Costes y patrón de uso de servicios en pacientes que demandan atención por problemas mentales en asistencia primaria

Mainar, Antoni Sicras; Gutiérrez, Javier Rejas; Artieda, Ruth Navarro; Tarrés, Josep Serrat; Tamayo, M. Blanca; Díaz‐Cerezo, Silvia

doi:10.1157/13108503

Cited by 9 publications

(3 citation statements)

References 26 publications

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“…The heterogeneity of the percentages may largely be due to the diagnostic classification criteria, the instruments used or the country where the study is carried out. Using a Spanish population, other studies have also found higher levels, of between 20 and 50% ( Sicras-Mainar et al, 2007 ). Be the figures as they may, researchers commonly conclude that emotional disorders amongst health service patients tend to be underestimated.…”

Section: Discussionmentioning

confidence: 84%

Activation vs. Experiential Avoidance as a Transdiagnostic Condition of Emotional Distress: An Empirical Study

et al. 2018

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Background: From a contextual transdiagnostic approach, this study focuses on the importance of the processes of Experiential Avoidance and Activation in explaining and treating psychological problems. There exists widespread empirical evidence to suggest that the response pattern known as Experiential Avoidance, a general unwillingness to remain in contact with particular private experiences through the use of maladaptive avoidance strategies, acts as a functional dimension in various psychological problems. Activation, that is, maintaining contact with experiences/conditions of life and consequently with associated sources of reward, is a condition present in most therapeutic processes. Although a great deal of research has analyzed the relationship of the value of reward with the etiology and maintenance of psychological problems, Activation, as a transdiagnostic factor, has been studied less. The aim of this paper is to carry out an empirical study of the relationship between Activation, EA and emotional state and analyze the capacity of these two conditions to discriminate the intensity and symptomatology type in subjects with emotional distress.Methods: The Hospital Anxiety and Depression Scale (HADS), Environmental Reward Observation Scale (EROS) and Behavioral Activation for Depression Scale (BADS) were completed by 240 health center users.Results: Of the participants, 55% showed clinically relevant emotional distress. All cases of depression showed clinical anxiety. To discriminate between subjects without (n = 109) and with emotional distress (n = 131), analyses of the ROC curves and logistic regression analysis identified the BADS-Avoidance/Rumination followed by the EROS. To discriminate between subjects with anxiety but without depression (n = 61) and with anxiety and depression (n = 70), the most efficient scales were EROS followed by BADS-Social Impairment.Conclusion: It was shown that people with no emotional complaints maintained greater contact with life experiences and with environmental sources of reward than those with emotional distress. Response patterns showing Experiential Avoidance and a reduction in Activation responses were associated with clinical distress. A reduction in Activation was the condition which distinguished those people with the greatest distress and also the greatest comorbidity of symptoms of depression and anxiety. These data support the transdiagnostic nature of Activation and suggest greater attention should be paid to this concept.

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Section: Discussionmentioning

confidence: 84%

Activation vs. Experiential Avoidance as a Transdiagnostic Condition of Emotional Distress: An Empirical Study

et al. 2018

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“…Según las proyecciones de la OMS para 2020 alcanzarán el 15% del total, llegando a ser la depresión la segunda causa de morbilidad, por detrás de la cardiopatía isquémica 9 . Actualmente, un 20-25% de los pacientes que consultan en AP presentan síntomas relacionados con los trastornos mentales [23][24][25] .…”

Section: Introductionunclassified

Incidencia y variabilidad de la incapacidad temporal por trastornos de ansiedad en la Comunidad Valenciana durante el 2009

Cervera

Olmeda²,

Martínez³

et al. 2012

Rev. Esp. Salud Publica

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“…This has to do not only with the heterogeneity of social care needs, but principally with other more structural features that constrain reform, mainly the still limited political visibility of reform which decentralisation helps to curb. Yet, still to date the percentage of individuals that use primary mental health care is lower than in most European countries (Sicras Mainar et al ., 2007).…”

Section: Introductionmentioning

confidence: 99%

Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance

et al. 2010

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A system of devolved welfare governance, it is argued, increases participation in welfare services. However, limited empirical evidence has been reported on how it influences welfare reform. This paper draws upon evidence from the mental health system in Spain, where health care is devolved to the regional states (autonomous communities), to examine whether policy reform of neglected policy areas may be triggered through heightened policy awareness and better participation of interested stakeholders. We find that regional devolution has helped to scale up mental health in some of Spain's autonomous regions relative to support for other services. Evidence suggests that whilst fragmentation and certain historical legacies remain path dependent, regional devolution has indeed enhanced experimentation, reform and policy innovation in mental health care. However, the expansion of mental health care coverage has been constrained by the lack of a clear definition of public coverage, as well as the need to meet the demands of evidence-based policy in an era of cost-containment. Inequalities in access to mental health care remain; they are compounded by the stigma and discrimination experienced by people with mental health problems, which is a common challenge for all health systems in Europe.

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Costes y patrón de uso de servicios en pacientes que demandan atención por problemas mentales en asistencia primaria

Abstract: Outpatients seeking care for some type of MD had a high number of comorbidities and showed greater annual cost per patient in the primary care setting.

Cited by 9 publications

References 26 publications

Activation vs. Experiential Avoidance as a Transdiagnostic Condition of Emotional Distress: An Empirical Study

Activation vs. Experiential Avoidance as a Transdiagnostic Condition of Emotional Distress: An Empirical Study

Incidencia y variabilidad de la incapacidad temporal por trastornos de ansiedad en la Comunidad Valenciana durante el 2009

Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance

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