify the conventional format for enhanced accessibility. Additionally, certain procedures within the traditional MBCT model required adaptation to suit the chosen format. To mitigate adverse responses in patients, a screening process was introduced, and measures were recommended to address uncertainties and facilitate program adherence. Consequently, future studies can refine the intervention proposal for broader application.