Treating Emotional Disorders in Primary Care With Psychological Techniques
Status:
Completed
Trial end date:
2019-07-30
Target enrollment:
Participant gender:
Summary
The strong demand for primary care (PC) services in Spain exceeds resources. Part of this
demand is due to the increasing number of anxiety, depression, and somatization disorders
that affect the general population. These disorders, commonly known as emotional disorders,
are very common in Spanish PC settings, they are poorly detected by physicians, rarely
receive adequate treatment (if they receive treatment it is mostly drugs instead of
psychological treatment), they generate a highly frequent use of PC services, a greater
burden than physical diseases and tend to become chronic without treatment.
Other countries have successfully put psychological techniques in PC into practice (in the
United Kingdom the program known as "Improving Access to Psychological Therapies" has
obtained very positive results) in order to correctly diagnose and treat emotional disorders.
The results obtained in terms of symptoms, quality of life, diagnosis, etc., have been better
than the usual treatment offered in PC services, involving no side effects, fewer relapses,
and lower costs in the long term.
The general aim of this study is to test how well a psychological treatment program for
anxiety, depression, and somatization disorders works in PC and to compare the results
obtained after seven 90-minute group sessions (every to two to four weeks approximately, for
a period of 24 weeks) with the usual treatment offered in Spanish PC services. Similar
results to the ones already obtained in other countries are expected to be found.
Approximately 1130 adults, regardless of their age and sex, with an anxiety, depression
and/or somatization disorder (diagnosed with a simple and short questionnaire) will
participate in this study.
Participation will be voluntary and confidentiality will be guaranteed. Half of the
participants in the study will be randomly assigned to receive their usual care and the other
half will receive psychological treatment, within the same health care centre. Since it is a
"double-blind" study, neither the health professional nor the patient will know which
treatment will be applied. Psychological assessments will be carried out before and after
receiving treatment and participants will be followed up at 3, 6 and 12 months.
Participation will pose no risks different from the typically present when receiving usual
treatment. The aim of this study will be to maximize benefits and reduce potential harms
(principle of proportionality).
Phase:
Phase 4
Details
Lead Sponsor:
Psicofundación: Fundación Española para Promoción, Desarrollo Científico y Profesional de la Psicolo