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Open AccessArticle

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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Centre d’Atenció Primària Raval Nord, Institut Català de la Salut, 08001 Barcelona, Spain
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Nursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, Spain
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Unitat de Suport a la Recerca Barcelona ciutat, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPGol), 08001 Barcelona, Spain
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Unitat Docent Multiprofesional Gerència Territorial Barcelona, Institut Català de la Salut, 08001 Barcelona, Spain
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Unitat Básica de Prevenció, Gerència Territorial de Barcelona, Institut Català de la Salut, 08001 Barcelona, Spain
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Research Departament, Associació Higiene Mental Les Corts, 08001 Barcelona, Spain
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Unitat de Suport a la Recerca Catalunya Central, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPGol), 08001 Barcelona, Spain
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Centre d’Atenció Primària Martorell Rural, Institut Català de la Salut, 08001 Barcelona, Spain
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Centre d’Atenció Primària Besos, Institut Català de la Salut, 08001 Barcelona, Spain
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Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPGol), 08001 Barcelona, Spain
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Department of Psychiatry, Vic University Hospital. Francesc Pla el Vigatà, 1, 08500 Vic, 08001 Barcelona, Spain
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Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Barcelona, Spain
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Centre d’Atenció Primària Raval Sud, Línea Pediàtrica, Institut Català de la Salut, 08001 Barcelona, Spain
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Health Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Sant Fruitós del Bages, 08001 Barcelona, Spain
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Centre d’Atenció Primària Raval Sud, Institut Català de la Salut, 08001 Barcelona, Spain
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Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, 08001 Barcelona, Spain
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Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, 08290 Cerdanyola del Valles, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(6), 2948; https://doi.org/10.3390/ijerph18062948
Received: 23 February 2021 / Revised: 5 March 2021 / Accepted: 7 March 2021 / Published: 13 March 2021
(This article belongs to the Section Nursing)
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. View Full-Text
Keywords: depression; primary health care; chronic physical illness; nurses; psychoeducation depression; primary health care; chronic physical illness; nurses; psychoeducation
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Figure 1

MDPI and ACS Style

Raya-Tena, A.; Fernández-San-Martin, M.I.; 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, E.M.; Mendioroz-Peña, J.; González-Tejón, S.; Martín-López, L.M.; Jiménez-Herrera, M.F. 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, 2948. https://doi.org/10.3390/ijerph18062948

AMA Style

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. International Journal of Environmental Research and Public Health. 2021; 18(6):2948. https://doi.org/10.3390/ijerph18062948

Chicago/Turabian Style

Raya-Tena, Antonia; Fernández-San-Martin, María I.; Martin-Royo, Jaume; Casañas, Rocío; Sauch-Valmaña, Glòria; Cols-Sagarra, Cèlia; Navas-Mendez, Elena; Masa-Font, Roser; Casajuana-Closas, Marc; Foguet-Boreu, Quintí; Fernández-Linares, Eva M.; Mendioroz-Peña, Jacobo; González-Tejón, Susana; Martín-López, Luis M.; Jiménez-Herrera, María F. 2021. "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 18, no. 6: 2948. https://doi.org/10.3390/ijerph18062948

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