Terapia Cognitiva Comportamental e a Importância no Tratamento dos Transtornos de Ansiedade: Revisão Sistemática da Literatura

Veronica Siqueira Fonteles

doi:10.36489/saudecoletiva.2026v18i111p20706-20721

Autores

Veronica Siqueira Fonteles Graduada em Psicologia pela Universidade de Fortaleza. (2013). Especialista em psicodiagnóstico (2016). Mestre em Psicologia experimental- Análise do Comportamento (2019), Formação em terapia cognitivo comportamental....com foco nas áreas clinica e acadêmica. https://orcid.org/0009-0001-6748-9424

DOI:

https://doi.org/10.36489/saudecoletiva.2026v18i111p20706-20721

Palavras-chave:

terapia cognitiva comportamental, transtornos de ansiedade, revisão sistemática, psicoterapia, saúde mental

Resumo

Objetivo: analisar criticamente a importância da terapia cognitiva comportamental no tratamento dos transtornos de ansiedade. Método: revisão sistemática com busca em PubMed, SciELO e Google Acadêmico, recorte de 2021 a 2026, critérios de elegibilidade definidos e leitura em duas etapas. Resultados: os estudos reunidos mostraram utilidade clínica da TCC em formatos presencial, remoto e digital, com melhora de sintomas, funcionamento e prevenção de recaídas. Conclusão: a TCC segue como recurso central no cuidado em ansiedade quando há formulação clínica, adesão e acompanhamento compatível com as necessidades do paciente.

Referências

Bhattacharya S, Goicoechea C, Heshmati S, Carpenter JK, Hofmann SG. Efficacy of cognitive behavioral therapy for anxiety-related disorders: a meta-analysis of recent literature. Current Psychiatry Reports. 2023;25:19-30. doi:10.1007/s11920-022-01402-8.

Almeida D, Marinho G. Terapia cognitivo comportamental transdiagnóstica: uma revisão da literatura. Psicologia, Saúde & Doenças. 2021;22(3):979-987. doi:10.15309/21psd220317.

Liu S, Xiao H, Duan Y, Shi L, Wang P, Cao L, Li H, Huang X, Qiu C. CBT treatment delivery formats for generalized anxiety disorder: a systematic review and network meta-analysis of randomized controlled trials. Translational Psychiatry. 2025;15:197. doi:10.1038/s41398-025-03414-3.

Ritola V, Lipsanen JO, Pihlaja S, Gummerus EM, Stenberg JH, Saarni S, Joffe G. Internet-delivered cognitive behavioral therapy for generalized anxiety disorder in nationwide routine care: effectiveness study. Journal of Medical Internet Research. 2022;24(3):e29384. doi:10.2196/29384.

Zhang W, Du Y, Yang X, Wang E, Fang J, Liu Z, Wu S, Liu Q, Hu Y. Comparative efficacy of face-to-face and internet-based cognitive behavior therapy for generalized anxiety disorder: a meta-analysis of randomized controlled trial. Frontiers in Psychiatry. 2022;13:832167. doi:10.3389/fpsyt.2022.832167.

Gadelha MJN, Silva LRM, Oliveira AP, Cavalcante NA, Araújo VS, Lopes RT, Silva NG. Terapia cognitivo comportamental pela internet para o transtorno de ansiedade social: uma revisão sistemática. Revista Brasileira de Terapias Cognitivas. 2021;17(2):1-11. doi:10.5935/1808-5687.20210022.

Oliveira C, Pacheco M, Borges J, Meira L, Santos A. Internet-delivered cognitive behavioral therapy for anxiety among university students: a systematic review and meta-analysis. Internet Interventions. 2023;31:100609. doi:10.1016/j.invent.2023.100609.

Komariah M, Amirah S, Faisal EG, Prayogo SA, Maulana S, Platini H, Suryani S, Yosep I, Arifin H. Efficacy of internet-based cognitive behavioral therapy for depression and anxiety among global population during the COVID-19 pandemic: a systematic review and meta-analysis of a randomized controlled trial study. Healthcare. 2022;10(7):1224. doi:10.3390/healthcare10071224.

Johnco CJ, Dickson SJ, Seaton A. A systematic review and meta-analysis of diagnostic remission, treatment response, attrition and relapse following cognitive behavior therapy, other psychological therapies and pharmacological treatments for anxiety disorders in older adults. American Journal of Geriatric Psychiatry. 2026;34(4):500-521. Available from: https://pubmed.ncbi.nlm.nih.gov/40581526/.

Maj A, Michalak N, Graczykowska A, Andersson G. The effect of internet-delivered cognitive behavioral therapy for depression and anxiety on quality of life: a meta-analysis of randomized controlled trials. Internet Interventions. 2023;33:100654. doi:10.1016/j.invent.2023.100654.

Winter HR, Norton AR, Burley JL, Wootton BM. Remote cognitive behaviour therapy for social anxiety disorder: a meta-analysis. Journal of Anxiety Disorders. 2023;100:102787. Available from: https://pubmed.ncbi.nlm.nih.gov/37890219/.

Krause K, Zhang XC, Schneider S. Long-term effectiveness of cognitive behavioral therapy in routine outpatient care for youth with anxiety disorders. Psychotherapy and Psychosomatics. 2024;93(3):181-190. doi:10.1159/000537932.

Probst GH, Gómez Penedo JM, Flückiger C. Long-term efficacy of cognitive behavioural therapy for generalized anxiety disorder: a 2-8-year follow-up of two randomized controlled trials. Behaviour Research and Therapy. 2025;191:104758. doi:10.1016/j.brat.2025.104758.

Zainal NH, Soh CP, Van Doren N, Benjet C. Do the effects of internet-delivered cognitive-behavioral therapy last after a year and beyond? A meta-analysis of 154 randomized controlled trials. Clinical Psychology Review. 2025;106:102518. doi:10.1016/j.cpr.2024.102518.

Thew GR, Kwok APL, Chan MHL, Powell CLYM, Wild J, Leung PWL, Clark DM. Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: a randomized controlled trial. Internet Interventions. 2022;28:100539. doi:10.1016/j.invent.2022.100539.