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Effectiveness of a psychoeducational group intervention in patients with mild/moderate depression in primary care (PC): randomized controlled trial

Published online by Cambridge University Press:  16 April 2020

R. Casañas ,
R. Catalan ,
M. Casas ,
A. Raya ,
E.M. Fernandez ,
E. Escudero ,
M.T. Romero  and
L. Lalucat
R. Casañas
Affiliation:
Research Department, Centre Higiene Mental Les Corts, Barcelona, Spain Department of Psychiatry and Legal Medicine, Universidad Autónoma de Barcelona, Barcelona, Spain
R. Catalan
Affiliation:
Psychiatry Service, Hospital Clinic de Barcelona, Barcelona, Spain Department of Psychiatry and Psychobiology, University of Barcelona, Barcelona, Spain
M. Casas
Affiliation:
Department of Psychiatry and Legal Medicine, Universidad Autónoma de Barcelona, Barcelona, Spain Psychiatry Service, Hospital Vall d’Hebron, Barcelona, Spain
A. Raya
Affiliation:
Primary Care, Institut Català de Salut (ICS), Barcelona, Spain
E.M. Fernandez
Affiliation:
Primary Care, Institut Català de Salut (ICS), Barcelona, Spain
E. Escudero
Affiliation:
Adult Mental Health Center of Les Corts, Barcelona, Spain
M.T. Romero
Affiliation:
Adults Mental Health Center of Sarrià-Sant Gervasi, Centre Higiene Mental Les Corts, Barcelona, Spain
L. Lalucat
Affiliation:
Research Department, Centre Higiene Mental Les Corts, Barcelona, Spain

Abstract

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Background

Due to the high prevalence of depressive symptoms in PC (Ayuso, 2001) is relevant to know the impact of the psychoeducation in the management of these symptoms to decrease the prevalence in the PC population.

Objective

To compare the effectiveness of a psychoeducational group intervention in patients with mild/moderate depression in PC.

Methods

242 participants older than 20 years with ICD-10 mild/moderate depression were recruited through nurse/general practice in 12 urban primary health care centers in Barcelona city. Randomization was realised by means of a computer program. Exclusion criteria: severe mental disorder, major depressive disorder, use of secondary mental health services and acute medical illness. The intervention group (IG) received a psycoeducational group program (12 weekly 1,5h sessions) leads by two nurses. The program was an adaptation of Coping With Depression (CWD) (Lewinsohn, 1989). The control group (CG) received TAU. Outcome measures: Sociodemographic, BDI and EuroQol-5D questionnaires pre-post intervention.

Results

232 patients were included, IG (n = 121) and CG (n = 112), of whom 86 patients had mild depression (BDI≤ 18) and 146 moderate depression (BDI≥ 19). The sample characteristics were as follow: 90% women with mean age of 53,27 (SD = 12,72)The intervention was associated with significant improvements in BDI (t(230) =-2.25; p = 0.025). Separately analyze the sample: Patients with mild depression: (t(83) =-2.52; p = 0.014).Patients with moderate depression: (t(141) =-2.62; p = 0.010). Posttest results show that this intervention has statistically significant effect on depressive symptoms in overall sample and in mild/moderate depression separately.

Conclusions

The psychoeducational intervention is effective treatment in both mild and moderate depressive symptoms in primary care.

Type
P02-22
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 616
Copyright
Copyright © European Psychiatric Association 2011
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