Título: | Transdiagnostic group cognitive behavioural therapy for emotional disorders in primary care: the results of the PsicAP randomized controlled trial |
Autores: | Cano Vindel, Antonio ; Muñoz-Navarro, Roger ; Moriana, Juan A. ; Ruiz-Rodríguez, Paloma ; Medrano, Leonardo Adrián ; González-Blanch, César |
Tipo de documento: | texto impreso |
Editorial: | Cambridge University Press, 2021-02-08 |
Dimensiones: | application/pdf |
Nota general: |
cc_by_nc_nd info:eu-repo/semantics/openAccess |
Idiomas: | |
Palabras clave: | Estado = Publicado , Materia = Ciencias Biomédicas: Medicina: Atención primaria y medicina de familia , Materia = Ciencias Biomédicas: Medicina: Psiquiatría , Materia = Ciencias Biomédicas: Medicina: Salud pública , Materia = Ciencias Biomédicas: Psicología: Psicología clínica y psicodiagnóstico , Materia = Ciencias Biomédicas: Psicología: Emoción y agresividad , Materia = Ciencias Biomédicas: Psicología: Psicología aplicada , Materia = Ciencias Biomédicas: Psicología: Psicólogos , Tipo = Artículo |
Resumen: |
Background. Emotional disorders are highly prevalent in primary care. We aimed to determine whether a transdiagnostic psychological therapy plus treatment-as-usual (TAU) is more efficacious than TAU alone in primary care adult patients. Methods. A randomized, two-arm, single-blind clinical trial was conducted in 22 primary care centres in Spain. A total of 1061 adult patients with emotional disorders were enrolled. The transdiagnostic protocol (n = 527) consisted of seven 90-min sessions (8–10 patients) delivered over a 12–14-week period. TAU (n = 534) consisted of regular consultations with a general practitioner. Primary outcome measures were self-reported symptoms of anxiety, depression, and somatizations. Secondary outcome measures were functioning and quality of life. Patients were assessed at baseline, post-treatment, and at 3, 6, and 12 months. Intention-to-treat and per-protocol analyses were performed. Results. Post-treatment primary outcomes were significantly better in the transdiagnostic group compared to TAU (anxiety: p 0.80) in favour of the transdiagnostic group after treatment and at the 12-month follow-up. Conclusions. Adding a brief transdiagnostic psychological intervention to TAU may significantly improve outcomes in emotional disorders treated in primary care. Trial Registration, isrctn.org identifier: ISRCTN58437086 |
En línea: | https://eprints.ucm.es/id/eprint/63902/1/Cano-Vindel_et_al.Transdiagnostic_group_CBT_for_emotional_disorders_in_primary_care.the_results_of_the_PsicAP_RCT.pdf |
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