Spirituality and Integrative and Complementary Health Practices in Brazil: A Scope Review
-
Raimundo Luiz Inocêncio Santos
,
Fernando Torres Bermudes
,
Judá Câmara Barcellos
,
Thiago Nunes Guerrero
,
Valmin Ramos da Silva
,
Solange Rodrigues da Costa
,
Maria Carlota de Rezende Coelho
Abstract
This study aims to know the Brazilian medical literature scientific production on spirituality as a health care practice, as well as to identify the principal interventions-executed by these professionals-that have been characterized as Integrative and Complementary Health Practices. A scope methodology proposed by the Joanna Briggs Institute was used in the following phases: identification of research questions; identification of relevant studies; selection of studies; data mapping; grouping, synthesis of results. Two researchers alone carried out the searches, and a third researcher responded to the doubts of inclusion and exclusion of the identified articles. PubMed was the database, with the descriptors in Portuguese and English. Among the 71 articles identified, 27 were analyzed. The largest number of studies is concentrated in 2016 (44.44%). Concerning the type of study, the clinical trial prevails (77.77%). It was through meditation (29.63%) and Yoga (25.92%) that the discussion of spirituality-as Integrative and Complementary Practices in Health-materialized. Both had positive implications on the health of the groups participating in the studies. Based on the articles synthesis and on the regulations by the Ministry of Health and World Health Organization, it is plausible to assert that spirituality is ingrained in Integrative and Complementary Health Practices and that the concern in these practices has been enhancing.
1 Koenig, H, et al. Handbook of religion and health. Oup usa, 2012.
2 Chiu, Lyren, et al. "An integrative review of the concept of spirituality in the health sciences." Western journal of nursing research 26.4 (2004): 405-428.
3 Pessini, L., & Barchifontaine, C. D. P. D. (2008). Buscar sentido e plenitude de vida: bioética, saúde e espiritualidade. São Paulo: Paulinas.
4 Hill, Peter C., and Kenneth I. Pargament. "Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research." (2008): 3.
5 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Práticas integrativas e complementares: plantas medicinais e fitoterapia na Atenção Básica/Ministério da Saúde. Brasília, DF, 2012.
6 Andrade, J. T. D., & Costa, L. F. A. D. (2010). Medicina complementar no SUS: práticas integrativas sob a luz da antropologia médica. Saúde e Sociedade, 19, 497-508.
7 World Health Organization (WHO). WHO traditional medicine strategy: 2014-2023. Geneva: WHO; 2013.
8 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Práticas Integrativas e Complementares no SUS. Brasília: MS; 2006.
9 Brasil. Ministério da Saúde. Secretaria-Executiva. Secretaria de Atenção à Saúde. Glossário temático: práticas integrativas e complementares em saúde / Ministério da Saúde, Secretaria-Executiva, Secretaria de Atenção à Saúde. – Brasília: Ministério da Saúde, 2018. 180 p.
10 The Joanna Briggs Institute (AU). Joanna Briggs Institute reviewers’ manual 2015: methodology for JBI scoping reviews [Internet]. Adelaide: The Joanna Briggs Institute; 2015 [cited 2019 oct 23]. Available from: https://joannabriggs.org/assets/docs/sumari/Reviewers-Manual_Methodology-for-JBI-ScopingReviews_2015_v1.pdf.
11 Da Silva, A. F., de Oliveira, A. C. D., Oliveira, M. C., & a Silva, S. B. (2016). Narrativas sobre saúde e doença: o encontro da ciência com a espiritualidade. IJHE-Interdisciplinary Journal of Health Education, 1(2).
12 Carpena, M. X., de Souza Tavares, P., & Menezes, C. B. (2019). The effect of a six-week focused meditation training on depression and anxiety symptoms in Brazilian university students with 6 and 12 months of follow-up. Journal of affective disorders, 246, 401-407.
13 Carneiro, É. M., Borges, R. M. C., de Assis, H. M. N., Bazaga, L. G., Tomé, J. M., da Silva, A. P., & de Fátima Borges, M. (2018). Effect of Complementary Spiritist Therapy on emotional status, muscle tension, and wellbeing of inpatients with HIV/AIDS: A randomized controlled trial–single–blind. Journal of Complementary and Integrative Medicine, 16(2).
14 Carneiro, É. M., Barbosa, L. P., Marson, J. M., Junior, J. A. T., Martins, C. J. P., Modesto, D., ... & de Fátima Borges, M. (2017). Effectiveness of Spiritist “passe”(Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complementary therapies in medicine, 30, 73-78.
15 Gonçalves, A. V., Makuch, M. Y., Setubal, M. S., Barros, N. F., & Bahamondes, L. (2016). A qualitative study on the practice of yoga for women with pain-associated endometriosis. The journal of alternative and complementary medicine, 22(12), 977-982.
16 Dos Santos, T. M., Kozasa, E. H., Carmagnani, I. S., Tanaka, L. H., Lacerda, S. S., & Nogueira-Martins, L. A. (2016). Positive effects of a stress reduction program based on mindfulness meditation in Brazilian nursing professionals: Qualitative and quantitative evaluation. Explore, 12(2), 90-99.
17 Sampaio, C. V. S., Lima, M. G., & Ladeia, A. M. (2016). Efficacy of Healing meditation in reducing anxiety of individuals at the phase of weight loss maintenance: A randomized blinded clinical trial. Complementary therapies in medicine, 29, 1-8.
18 Kurebayashi, L. F. S., Turrini, R. N. T., Souza, T. P. B. D., Takiguchi, R. S., Kuba, G., & Nagumo, M. T. (2016). Massage and Reiki used to reduce stress and anxiety: Randomized Clinical Trial. Revista latino-americana de enfermagem, 24.
19 Bueno, V. F., Kozasa, E. H., da Silva, M. A., Alves, T. M., Louzã, M. R., & Pompéia, S. (2015). Mindfulness meditation improves mood, quality of life, and attention in adults with attention deficit hyperactivity disorder. BioMed research international, 2015.
20 Tanaka, G. K., Maslahati, T., Gongora, M., Bittencourt, J., Lopez, L. C. S., Demarzo, M. M. P., ... & Cagy, M. (2015). Effortless attention as a biomarker for experienced mindfulness practitioners. PloS one, 10(10), e0138561.
21 De Souza Cavalcante, R., Banin, V. B., Paula, N. A. D. M. R., Daher, S. R., Habermann, M. C., Habermann, F., ... & de Andrade, L. G. M. (2016). Effect of the Spiritist “passe” energy therapy in reducing anxiety in volunteers: A randomized controlled trial. Complementary therapies in medicine, 27, 18-24.
22 Carneiro, É. M., Barbosa, L. P., Bittencourt, A. C., Hernández, C. G., Timóteo, R. P., de Oliveira Almeida, C., & de Fátima Borges, M. (2018). Effects of Spiritist “passe”(Spiritual healing) on stress hormone, pain, physiological parameters and length of stay in preterm newborns: a randomized, double-blind controlled trial. Journal of Complementary and Integrative Medicine, 15(4).
23 Lucchetti, A. L. G., Peres, M. F. P., Vallada, H. P., & Lucchetti, G. (2015). Spiritual treatment for depression in Brazil: an experience from Spiritism. EXPLORE, 11(5), 377-386.
24 Lucchetti, A. L. G., Lucchetti, G., Leão, F. C., Peres, M. F. P., & Vallada, H. (2016). Mental and physical health and spiritual healing: an evaluation of complementary religious therapies provided by spiritist centers in the city of São Paulo, Brazil. Culture, Medicine, and Psychiatry, 40(3), 404-421.
25 Galvanese, A. T. C., Barros, N. F. D., & d’Oliveira, A. F. P. L. (2017). Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of São Paulo, Brazil. Cadernos de saude publica, 33(12).
26 Siegel, P., Gonçalves, A. V., da Silva, L. G., Bartolomei, L., Barreto, M. J., Furlanetti, M. R., ... & de Barros, N. F. (2016). Yoga and health promotion, practitioners' perspectives at a Brazilian university: A pilot study. Complementary therapies in clinical practice, 23, 94-101.
27 Afonso, R. F., Kozasa, E. H., Rodrigues, D., Leite, J. R., Tufik, S., & Hachul, H. (2016). Yoga increased serum estrogen levels in postmenopausal women—a case report. Menopause, 23(5), 584-586.
28 Jorge, M. P., Santaella, D. F., Pontes, I. M., Shiramizu, V. K., Nascimento, E. B., Cabral, A., ... & Ribeiro, A. M. (2016). Hatha Yoga practice decreases menopause symptoms and improves quality of life: A randomized controlled trial. Complementary therapies in medicine, 26, 128-135.
29 De Fátima Rosas Marchiori, M., Kozasa, E. H., Miranda, R. D., Monezi Andrade, A. L., Perrotti, T. C., & Leite, J. R. (2015). Decrease in blood pressure and improved psychological aspects through meditation training in hypertensive older adults: A randomized control study. Geriatrics & gerontology international, 15(10), 1158-1164.
30 Lopes, C. P., Danzmann, L. C., Moraes, R. S., Vieira, P. J. C., Meurer, F. F., Soares, D. S., ... & Biolo, A. (2018). Yoga and breathing technique training in patients with heart failure and preserved ejection fraction: study protocol for a randomized clinical trial. Trials, 19(1), 405.
31 Rodrigues, D. B., Lacerda, S. S., Balardin, J. B., Chaim, K. T., Portes, B., Sanches-Rocha, L. G., ... & Kozasa, E. H. (2018). Posterior cingulate cortex/precuneus blood oxygen-level dependent signal changes during the repetition of an attention task in meditators and nonmeditators. Neuroreport, 29(17), 1463-1467.
32 Batista, J. C., Souza, A. L., Ferreira, H. A., Canova, F., & Grassi-Kassisse, D. M. (2015). Acute and chronic effects of tantric yoga practice on distress index. The Journal of Alternative and Complementary Medicine, 21(11), 681-685.
33 Danucalov, M. A., Kozasa, E. H., Afonso, R. F., Galduroz, J. C., & Leite, J. R. (2017). Yoga and compassion meditation program improve quality of life and self‐compassion in family caregivers of A lzheimer's disease patients: A randomized controlled trial. Geriatrics & gerontology international, 17(1), 85-91.
34 Pasquini, H. A., Tanaka, G. K., Basile, L. F. H., Velasques, B., Lozano, M. D., & Ribeiro, P. (2015). Electrophysiological correlates of long-term Soto Zen meditation. BioMed research international, 2015.
35 Separavich, M. A. A., & Canesqui, A. M. (2016). Religious representations in illness experience: a case study. Cadernos de saude publica, 32(3).
2 Chiu, Lyren, et al. "An integrative review of the concept of spirituality in the health sciences." Western journal of nursing research 26.4 (2004): 405-428.
3 Pessini, L., & Barchifontaine, C. D. P. D. (2008). Buscar sentido e plenitude de vida: bioética, saúde e espiritualidade. São Paulo: Paulinas.
4 Hill, Peter C., and Kenneth I. Pargament. "Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research." (2008): 3.
5 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Práticas integrativas e complementares: plantas medicinais e fitoterapia na Atenção Básica/Ministério da Saúde. Brasília, DF, 2012.
6 Andrade, J. T. D., & Costa, L. F. A. D. (2010). Medicina complementar no SUS: práticas integrativas sob a luz da antropologia médica. Saúde e Sociedade, 19, 497-508.
7 World Health Organization (WHO). WHO traditional medicine strategy: 2014-2023. Geneva: WHO; 2013.
8 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Práticas Integrativas e Complementares no SUS. Brasília: MS; 2006.
9 Brasil. Ministério da Saúde. Secretaria-Executiva. Secretaria de Atenção à Saúde. Glossário temático: práticas integrativas e complementares em saúde / Ministério da Saúde, Secretaria-Executiva, Secretaria de Atenção à Saúde. – Brasília: Ministério da Saúde, 2018. 180 p.
10 The Joanna Briggs Institute (AU). Joanna Briggs Institute reviewers’ manual 2015: methodology for JBI scoping reviews [Internet]. Adelaide: The Joanna Briggs Institute; 2015 [cited 2019 oct 23]. Available from: https://joannabriggs.org/assets/docs/sumari/Reviewers-Manual_Methodology-for-JBI-ScopingReviews_2015_v1.pdf.
11 Da Silva, A. F., de Oliveira, A. C. D., Oliveira, M. C., & a Silva, S. B. (2016). Narrativas sobre saúde e doença: o encontro da ciência com a espiritualidade. IJHE-Interdisciplinary Journal of Health Education, 1(2).
12 Carpena, M. X., de Souza Tavares, P., & Menezes, C. B. (2019). The effect of a six-week focused meditation training on depression and anxiety symptoms in Brazilian university students with 6 and 12 months of follow-up. Journal of affective disorders, 246, 401-407.
13 Carneiro, É. M., Borges, R. M. C., de Assis, H. M. N., Bazaga, L. G., Tomé, J. M., da Silva, A. P., & de Fátima Borges, M. (2018). Effect of Complementary Spiritist Therapy on emotional status, muscle tension, and wellbeing of inpatients with HIV/AIDS: A randomized controlled trial–single–blind. Journal of Complementary and Integrative Medicine, 16(2).
14 Carneiro, É. M., Barbosa, L. P., Marson, J. M., Junior, J. A. T., Martins, C. J. P., Modesto, D., ... & de Fátima Borges, M. (2017). Effectiveness of Spiritist “passe”(Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complementary therapies in medicine, 30, 73-78.
15 Gonçalves, A. V., Makuch, M. Y., Setubal, M. S., Barros, N. F., & Bahamondes, L. (2016). A qualitative study on the practice of yoga for women with pain-associated endometriosis. The journal of alternative and complementary medicine, 22(12), 977-982.
16 Dos Santos, T. M., Kozasa, E. H., Carmagnani, I. S., Tanaka, L. H., Lacerda, S. S., & Nogueira-Martins, L. A. (2016). Positive effects of a stress reduction program based on mindfulness meditation in Brazilian nursing professionals: Qualitative and quantitative evaluation. Explore, 12(2), 90-99.
17 Sampaio, C. V. S., Lima, M. G., & Ladeia, A. M. (2016). Efficacy of Healing meditation in reducing anxiety of individuals at the phase of weight loss maintenance: A randomized blinded clinical trial. Complementary therapies in medicine, 29, 1-8.
18 Kurebayashi, L. F. S., Turrini, R. N. T., Souza, T. P. B. D., Takiguchi, R. S., Kuba, G., & Nagumo, M. T. (2016). Massage and Reiki used to reduce stress and anxiety: Randomized Clinical Trial. Revista latino-americana de enfermagem, 24.
19 Bueno, V. F., Kozasa, E. H., da Silva, M. A., Alves, T. M., Louzã, M. R., & Pompéia, S. (2015). Mindfulness meditation improves mood, quality of life, and attention in adults with attention deficit hyperactivity disorder. BioMed research international, 2015.
20 Tanaka, G. K., Maslahati, T., Gongora, M., Bittencourt, J., Lopez, L. C. S., Demarzo, M. M. P., ... & Cagy, M. (2015). Effortless attention as a biomarker for experienced mindfulness practitioners. PloS one, 10(10), e0138561.
21 De Souza Cavalcante, R., Banin, V. B., Paula, N. A. D. M. R., Daher, S. R., Habermann, M. C., Habermann, F., ... & de Andrade, L. G. M. (2016). Effect of the Spiritist “passe” energy therapy in reducing anxiety in volunteers: A randomized controlled trial. Complementary therapies in medicine, 27, 18-24.
22 Carneiro, É. M., Barbosa, L. P., Bittencourt, A. C., Hernández, C. G., Timóteo, R. P., de Oliveira Almeida, C., & de Fátima Borges, M. (2018). Effects of Spiritist “passe”(Spiritual healing) on stress hormone, pain, physiological parameters and length of stay in preterm newborns: a randomized, double-blind controlled trial. Journal of Complementary and Integrative Medicine, 15(4).
23 Lucchetti, A. L. G., Peres, M. F. P., Vallada, H. P., & Lucchetti, G. (2015). Spiritual treatment for depression in Brazil: an experience from Spiritism. EXPLORE, 11(5), 377-386.
24 Lucchetti, A. L. G., Lucchetti, G., Leão, F. C., Peres, M. F. P., & Vallada, H. (2016). Mental and physical health and spiritual healing: an evaluation of complementary religious therapies provided by spiritist centers in the city of São Paulo, Brazil. Culture, Medicine, and Psychiatry, 40(3), 404-421.
25 Galvanese, A. T. C., Barros, N. F. D., & d’Oliveira, A. F. P. L. (2017). Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of São Paulo, Brazil. Cadernos de saude publica, 33(12).
26 Siegel, P., Gonçalves, A. V., da Silva, L. G., Bartolomei, L., Barreto, M. J., Furlanetti, M. R., ... & de Barros, N. F. (2016). Yoga and health promotion, practitioners' perspectives at a Brazilian university: A pilot study. Complementary therapies in clinical practice, 23, 94-101.
27 Afonso, R. F., Kozasa, E. H., Rodrigues, D., Leite, J. R., Tufik, S., & Hachul, H. (2016). Yoga increased serum estrogen levels in postmenopausal women—a case report. Menopause, 23(5), 584-586.
28 Jorge, M. P., Santaella, D. F., Pontes, I. M., Shiramizu, V. K., Nascimento, E. B., Cabral, A., ... & Ribeiro, A. M. (2016). Hatha Yoga practice decreases menopause symptoms and improves quality of life: A randomized controlled trial. Complementary therapies in medicine, 26, 128-135.
29 De Fátima Rosas Marchiori, M., Kozasa, E. H., Miranda, R. D., Monezi Andrade, A. L., Perrotti, T. C., & Leite, J. R. (2015). Decrease in blood pressure and improved psychological aspects through meditation training in hypertensive older adults: A randomized control study. Geriatrics & gerontology international, 15(10), 1158-1164.
30 Lopes, C. P., Danzmann, L. C., Moraes, R. S., Vieira, P. J. C., Meurer, F. F., Soares, D. S., ... & Biolo, A. (2018). Yoga and breathing technique training in patients with heart failure and preserved ejection fraction: study protocol for a randomized clinical trial. Trials, 19(1), 405.
31 Rodrigues, D. B., Lacerda, S. S., Balardin, J. B., Chaim, K. T., Portes, B., Sanches-Rocha, L. G., ... & Kozasa, E. H. (2018). Posterior cingulate cortex/precuneus blood oxygen-level dependent signal changes during the repetition of an attention task in meditators and nonmeditators. Neuroreport, 29(17), 1463-1467.
32 Batista, J. C., Souza, A. L., Ferreira, H. A., Canova, F., & Grassi-Kassisse, D. M. (2015). Acute and chronic effects of tantric yoga practice on distress index. The Journal of Alternative and Complementary Medicine, 21(11), 681-685.
33 Danucalov, M. A., Kozasa, E. H., Afonso, R. F., Galduroz, J. C., & Leite, J. R. (2017). Yoga and compassion meditation program improve quality of life and self‐compassion in family caregivers of A lzheimer's disease patients: A randomized controlled trial. Geriatrics & gerontology international, 17(1), 85-91.
34 Pasquini, H. A., Tanaka, G. K., Basile, L. F. H., Velasques, B., Lozano, M. D., & Ribeiro, P. (2015). Electrophysiological correlates of long-term Soto Zen meditation. BioMed research international, 2015.
35 Separavich, M. A. A., & Canesqui, A. M. (2016). Religious representations in illness experience: a case study. Cadernos de saude publica, 32(3).
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| Issue | Vol 58, No 12 (2020) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/acta.v58i12.5151 | |
| Keywords | ||
| Religiosity Spirituality Complementary Therapies Medicine | ||
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How to Cite
1.
Santos R, Bermudes F, Barcellos J, Guerrero T, Ramos da Silva V, Costa S, Coelho MC. Spirituality and Integrative and Complementary Health Practices in Brazil: A Scope Review. Acta Med Iran. 2021;58(12):609-615.
