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

Antonia Raya-Tena, María Isabel Fernández-San-Martin, Jaume Martin-Royo, Rocío Casañas, Glòria Sauch-Valmaña, Cèlia Cols-Sagarra, Elena Navas-Mendez, Roser Masa-Font, Marc Casajuana-Closas, Quintí Foguet-Boreu, Eva María Fernández-Linares, Jacobo Mendioroz-Peña, Susana González-Tejón, Luis Miguel Martín-López and María Francisca Jiménez-Herrera
Additional contact information
Antonia Raya-Tena: Centre d’Atenció Primària Raval Nord, Institut Català de la Salut, 08001 Barcelona, Spain
María Isabel Fernández-San-Martin: 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
Jaume Martin-Royo: 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
Rocío Casañas: Research Departament, Associació Higiene Mental Les Corts, 08001 Barcelona, Spain
Glòria Sauch-Valmaña: 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
Cèlia Cols-Sagarra: Centre d’Atenció Primària Martorell Rural, Institut Català de la Salut, 08001 Barcelona, Spain
Elena Navas-Mendez: 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
Roser Masa-Font: Centre d’Atenció Primària Besos, Institut Català de la Salut, 08001 Barcelona, Spain
Marc Casajuana-Closas: Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPGol), 08001 Barcelona, Spain
Quintí Foguet-Boreu: Department of Psychiatry, Vic University Hospital. Francesc Pla el Vigatà, 1, 08500 Vic, 08001 Barcelona, Spain
Eva María Fernández-Linares: Centre d’Atenció Primària Raval Sud, Línea Pediàtrica, Institut Català de la Salut, 08001 Barcelona, Spain
Jacobo Mendioroz-Peña: 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
Susana González-Tejón: Centre d’Atenció Primària Raval Sud, Institut Català de la Salut, 08001 Barcelona, Spain
Luis Miguel Martín-López: Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, 08001 Barcelona, Spain
María Francisca Jiménez-Herrera: Nursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, Spain

IJERPH, 2021, vol. 18, issue 6, 1-16

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.

Keywords: depression; primary health care; chronic physical illness; nurses; psychoeducation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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