TY - JOUR
KW - Treatment
KW - Emotional disorders
KW - major depressio
KW - Primary care
AU - Antonio Cano-Vindel
AB - The analysis and systematic review of the scientific literature on emotional disorders, ED (anxiety disorders, mood disorders-major depressive disorder and dysthymia-, adjustment disorder with anxiety and/or depressed mood) reveals that: (I) there is an association between high levels of stress and negative emotionality (especially anxiety and depression) in these disorders; (2) two thirds of patients with mental disorders are attended in Primary Care (PC); (3) in this setting, patients with ED traditionally receive pharmacological treatment (only one third of the mental health treatment in Spain met minimal adequacy criteria); in spite of constituting the treatment of choice for ED, in the minority of cases are empirically validated psychological treatments put into practice; (4) patients with ED who receive treatment as usual show elevated attrition and relapse rates, a high risk of chronification and comorbidity with other mental disorders and/or chronic physical conditions, a more frequent use of PC services, and greater disability than patients with physical disorders, imposing high economic, social and psychological costs; (5) however, both the efficacy and efficiency increase when ED are treated in PC with psychological techniques that are based on scientific evidence; (6) Spain s public healthcare system is characterized by a sparse number of psychologists and excessive pharmaceutical costs. In addition to this, EDs are generating a continuous increase in psychoactive substance abuse (especially benzodiazepines), frequent attenders in PC settings, high economic costs, elevated healthcare workers  overload, reduction in the doctor/patient time, increasing as a result the risk of chronification of these disorders, when in fact there are highly efficacious and low cost treatment interventions. To help improve this situation, the Spanish Foundation for the Promotion and Development of Professional and Scientific Psychology (Psychofoundation) will conduct a pilot study in order to offer evidence- based psychological treatment to those patients presenting to PC with EDs. Psychofoundation will ensure the provision of necessary means and pertinent permits to enable the presence of two psychologists in each centre, in various PC centres, in different autonomous communities. These healthcare workers will be especially trained to apply efficacious psychological techniques in PC and carry out this work during 6 consecutive months. The selected PC centres will randomly assign both types of treatment (psychological and traditional), offering patients with ED in the experimental group the possibility of receiving psychological treatment, as an alternative or complement to the pharmacological treatment. The psychological intervention will be protocolized and described in a document to be handed out to the patient. The project s scientific aspects of efficacy, duration, chronification and costs will be assessed and results will be published in scientific journals with high impact factor.
IS - 1
M3 - Journal article
N2 - The analysis and systematic review of the scientific literature on emotional disorders, ED (anxiety disorders, mood disorders-major depressive disorder and dysthymia-, adjustment disorder with anxiety and/or depressed mood) reveals that: (I) there is an association between high levels of stress and negative emotionality (especially anxiety and depression) in these disorders; (2) two thirds of patients with mental disorders are attended in Primary Care (PC); (3) in this setting, patients with ED traditionally receive pharmacological treatment (only one third of the mental health treatment in Spain met minimal adequacy criteria); in spite of constituting the treatment of choice for ED, in the minority of cases are empirically validated psychological treatments put into practice; (4) patients with ED who receive treatment as usual show elevated attrition and relapse rates, a high risk of chronification and comorbidity with other mental disorders and/or chronic physical conditions, a more frequent use of PC services, and greater disability than patients with physical disorders, imposing high economic, social and psychological costs; (5) however, both the efficacy and efficiency increase when ED are treated in PC with psychological techniques that are based on scientific evidence; (6) Spain s public healthcare system is characterized by a sparse number of psychologists and excessive pharmaceutical costs. In addition to this, EDs are generating a continuous increase in psychoactive substance abuse (especially benzodiazepines), frequent attenders in PC settings, high economic costs, elevated healthcare workers  overload, reduction in the doctor/patient time, increasing as a result the risk of chronification of these disorders, when in fact there are highly efficacious and low cost treatment interventions. To help improve this situation, the Spanish Foundation for the Promotion and Development of Professional and Scientific Psychology (Psychofoundation) will conduct a pilot study in order to offer evidence- based psychological treatment to those patients presenting to PC with EDs. Psychofoundation will ensure the provision of necessary means and pertinent permits to enable the presence of two psychologists in each centre, in various PC centres, in different autonomous communities. These healthcare workers will be especially trained to apply efficacious psychological techniques in PC and carry out this work during 6 consecutive months. The selected PC centres will randomly assign both types of treatment (psychological and traditional), offering patients with ED in the experimental group the possibility of receiving psychological treatment, as an alternative or complement to the pharmacological treatment. The psychological intervention will be protocolized and described in a document to be handed out to the patient. The project s scientific aspects of efficacy, duration, chronification and costs will be assessed and results will be published in scientific journals with high impact factor.
PY - 2011
SN - 2174-0437/1134-7937
SP - 75
EP - 97
T2 - Ansiedad y Estrés
TI - Emotional disorders in primary care
VL - 17
ER -