f7b8e6cbf7a62ef203d26d01eb7e02aa ijerph-18-02948.pdf d67b0b3c7298d6854b1024e03ca48799edae9625 ijerph-18-02948.pdf 0df036b3d37502e638ded4edbf14d8e1a35850880a0fe764bb07707898e37e64 ijerph-18-02948.pdf Title: Effectiveness of a Psychoeducational Group Intervention Carried Out by Nurses for Patients with Depression and Physical Comorbidity in Primary Care: Randomized Clinical Trial Subject: 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 Author: 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 Creator: LaTeX with hyperref package Producer: pdfTeX-1.40.18 CreationDate: Thu Mar 18 09:57:18 2021 CET ModDate: Tue Mar 23 02:17:30 2021 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 16 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1176117 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- XMESMT+VnURWPalladioL Type 1 Custom yes yes no 10 0 HRFRKN+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 OMZRKY+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 JVZVKU+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 CNXSVA+CMSY10 Type 1 Builtin yes yes no 28 0 SEIGLW+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 40 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 43 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 65 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 69 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 73 0 UJUUJI+PazoMath Type 1 Builtin yes yes no 85 0 MBGJOE+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 110 0 MBGJOG+PalatinoLinotype TrueType WinAnsi yes yes no 113 0 MBGKBH+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 116 0 XHAQEC+CMBSY10 Type 1 Builtin yes yes no 124 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 137 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 157 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-01-30 02:35:26 CET RepresentationInformation: ijerph-18-02948.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-01-29 19:28:17 CET Size: 1176117 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 347 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Design and Procedure Destination: subsection.2.1 Item: Title: Subjects Destination: subsection.2.2 Item: Title: Evaluation Tools and Variables Destination: subsection.2.3 Children: Item: Title: Baseline Variables: Sociodemographic and Clinical Ones Destination: subsubsection.2.3.1 Item: Title: Clinical Remission and/or Depression Response at Short and Long-Term (One Year Follow-Up) Destination: subsubsection.2.3.2 Item: Title: Secondary Outcomes: Quality of Life at Short and Long-Term (One Year Follow-Up) Destination: subsubsection.2.3.3 Item: Title: Psychoeducational Group Intervention Destination: subsection.2.4 Item: Title: Data Analysis Destination: subsection.2.5 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Effectiveness of a Psychoeducational Group Intervention Carried Out by Nurses for Patients with Depression and Physical Comorbidity in Primary Care: Randomized Clinical Trial Author: 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 Subject: 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. 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