0000000000189337
AUTHOR
Esperanza Dongil-collado
Transdiagnostic cognitive behavioral therapy versus treatment asusual in adult patients with emotional disorders in the primarycaresetting (PsicAP Study): protocol for a Randomized Controlled Trial
BACKGROUND Demand for primary care (PC) services in Spain exceeds available resources. Part of this strong demand is due to the high prevalence of emotional disorders (EDs)-anxiety, depression, and somatic symptom disorders-and related comorbidities such as pain or chronic illnesses. EDs are often under- or misdiagnosed by general practitioners (GPs) and, consequently, treatment is frequently inadequate. OBJECTIVE We aim to compare the short- and long-term effectiveness of group-delivered transdiagnostic cognitive behavioral therapy (TD-CBT) versus treatment as usual (TAU) in the treatment of EDs in the PC setting in Spain. We also aim to compare the effect of these treatments on disability…
Modelo jerárquico de diagnóstico y derivación de los trastornos mentales comunes en centros de atención primaria. Una propuesta a partir del ensayo clínico PsicAP
Resumen Los trastornos mentales comunes son los mas prevalentes en atencion primaria (AP) en Espana. Desgraciadamente existe un porcentaje elevado de casos que no son detectados correctamente, tanto por infradiagnostico como por sobrediagnostico. Una incorrecta deteccion de estos trastornos conlleva que los pacientes no sean derivados correctamente, asi como que un 39% no reciba ningun tratamiento y solo uno de cada 3 pacientes tratados siga un tratamiento minimamente basado en la evidencia. En el ensayo clinico PsicAP se han estudiado las propiedades psicometricas del Patient Health Questionnaire (PHQ) y sus diferentes modulos, de ansiedad (GAD-7), depresion (PHQ-9) y panico (PHQ-PD), asi …
The PHQ-PD as a screening tool for panic disorder in the primary care setting in Spain
INTRODUCTION Panic disorder is a common anxiety disorder and is highly prevalent in Spanish primary care centres. The use of validated tools can improve the detection of panic disorder in primary care populations, thus enabling referral for specialized treatment. The aim of this study is to determine the accuracy of the Patient Health Questionnaire-Panic Disorder (PHQ-PD) as a screening and diagnostic tool for panic disorder in Spanish primary care centres. METHOD We compared the psychometric properties of the PHQ-PD to the reference standard, the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview. General practitioners referred 178 patients who completed the entir…