Effectiveness of a psychoeducational group intervention carried out by nurses for patients with depression and physical comorbidity in primary care: randomized clinical trial

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  • dc.contributor.author Raya Tena, Antonia
  • dc.contributor.author Fernandez-San-Martin, Maria Isabel
  • dc.contributor.author Martín Royo, Jaume
  • dc.contributor.author Casañas Sánchez, Rocío
  • dc.contributor.author Sauch Valmaña, Glòria
  • dc.contributor.author Cols-Sagarra, Cèlia
  • dc.contributor.author Navas Mendez, Elena
  • dc.contributor.author Masa-Font, Roser
  • dc.contributor.author Casajuana-Closas, Marc
  • dc.contributor.author Foguet-Boreu, Quintí
  • dc.contributor.author Fernández Linares, Eva María
  • dc.contributor.author Mendioroz, Jacobo
  • dc.contributor.author González Tejón, Susana
  • dc.contributor.author Martín López, Luis Miguel
  • dc.contributor.author Jiménez Herrera, María Francisca
  • dc.date.accessioned 2021-09-21T06:01:21Z
  • dc.date.available 2021-09-21T06:01:21Z
  • dc.date.issued 2021
  • dc.description.abstract The association between physical illness and depression implies a poorer management of chronic disease and a lower response to antidepressant treatments. Our study evaluates the effectiveness of a psychoeducational group intervention led by Primary Care (PC) nurses, aimed at patients of this kind. It is a randomized, multicenter clinical trial with intervention (IG) and control groups (CG), blind response variables, and a one year follow-up. The study included 380 patients ≥50 years of age from 18 PC teams. The participants presented depression (BDI-II > 12) and a physical comorbidity: diabetes mellitus type 2, ischemic heart disease, chronic obstructive pulmonary disease, and/or asthma. The IG (n = 204) received the psychoeducational intervention (12 weekly sessions of 90 min), and the CG (n = 176) had standard care. The patients were evaluated at baseline, and at 4 and 12 months. The main outcome measures were clinical remission of depressive symptoms (BDI-II ≤ 13) and therapeutic response (reduction of depressive symptoms by 50%). Remission was not significant at four months. At 12 months it was 53.9% in the IG and 41.5% in the CG. (OR = 0.61, 95% CI, 0.49-0.76). At 4 months the response in the IG (OR = 0.59, 95% CI, 0.44-0.78) was significant, but not at 12 months. The psychoeducational group intervention led by PC nurses for individuals with depression and physical comorbidity has been shown to be effective for remission at long-term and for therapeutic response at short-term.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Raya-Tena A, Fernández-San-Martin MI, Martin-Royo J, Casañas R, Sauch-Valmaña G, Cols-Sagarra C, Navas-Mendez E, Masa-Font R, Casajuana-Closas M, Foguet-Boreu Q, Fernández-Linares EM, Mendioroz-Peña J, González-Tejón S, Martín-López LM, Jiménez-Herrera MF. Effectiveness of a psychoeducational group intervention carried out by nurses for patients with depression and physical comorbidity in primary care: randomized clinical trial. Int J Environ Res Public Health. 2021;18(6):2948. DOI: 10.3390/ijerph18062948
  • dc.identifier.doi http://dx.doi.org/10.3390/ijerph18062948
  • dc.identifier.issn 1661-7827
  • dc.identifier.uri http://hdl.handle.net/10230/48485
  • dc.language.iso eng
  • dc.publisher MDPI
  • dc.relation.ispartof Int J Environ Res Public Health. 2021;18(6):2948
  • dc.rights © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Chronic physical illness
  • dc.subject.keyword Depression
  • dc.subject.keyword Nurses
  • dc.subject.keyword Primary health care
  • dc.subject.keyword Psychoeducation
  • dc.title Effectiveness of a psychoeducational group intervention carried out by nurses for patients with depression and physical comorbidity in primary care: randomized clinical trial
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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