Revisión sistemática sobre la aplicación y efectividad de tratamientos basados en mindfulness en personas con discapacidad intelectual

  1. Rosa Calderón Vicente 1
  2. Cristina Caballo Escribano 2
  1. 1 Fundación Personas. España
  2. 2 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

Revista:
Revista Española de Discapacidad (REDIS)

ISSN: 2340-5104

Año de publicación: 2018

Volumen: 6

Número: 1

Páginas: 49-74

Tipo: Artículo

DOI: 10.5569/2340-5104.06.01.03 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista Española de Discapacidad (REDIS)

Resumen

El objetivo del presente trabajo ha sido realizar una revisión sistemática de los estudios científicos que han aplicado tratamientos psicológicos basados en mindfulness a población con discapacidad intelectual para profundizar en la evidencia disponible respecto a su aplicabilidad y eficacia. Para ello se realizó una búsqueda bibliográfica en diferentes bases de datos desde julio de 2015 hasta mayo de 2016 y se utilizaron referencias comprendidas entre los años 2000 y 2015. Se seleccionaron y analizaron trece artículos que cumplían con los criterios de inclusión. Los resultados obtenidos indicaron que las terapias basadas en mindfulness parecen influir positivamente en las conductas y emociones de personas con discapacidad intelectual límite, media o moderada, con una edad superior a dieciséis años. Estos hallazgos, sin embargo, deben ser interpretados con cautela debido a las limitaciones metodológicas identificadas en los estudios revisados, siendo necesario seguir investigando y mejorando los diseños de las investigaciones, para poder corroborar los resultados iniciales.

Referencias bibliográficas

  • Adkins, A. D. et al. (2010): “Using a mindfulness-based procedure in the community: translating research to practice”. Journal of Child and Family Studies, 19 (2): 175-183.
  • Allen, D. (2000): “Recent research on physical aggression in persons with intellectual disability: an overview”. Journal of Intellectual and Developmental Disability, 25 (1): 41-57.
  • American Psychiatric Association, APA (2013): Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5ª ed.). Washington DC: American Psychiatric Publising.
  • Baer, R. A. (2003): “Mindfulness as a clinical intervention: A conceptual and empirical review”. Clinical Psychology: Science and Practice, 10 (2): 125-143.
  • Bhaumik, S. et al. (2011): “Psychological treatments in intellectual disability: the challenges of building a good evidence base”. The British Journal of Psychiatry, 198 (6): 428-430.
  • Bouras, N. et al. (1999): “Mental health in mental retardation: The ABC for mental health, primary care and other professionals”. Londres: WPA Section of Mental Retardation.
  • Brylewski, J. y Duggan, L. (1999): “Antipsychotic medication for challenging behaviour in people with learning disability”. Journal of Intellectual Disability Research, 43: 360-371.
  • Canal, R. y Martín, M. V. (2003): Apoyo conductual positivo. Valladolid: Junta de Castilla y León.
  • Carr, J. E. et al. (2009): “Noncontingent reinforcement is an empirically supported treatment for problem behavior exhibited by individuals with developmental disabilities”. Research in Developmental Disabilities, 30 (1): 44-57.
  • Chapman, M. J. y Mitchell, D. (2013): “Mindfully valuing people now: an evaluation of introduction to mindfulness workshops for people with intellectual disabilities”. Mindfulness, 4 (2): 168-178.
  • Chaplin, R. (2004): “General psychiatry services for adults with intellectual disabilities and mental illness”. Journal of Intellectual Disability Research. 48 (1): 1-10.
  • Chiesa, A. y Serretti, A. (2010): “A systematic review of neurobiological and clinical features of mindfulness meditations”. Psychological Medicine, 40 (08): 1239-1252.
  • Chowdhury, M. y Benson, B. A. (2011): “Use of differential reinforcement to reduce behavior problems in adults with intellectual disabilities: a methodological review”. Research in Developmental Disabilities, 32 (2): 383-394.
  • Clarke, D. J. et al. (1990): “Psychotropic drugs and mental retardation: 1. Disabilities and the prescription of drugs for behaviour and for epilepsy in three residential settings”. Journal of Intellectual Disability Research, 34 (5): 385-395.
  • Cooper, S. A. et al. (2007): “Mental ill-health in adults with intellectual disabilities: prevalence and associated factors”. The British Journal of Psychiatry, 190 (1): 27-35.
  • Deb, S. et al. (2007): “The effectiveness of antipsychotic medication in the management of behaviour problems in adults with intellectual disabilities”. Journal of Intellectual Disability Research, 51 (10): 766-777.
  • Del Vecchio, T. y O’Leary, K. D. (2004): “Effectiveness of anger treatments for specific anger problems: a metaanalytic review”. Clinical Psychology Review, 24 (1): 15-34.
  • Dunlap, G. y Kern, L. (1993): “Assessment and intervention for children within the instructional curriculum”, en J. Reichle., y D. Wacker. (eds.): Communicative approaches to the management of challenging behavior. Baltimore: Paul H. Brookes.
  • Emerson, E. (1995): Challenging behaviour: analysis and intervention in people with learning difficulties. Cambrigde: Cambrigde University Press.
  • Esparza, C. y Abellán, A. (2008): Encuesta de Discapacidad, Autonomía personal y situaciones de Dependencia (EDAD) 2008. Madrid: Instituto Nacional de Estadística.
  • Fjorback, L. O. et al. (2011): “Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy: a systematic review of randomized controlled trials”. Acta Psychiatrica Scandinavica, 124 (2): 102-119.
  • Flynn, A. G. (2012): “Fact or faith?: on the evidence for psychotherapy for adults with intellectual disability and mental health needs”. Current Opinion in Psychiatry, 25 (5): 342-347.
  • Hayes, S. C. (2004): “Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies”. Behavior therapy, 35 (4): 639-665.
  • Hayes, S. C. et al. (eds.) (2001): Relational frame theory: A post-Skinnerian account of human language and cognition. Nueva York: Kluwer Academic/Plenum Publishers.
  • Hayes, S. C. et al. (1999): Acceptance and Commitment Therapy: An experiential approach to behavior change. Nueva York: Guilford Press.
  • Idusohan‐Moizer, H. et al. (2015): “Mindfulness‐Based Cognitive Therapy for adults with intellectual disabilities: an evaluation of the effectiveness of mindfulness in reducing symptoms of depression and anxiety”. Journal of Intellectual Disability Research, 59 (2): 93-104.
  • Kabat‐Zinn, J. (2003): “Mindfulness‐based interventions in context: past, present, and future”. Clinical Psychology: Science and Practice, 10 (2): 144-156.
  • Kurtz, P. F. et al. (2011): “An analysis of functional communication training as an empirically supported treatment for problem behavior displayed by individuals with intellectual disabilities”. Research in Developmental Disabilities, 32 (6): 2935-2942.
  • Linehan, M. (1993): Cognitive-Behavioral Treatment of Borderline Personality Disorder. Nueva York: Guilford Press.
  • Matson, J. L. et al. (2000): “Psychopharmacology and mental retardation: a 10 year review (1990–1999)”. Research in Developmental Disabilities, 21 (4): 263-296.
  • McClintock, K. et al. (2003): “Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta‐analytic study”. Journal of Intellectual Disability Research, 47 (6): 405-416.
  • Miodrag, N. et al. (2013): “A pilot study of a mindfulness intervention for individuals with Williams Syndrome: physiological outcomes”. Mindfulness, 4 (2): 137-147.
  • Novaco, R. W. (2010): “Anger and psychopathology”, en Potegal, M. et al. (eds.): International handbook of anger: constitutent and concomitant biological, psychological and social proceses. Nueva York: Springer.
  • Perestelo-Pérez, L. (2013): “Standard son how to develop and report systematic reviews in Psychology and Health”. International Journal of Clinical and Health Psychology, 13: 49-57.
  • Reid, K. A. et al. (2011): “Prevalence and associations of anxiety disorders in adults with intellectual disabilities”. Journal of Intellectual Disability Research, 55 (2): 172-181.
  • Reiss, S. (2000): “A mindful approach to mental retardation”. Journal of Social Issues, 56(1), 65-80.
  • Rojahn, J. (1986): “Self-injurious and stereotypic behavior of noninstitutionalized mentally retarded people: prevalence and classification”. American Journal of Mental Deficiency, 91 (3): 268-276.
  • Saloviita, T. (2000): “The structure and correlates of self-injurious behavior in an institutional setting”. Research in Developmental Disabilities, 21 (6): 501-511.
  • Schalock, R. L. et al. (2010): Intellectual Disability. Definition, classification and systems of supports. (11.a ed.). Washington, DC: American Association on Intellectual and Developmental Disabilities.
  • Segal, Z. V. et al. (2002): Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Nueva York: Guilford Press.
  • Shapiro, S. L. y Carlson, L. E. (2009): The Art and Science of Mindfulness: Integrating Mindfulness into Psychology and the Helping Professions. Washington, DC: American Psychological Association.
  • Singh, N. N. et al. (2013a): “Mindfulness-based treatment of aggression in individuals with mild intellectual disabilities: a waiting list control study”. Mindfulness, 4 (2): 158-167.
  • Singh, N. N. et al. (2013b): “A Mindfulness-based smoking cessation program for individuals with mild intellectual disability”. Mindfulness, 4 (2): 148-157.
  • Singh, N. N. et al. (2013c). Mindfulness‐Based Approaches, en Taylor, J. L. et al. (eds.): Psychological Therapies for Adults With Intellectectual Disabilities. Chichester, Reino Unido: John Wiley & Sons, Ltd.
  • Singh, N. N. et al. (2011a): “A Mindfulness-Based Health Wellness Program for Individuals With Prader-Willi Syndrome”. Journal of Mental Health Research in Intellectual Disabilities, 4 (2), 90-106.
  • Singh, N. N. et al. (2011b): “Peer with intellectual disabilities as a Mindfulness-based anger and aggression management therapist”. Research in Developmental Disabilities, 32 (6): 2690-2696.
  • Singh, N. N. et al. (2011c): “Effects of a Mindfulness-based smoking cessation program for an adult with mild intellectual disability”. Research in Developmental Disabilities, 32 (3): 1180-1185.
  • Singh, N. N. et al. (2008): “Clinical and benefit–cost outcomes of teaching a Mindfulness-based procedure to adult offenders with intellectual disabilities”. Behavior Modification, 32 (5): 622-637.
  • Singh, N. N. et al. (2007): “Mindfulness training assists individuals with moderate mental retardation to maintain their community placements”. Behavior Modification, 31 (6): 800-814.
  • Singh, N. N. et al. (2003): “Soles of the feet: a Mindfulness-based self-control intervention for aggression by an individual with mild mental retardation and mental illness”. Research in Developmental Disabilities, 24 (3): 158-169.
  • Taylor, J. L. (2002): “A review of the assessment and treatment of anger and aggression in offenders with intellectual disability”. Journal of Intellectual Disability Research, 46 (s1): 57-73.
  • Tyrer, F. et al. (2006): “Physical aggression towards others in adults with learning disabilities: prevalence and associated factors”. Journal of Intellectual Disability Research, 50 (Pt 4): 295-304.
  • Verdugo, M. A. et al. (2014): “Discapacidad intelectual”, en Expeleta, L. y Toro, J. (eds.): Psicopatología del desarrollo. Madrid: Pirámide.
  • Vereenooghe, L., y Langdon, P. E. (2013): “Psychological therapies for people with intellectual disabilities: a systematic review and meta-analysis”. Research in Developmental Disabilities, 34 (11): 4085-4102.
  • Whitaker, S. y Read. S. (2006): “The prevalence of psychiatric disorders among people with intellectual disabilities: an analysis of the literature”. Journal of Applied Research in Intellectual Disabilities. 19 (4): 330-345.
  • Willner, P. (2007): “Cognitive behavioural therapy for people with learning disabilities: focus on anger”. Advances in Mental Health and Learning Disabilities, 1 (2): 14-21.
  • Yildiran, H. y Holt, R. R. (2015): “Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intelectual disabilities”. British Journal of Learning Disabilities, 43 (1): 49-54.