Articles producció científica> Infermeria

Effectiveness of a Psychoeducational Group Intervention Carried Out by Nurses for Patients with Depression and Physical Comorbidity in Primary Care: Randomized Clinical Trial

  • Identification data

    Identifier: imarina:9202561
    Authors:
    Raya-Tena, AntoniaIsabel Fernandez-San-Martin, MariaMartin-Royo, JaumeCasanas, RocioSauch-Valmana, GloriaCols-Sagarra, CeliaNavas-Mendez, ElenaMasa-Font, RoserCasajuana-Closas, MarcFoguet-Boreu, QuintiMaria Fernandez-Linares, EvaMendioroz-Pena, JacoboGonzalez-Tejon, SusanaMiguel Martin-Lopez, LuisFrancisca Jimenez-Herrera, Maria
    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.
  • Others:

    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
    Link to the original source: https://www.mdpi.com/1660-4601/18/6/2948
    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
    Article's DOI: 10.3390/ijerph18062948
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    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
    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
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