Psicoeducação para adultos com Perturbação de Hiperatividade e Défice de Atenção: Uma revisão sistemática

Conteúdo do artigo principal

Gabriela Costa Alves
Regiane da Silva Macuch
Rute Grossi-Milani

Resumo

A Perturbação de Hiperatividade e Défice de Atenção (PHDA) caracteriza-se pela manifestação persistente de sintomas de desatenção, hiperatividade e impulsividade. Abordagens não farmacológicas são fundamentais para o desenvolvimento de habilidades eficazes para o controlo e gestão dos sintomas. Este estudo teve como objetivo caracterizar as publicações científicas que empregaram a psicoeducação como uma estratégia de intervenção para adultos com PHDA. Foi realizada uma revisão sistemática, baseada no método PRISMA, nas bases de dados Scielo, PePSIC, PubMED, APA, SCOPUS e Web of Science, utilizando os descritores: “attention deficit disorder with hyperactivity”, “psychoeducation”, “health education” e “adult”. A pesquisa resultou em 648 artigos e, após a análise dos critérios de elegibilidade, foram selecionados e analisados 9 artigos. Em todos os estudos, a psicoeducação foi utilizada como uma intervenção para adultos com PHDA. Além disso, foram identificadas estratégias complementares e o uso de aplicações digitais para transmitir o conteúdo psicoeducacional. Alguns estudos foram direcionados especificamente para adultos em ambientes universitários, enquanto outros incluíram familiares nas intervenções. Os resultados revelaram que a psicoeducação é uma estratégia eficaz para adultos com PHDA. Os resultados indicaram melhoria nos sintomas centrais da perturbação, nos sintomas comórbidos, assim como no aumento do autoconhecimento, da conscientização, da motivação, da autonomia e da participação ativa do indivíduo no seu próprio tratamento. Em suma, os resultados destacam a importância de incorporar a psicoeducação como parte integrante do trabalho interdisciplinar na promoção da saúde de adultos com PHDA, com vista ao desenvolvimento de habilidades mais adaptativas para lidar com a perturbação.

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Alves, G. C., Macuch, R. da S., & Grossi-Milani, R. (2025). Psicoeducação para adultos com Perturbação de Hiperatividade e Défice de Atenção: Uma revisão sistemática. EduSer, 17(2). https://doi.org/10.34620/eduser.v17i2.335
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Referências

American Psychiatric Association (APA). (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425787

Arruda, M. A. et al. (2022). Associated factors of attention-deficit/hyperactivity disorder diagnosis and psychostimulant use: A nationwide representative study. Pediatric Neurology, 128, 45–51. https://doi.org/10.1016/j.pediatrneurol.2021.11.008

Bachmann, K. et al. (2018). Effects of mindfulness and psychoeducation on working memory in adult ADHD: A randomised, controlled fMRI study. Behaviour Research and Therapy, 106, 47–56. https://doi.org/10.1016/j.brat.2018.05.002

Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94. https://doi.org/10.1037/0033-2909.121.1.65

Beaton, D. M. et al. (2020). Self-compassion and perceived criticism in adults with Attention Deficit Hyperactivity Disorder (ADHD). Mindfulness, 11(11), 2506–2518. https://doi.org/10.1007/s12671-020-01464-w

Braek, B. T. et al. (2017). Effects of two neuropsychological treatments on cognitive functioning and mental health in adults with ADHD. Neuropsychological Rehabilitation, 27(8), 1232–1251. https://doi.org/10.1080/09602011.2016.1206830

Bröms, G. et al. (2020). Psychoeducation and motivational interviewing to reduce relapses and increase patients’ involvement in antipsychotic treatment: Interventional study. BJPsych Bulletin, 44(6), 265–268. https://doi.org/10.1192/bjb.2020.28

Castro, C. X. L., & Lima, R. F. (2018). Consequências do transtorno do déficit de atenção e hiperatividade (TDAH) na idade adulta. Revista Psicopedagogia, 35(106), 61–72.

Catford, J., & Nutbeam, D. (1984). Towards a definition of health education and health promotion. Health Education Journal, 43(2–3), 38-48. https://doi.org/10.1177/001789698404300203

Cerqueira, G. L. C., & Sena, E. P. de. (2020). Qualidade de vida em adultos com Transtorno de Déficit de Atenção com Hiperatividade. Revista Ciências Médicas e Biológicas, 19(4), 577–586. https://doi.org/10.9771/cmbio.v19i4.42706

Chan, K. L. et al. (2019). Using smartphone-based psychoeducation to reduce postnatal depression among first-time mothers: Randomized controlled trial. JMIR mHealth and uHealth, 7(5), 1-11. https://doi.org/10.2196/12794

Chen, Q. et al. (2018). Common psychiatric and metabolic comorbidity of adult attention-deficit/hyperactivity disorder: A population-based cross-sectional study. PLoS One, 13(9), 1-12. https://doi.org/10.1371/journal.pone.0204516

DuPaul, G. J. et al. (2009). College students with ADHD. Journal of Attention Disorders, 13(3), 234–250. https://doi.org/10.1177/1087054709340690

Franke, B. et al. (2018). Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan. European Neuropsychopharmacology, 28(10), 1059–1088. https://doi.org/10.1016/j.euroneuro.2018.08.001

Fuentes, D. et al. (2014). Neuropsicologia: Teoria e prática (2.ª ed.). Artmed.

Hartung, C. M. et al. (2022). A new organizational and study skills intervention for college students with ADHD. Cognitive and Behavioral Practice, 29(2), 411–424. https://doi.org/10.1016/j.cbpra.2020.09.005

Hirvikoski, T. et al. (2015). Cognitive behavior therapy-based psychoeducational groups for adults with ADHD and their significant others (PEGASUS): An open clinical feasibility trial. Attention Deficit and Hyperactivity

Disorders, 7(1), 89–99. https://doi.org/10.1007/s12402-014-0141-2

Hoxhaj, E. et al. (2018). Mindfulness vs psychoeducation in adult ADHD: A randomized controlled trial. European Archives of Psychiatry and Clinical Neuroscience, 268(4), 321–335. https://doi.org/10.1007/s00406-018-0868-4

Huang, Y. F. et al. (2019). Psychiatric disorders after attention-deficit/hyperactivity disorder: A nationwide population-based study in Taiwan. Journal of Nursing Scholarship, 51(2), 138–146. https://doi.org/10.1111/jnu.12457

Jang, J. et al. (2021). Psychoeducational chatbot (Todaki) for adults with attention-deficit hyperactivity disorder: Randomized controlled trial. JMIR mHealth and uHealth, 9(10),1-16. https://doi.org/10.2196/30991

Joas, E. et al. (2020). Psychoeducation for bipolar disorder and risk of recurrence and hospitalization: A within-individual analysis using registry data. Psychological Medicine, 50(6), 1043–1049. https://doi.org/10.1017/s0033291719001053

Lara, C. et al. (2009). Childhood predictors of adult attention-deficit/hyperactivity disorder: Results from the World Health Organization World Mental Health Survey Initiative. Biological Psychiatry, 65(1), 46–54. https://doi.org/10.1016/j.biopsych.2008.10.004

Lemes, C. B., & Neto, J. O. (2017). Aplicações da psicoeducação no contexto da saúde. Temas em Psicologia, 25(1), 17–28. https://doi.org/10.9788/TP2017.1-02

Maia, R. et al.(2018). Aplicação da psicoeducação na saúde: Revisão integrativa. Revista Brasileira de Psicoterapia, 20(3), 53–63.

Moher, D. et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1), 1-9. https://doi.org/10.1186/2046-4053-4-1

Oliveira, C. T., & Dias, A. C. G. (2016). College adjustment as a mediator between attention deficit/hyperactivity disorder symptoms and work self-efficacy. Paidéia (Ribeirão Preto), 26(65), 283–289. https://doi.org/10.1590/1982-43272665201607

Oliveira, C. T., & Dias, A. C. G. (2018). Psicoeducação do transtorno do déficit de atenção/hiperatividade: O que, como e para quem informar? Temas em Psicologia, 26(1), 243–261. https://doi.org/10.9788/TP2018.1-10Pt

Pinho, T. D. et al. (2019). Predictors and moderators of quality of life among college students with ADHD. Journal of Attention Disorders, 23(14), 1736–1745. https://doi.org/10.1177/1087054717734645

Pimentel, M. E. P., & Siquara, G. M. (2017). A utilização da psicoeducação no tratamento de pacientes com transtorno bipolar: Uma revisão sistemática. Revista Brasileira de Psicoterapia, 19(2), 43–54.

Plowden, K. O. et al. (2022). Attention deficit/hyperactivity disorder in adults: A case study. Archives of Psychiatric Nursing, 38, 29–35. https://doi.org/10.1016/j.apnu.2021.12.003

Polanczyk, G. et al. (2007). The worldwide prevalence of ADHD: A systematic review and metaregression analysis. The American Journal of Psychiatry, 164(6), 942–948. https://doi.org/10.1176/ajp.2007.164.6.942

Reimherr, F. W. et al. (2017). ADHD and anxiety: Clinical significance and treatment implications. Current Psychiatry Reports, 19(12), Article 108. https://doi.org/10.1007/s11920-017-0858-z

Romo, L. et al. (2018). Attention-deficit hyperactivity disorder and addictions (substance and behavioral): Prevalence and characteristics in a multicenter study in France. Journal of Behavioral Addictions, 7(3), 743-750. https://doi.org/10.1556/2006.7.2018.69

Salvi, V. et al. (2019). ADHD in adults: Clinical subtypes and associated characteristics. Rivista di Psichiatria, 54(2), 84–89. https://doi.org/10.1708/3142.31249

Sawyer, C. et al. (2023). Using digital technology to promote physical health in mental healthcare: A sequential mixed-methods study of clinicians' views. Early Intervention in Psychiatry, 17(6), 617-626. https://doi.org/10.1111/eip.13441

Schoeman, R., & Voges, T. (2022). Attention-deficit hyperactivity disorder stigma: The silent barrier to care. The South African Journal of Psychiatry, 28, Article 1812. https://doi.org/10.4102/sajpsychiatry.v28i0.1812

Selaskowski, B. et al. (2022). Smartphone-assisted psychoeducation in adult attention-deficit/hyperactivity disorder: A randomized controlled trial. Psychiatry Research, 317, Article 114802. https://doi.org/10.1016/j.psychres.2022.114802

Shen, Y. et al. (2018). Estimated prevalence and associated risk factors of attention deficit hyperactivity disorder (ADHD) among medical college students in a Chinese population. Journal of Affective Disorders, 241, 291–296. https://doi.org/10.1016/j.jad.2018.08.038

Song, P. et al. (2021). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of Global Health, 11, Article 04009. https://doi.org/10.7189/jogh.11.04009

Stickley, A. et al. (2018). Attention-deficit/hyperactivity disorder symptoms and happiness among adults in the general population. Psychiatry Research, 265, 317–323. https://doi.org/10.1016/j.psychres.2018.05.004

Vasko, J. M. et al. (2019). A pilot trial of the SUCCEEDS intervention for college students with ADHD and alcohol-related problems. Cognitive and Behavioral Practice, 26(4), 691–704. https://doi.org/10.1016/j.cbpra.2019.01.002

Vidal, R. et al. (2013). Psychoeducation for adults with attention deficit hyperactivity disorder vs. cognitive behavioral group therapy: A randomized controlled pilot study. The Journal of Nervous and Mental Disease, 201(10), 894–900. https://doi.org/10.1097/NMD.0b013e3182a5c2c5

Vilar, T. et al. (2020). A psicoeducação na adesão terapêutica em utentes com esquizofrenia: Uma scoping review. Revista Portuguesa de Enfermagem de Saúde Mental, (SPE7), 103–108. https://doi.org/10.19131/rpesm.0254

Yanagida, N. et al. (2017). The effects of psychoeducation on long-term inpatients with schizophrenia and schizoaffective disorder. The Kurume Medical Journal, 63(3/4), 61–67. https://doi.org/10.2739/kurumemedj.MS00011

Young, J. L., & Goodman, D. W. (2016). Adult Attention-Deficit/Hyperactivity Disorder diagnosis, management, and treatment in the DSM-5 era. The Primary Care Companion for CNS Disorders, 18(6), Article 16r01997. https://doi.org/10.4088/PCC.16r01997