IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i6p2948-d516320.html
   My bibliography  Save this article

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

Author

Listed:
  • Antonia Raya-Tena

    (Centre d’Atenció Primària Raval Nord, Institut Català de la Salut, 08001 Barcelona, Spain
    Nursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, 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
    Unitat Docent Multiprofesional Gerència Territorial Barcelona, Institut Català de la Salut, 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
    Unitat Básica de Prevenció, Gerència Territorial de Barcelona, Institut Català de la Salut, 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
    Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), 08500 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
    Health Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Sant Fruitós del Bages, 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
    Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, 08290 Cerdanyola del Valles, Spain)

  • María Francisca Jiménez-Herrera

    (Nursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, Spain)

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.

Suggested Citation

  • 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 & Q, 2021. "Effectiveness of a Psychoeducational Group Intervention Carried Out by Nurses for Patients with Depression and Physical Comorbidity in Primary Care: Randomized Clinical Trial," IJERPH, MDPI, vol. 18(6), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2948-:d:516320
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/6/2948/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/6/2948/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Orfila, Francesc & Ferrer, Montserrat & Lamarca, Rosa & Tebe, Cristian & Domingo-Salvany, Antonia & Alonso, Jordi, 2006. "Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions," Social Science & Medicine, Elsevier, vol. 63(9), pages 2367-2380, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fabio Ferretti & Andrea Pozza & Maurilio Pallassini & Lorenzo Righi & Fulvia Marini & Sabrina Adami & Anna Coluccia, 2019. "Gender invariance of dignity in non-terminal elderly patients with chronic diseases: a multicentric study," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(3), pages 1645-1656, May.
    2. Natalia Golini & Viviana Egidi, 2016. "The Latent Dimensions of Poor Self-Rated Health: How Chronic Diseases, Functional and Emotional Dimensions Interact Influencing Self-Rated Health in Italian Elderly," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 128(1), pages 321-339, August.
    3. Chan-Hee Park & Eunhee Park & Hyun-Min Oh & Su-Jin Lee & Sun-Hee Park & Tae-Du Jung, 2022. "Health-Related Quality of Life According to Sociodemographic Characteristics in the South Korean Population," IJERPH, MDPI, vol. 19(9), pages 1-9, April.
    4. Yount, Kathryn M. & Hoddinott, John & Stein, Aryeh D., 2010. "Disability and self-rated health among older women and men in rural Guatemala: The role of obesity and chronic conditions," Social Science & Medicine, Elsevier, vol. 71(8), pages 1418-1427, October.
    5. Mier, Nelda & Ory, Marcia G. & Zhan, Dongling & Conkling, Martha & Sharkey, Joseph R. & Burdine, James N., 2008. "Health-related quality of life among Mexican Americans living in colonias at the Texas-Mexico border," Social Science & Medicine, Elsevier, vol. 66(8), pages 1760-1771, April.
    6. J. Busschbach & B. Wolffenbuttel & L. Annemans & W. Meerding & M. Kołtowska-Häggström, 2011. "Deriving reference values and utilities for the QoL-AGHDA in adult GHD," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(3), pages 243-252, June.
    7. Yuxi Vania Shi & Sherrie Yi Komiak & Paul Komiak, 2020. "Enhancing seniors’ health-related quality of life:Designing a framework of virtual healthcare information technologies," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 9(7), pages 1-11, December.
    8. Zahra Pishkar Mofrad & Mozhgan Jahantigh & Azizollah Arbabisarjou, 2016. "Health Promotion Behaviors and Chronic Diseases of Aging in the Elderly People of Iranshahr*- IR Iran," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(3), pages 139-139, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2948-:d:516320. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.