Psicología Clínica en Atención Primariala experiencia en Asturias

  1. M.I. Gutiérrez López 1
  2. N. López Alonso 2
  3. R. Alonso Gómez 3
  4. C. Veiga Martínez 4
  1. 1 Centro de Salud de Lugones, Asturias, España
  2. 2 Centro de Salud de La Ería, Asturias, España
  3. 3 Centro de Salud de Laviada, Asturias, España
  4. 4 Centro de Salud de Roces-Montevil, Asturias, España
Erakutsi afiliazioak +
Aldizkaria:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Argitalpen urtea: 2020

Zenbakia: 2

Orrialdeak: 101-106

Mota: Artikulua

DOI: 10.1016/J.SEMERG.2019.09.002 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Semergen: revista española de medicina de familia

Laburpena

Aim To describe the characteristics of the population attended in the clinical psychology programme in Primary Care, as well as to perform a preliminary analysis of the results obtained. Method Prospective, descriptive study of the results obtained after brief psychological intervention. The following evaluation tools were used: PHQ-9, GAD-7, WHOQOL-BREF, and an ad hoc designed satisfaction questionnaire. Results A total of 1084 patients were referred to the program, and were mostly women. The most frequent diagnoses were anxiety, adaptive disorders, Z codes (factors that influence the state of health and contact with health services) and depressive disorders. The mean waiting list time was 7.25 days, and the mean number of consultations was 3. The analyses performed after the treatment showed an improvement in all the variables evaluated, as well as high satisfaction and usefulness of the treatment. Conclusions The integration of the clinical psychologist in Primary Care leads to an improvement in the quality of care of patients with emotional disorders, facilitating an interdisciplinary bio-psycho-social approach, and offering internationally recommended evidence-based treatments and interventions.

Erreferentzia bibliografikoak

  • M. Roca, M. Gili, M. Garcia-Garcia, J. Salva, M. Vives, J. Garcia Campayo, et al. Prevalence and comorbidity of common mental disorders in primary care J Affect Disord., 119 (2009), pp. 52-58 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • J.M. Fernandez Plan de salud mental del Principado de Asturias 2015-2020 Consejería de Sanidad, Oviedo (2015) Google Scholar
  • Guía de Práctica Clínica sobre el Manejo de la Depresión en el Adulto. Agencia de Evaluación de Tecnologías Sanitarias de Galicia, avalia-t. Conselleria de Sanidade, Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014 [consultado 24 Mar 2019]. Disponible en: http://www.guiasalud.es/egpc/depresion/completa/index.html Google Scholar
  • D.M. Campagne An earlier diagnosis of depression Semergen., 44 (2018), pp. 270-275 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • National Collaborating Centre for Mental Health (UK). Depression: The Treatment and Management of Depression in Adults (Updated Edition). Leicester (UK): British Psychological Society; 2010 (National Institute for Health and Clinical Excellence: Guidance) [consultado 24 Mar 2019]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK63748/ Google Scholar
  • National Institute for Health and Care Excellence Anxiety disorders. Quality standard British Psychological Society, London (2018) Google Scholar
  • NHS England. Adult Improving Access to Psychological Therapies programme [consultado 18 May 2019]. Disponible en: https://www.england.nhs.uk/mental-health/adults/iapt/ Google Scholar
  • Community and Mental Health team. Psychological Therapies, Annual report on the use of IAPT services - England, 2017-18 [PAS]. Surrey: NHS DIgital; 2018 [consultado 24 Mar 2019]. Disponible en: https://digital.nhs.uk/data-and-information/publications/statistical/psychological-therapies-annual-reports-on-the-use-of-iapt-services/annual-report-2017---18 Google Scholar
  • J. Derksen Primary care psychologists in the Netherlands: 30 years of experience Prof Psychol Res Pract., 40 (2009), pp. 493-501 CrossRefView Record in ScopusGoogle Scholar
  • M. Knapstad, T. Nordgreen, O.R.F. Smith Prompt mental health care, the Norwegian version of IAPT: Clinical outcomes and predictors of change in a multicenter cohort study BMC Psychiatry., 18 (2018), p. 260 Google Scholar
  • J. Scharager, M. Molina El trabajo de los psicólogos en los centros de atención primaria del sistema público de salud en Chile Rev Panam Salud Publica., 22 (2007), pp. 149-159 Google Scholar
  • R. Lyons, P. Low Brief psychological therapy in primary care: The psychologist's challenge N Z J Psychol., 38 (2009), pp. 24-31 View Record in ScopusGoogle Scholar
  • G. Sullivan, M.G. Craske, C. Sherbourne, M.J. Edlund, R.D. Rose, D. Golinelli, et al. Design of the Coordinated Anxiety Learning and Management (CALM) study: Innovations in collaborative care for anxiety disorders Gen Hosp Psychiatry., 29 (2007), pp. 379-387 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • S. Dath, C.Y. Dong, M.W. Stewart, E. Sables A clinical psychologist in GP-Land: An evaluation of brief psychological interventions in primary care N Z Med J., 127 (2014), pp. 62-73 View Record in ScopusGoogle Scholar
  • L. Campbell-Sills, P.P. Roy-Byrne, M.G. Craske, A. Bystritsky, G. Sullivan, M.B. Stein Improving outcomes for patients with medication-resistant anxiety: Effects of collaborative care with cognitive behavioral therapy Depress Anxiety., 33 (2016), pp. 1099-1106 CrossRefView Record in ScopusGoogle Scholar
  • A. Carballal Documento marco de la Psicología Clínica en Atención Primaria Colegio Oficial de Psicólogos de Galicia (2018) Disponible en: https://copgalicia.gal/system/files/documento_marco_da_psicoloxia_na_atencion_primaria_castelan.pdf Google Scholar
  • S. Sánchez-Reales, M.J. Tornero-Gómez, P. Martín-Oviedo, M. Redondo-Jiménez, R. del-Arco-Jódar Clinical psychology in primary care: A descriptive study of one year of operation Semergen., 41 (2015), pp. 254-260 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • M.A. Font Payeras, M.M. Novo Vázquez, A.Y. Lemus Veleda, M.D. Gómez Castillo, R. Muñoz-Navarro El psicólogo interno residente (PIR) en atención primaria: experiencia en el Complejo Hospitalario Universitario de Albacete Anal Modif Conducta., 44 (2018), pp. 51-64 View Record in ScopusGoogle Scholar
  • V. Antón-Menárguez, B. Jareño, I. Lara-Espejo, M. Redondo-Jiménez, P. García-Marín Effectiveness of psychological intervention by groups in Primary Care Semergen., 45 (2019), pp. 86-92 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • N. Lopez Alonso, C. Veiga Martínez Intervenciones Psicológicas en Atención Primaria. Memoria de actividad clínica (2017) [consultado 18 May 2019]. Disponible en: https://www.astursalud.es/documents/31867/225127/Memoria+Intervenciones+Psicologicas+en+AP+2017.pdf/46d63ac1-04a5-dff3-6c5a-5955b38e6852 Google Scholar
  • R.L. Spitzer, K. Kroenke, J.B.W. Williams, B. Löwe A brief measure for assessing generalized anxiety disorder: The GAD-7 Arch Intern Med., 166 (2006), pp. 1092-1097 CrossRefView Record in ScopusGoogle Scholar
  • K. Kroenke, R.L. Spitzer, J.B. Williams The PHQ-9: Validity of a brief depression severity measure J Gen Intern Med., 16 (2001), pp. 606-613 CrossRefView Record in ScopusGoogle Scholar
  • Organización Mundial de la Salud (WHOQOL Group) WHOQOL-BREF. Introduction, Administration, Scoring and Generic Version of the Assessment OMS, Geneve (1996) Google Scholar
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