Author, as appears in the article.: Raya-Tena, Antonia; Isabel Fernandez-San-Martin, Maria; Martin-Royo, Jaume; Casanas, Rocio; Sauch-Valmana, Gloria; Cols-Sagarra, Celia; Navas-Mendez, Elena; Masa-Font, Roser; Casajuana-Closas, Marc; Foguet-Boreu, Quinti; Maria Fernandez-Linares, Eva; Mendioroz-Pena, Jacobo; Gonzalez-Tejon, Susana; Miguel Martin-Lopez, Luis; Francisca Jimenez-Herrera, Maria;
Department: Infermeria
URV's Author/s: Jiménez Herrera, María Francisca / Raya Tena, Antonia
Keywords: Treatment response Treatment outcome Single blind procedure Response analysis Remission Randomized controlled trial Quality of life Psychology Psychoeducation Primary medical care Primary health care Outcome assessment Odds ratio Nurses Nurse Non insulin dependent diabetes mellitus Multicenter study Morbidity Mental patient Male Major clinical study Ischemic heart disease Humans Human Health worker Follow up Female Diabetes Depression Controlled study Confidence interval Comorbidity Clinical trial Chronic physical illness Chronic obstructive lung disease Chronic disease Cardiovascular disease Beck depression inventory Asthma Article Antidepressive agents Antidepressant agent Aged Adult
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.
Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: antonia.raya@estudiants.urv.cat maria.jimenez@urv.cat
Author identifier: 0000-0003-0789-7888 0000-0003-2599-3742
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: International Journal Of Environmental Research And Public Health. 18 (6): 1-17
APA: Raya-Tena, Antonia; Isabel Fernandez-San-Martin, Maria; Martin-Royo, Jaume; Casanas, Rocio; Sauch-Valmana, Gloria; Cols-Sagarra, Celia; Navas-Mendez, (2021). Effectiveness of a Psychoeducational Group Intervention Carried Out by Nurses for Patients with Depression and Physical Comorbidity in Primary Care: Randomized Clinical Trial. International Journal Of Environmental Research And Public Health, 18(6), 1-17. DOI: 10.3390/ijerph18062948
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV