Management of common mental disorders in patients attending primary care practices Mental and Behavioural Disorders
Conditions
Interventions
The intervention is a two-level training programme.
(1) Training for professionals: in the case condition arm, we led one programme of 8-hour to family doctors to improve the management of primary c
another 8-hour programme to nurses and clinical psychologists to strengthen and capacitate for psychoeducational sessions. In the condition control arm, all health practitioners were offered a 2-hour
Agrupamentos de Centros de Saúde - ACES), including 90 eligible multi-professional primary care practices of higher-level management and services, called Health Family Units (HFU
Unidades Funcionais de Saúde - USF). We excluded primarily
Sponsors
Instituto de Saúde Publica da Universidade do Porto (ISPUP)
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Patients scoring seven or less on the WHO-5 scale, or 2. CGI-S scoring four or higher, or 3. Common mental disorder diagnosis according to ICPC-2
Exclusion criteria
Exclusion criteria: 1. Patients with chronic alcohol abuse (P15), acute alcohol abuse (P16), drug abuse (P19), dementia (P70), organic psychosis (P71), schizophrenia (P72), affective psychosis (P73), mental retardation (P85), anorexia nervosa/bulimia (P86), serious suicidal risk or history of mania 2. Patients with only four years of studies or less who could not read Portuguese 3. 17 years old or younger 4. Patients who had a psychiatric consultation or admission to the hospital due to a psychiatric cause in the previous three months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total score of the Beck Depression Inventory, the second version (BDI-II; Beck & Steer, 1993), applied by self-evaluation after enrolment and 12 months after the first evaluation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Five Wellbeing Index (WHO-5; WHO, 1995) 2. Clinical Global Impressions scale for diagnostic Severity (CGI-S; Busner and Targum, 2007) 3. International Classification of Primary Care, 2nd edition (ICPC-2; WONCA, 2003) 4. Beck Anxiety Inventory (BAI; Beck & Steer, 1993) 5. Somatic Patient Health Questionnaire (PHQ-15; Kroenke et al., 2010) 6. Beck Scale for Suicide Ideation (BSI; Beck, Kovacs, & Weissman, 1979) 7. Sociodemographic questionnaire The hetero-evaluation (CGI-S and ICPC-2) and self-evaluation questionnaires (WHO-5, BAI, PHQ-15, BSI) were applied at baseline (t0), intervention and control patients were reassessed on all the variables and measures by their PCPs and the research assistant on follow-up, 12 months later (t1). | — |
Countries
Portugal
Outcome results
None listed