Prevención de los trastornos de la salud mental

Alonso, M.C. Fernández; Ramírez, Francisco Buitrago; Misol, Ramón Ciurana; Bentata, Levy Chocrón; Campayo, Javier García; Franco, C. Montón; García, Jorge Luis Tizón

doi:10.1016/s0212-6567(12)70014-8

Cited by 2 publications

(1 citation statement)

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“…At the first intervention visit, at baseline, FPs will give patients a brief booklet (a diptych) with advice for preventing depression (Additional file 1: Annex 2).This booklet is based on the recommendations on health promotion and preventive activities of the " Spanish Family and Community Medicine Society", in its section on mental health (PAPPS) [106]. At the end of this booklet reference is made to three websites with information for patients and relatives about depression, anxiety and insomnia [107].…”

Section: Interventionmentioning

confidence: 99%

Preventing the onset of major depression based on the level and profile of risk of primary care attendees: protocol of a cluster randomised trial (the predictD-CCRT study)

Bellón

Conejo-Cerón²,

Moreno-Peral³

et al. 2013

BMC Psychiatry

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BackgroundThe ‘predictD algorithm’ provides an estimate of the level and profile of risk of the onset of major depression in primary care attendees. This gives us the opportunity to develop interventions to prevent depression in a personalized way. We aim to evaluate the effectiveness, cost-effectiveness and cost-utility of a new intervention, personalized and implemented by family physicians (FPs), to prevent the onset of episodes of major depression.Methods/DesignThis is a multicenter randomized controlled trial (RCT), with cluster assignment by health center and two parallel arms. Two interventions will be applied by FPs, usual care versus the new intervention predictD-CCRT. The latter has four components: a training workshop for FPs; communicating the level and profile of risk of depression; building up a tailored bio-psycho-family-social intervention by FPs to prevent depression; offering a booklet to prevent depression; and activating and empowering patients. We will recruit a systematic random sample of 3286 non-depressed adult patients (1643 in each trial arm), nested in 140 FPs and 70 health centers from 7 Spanish cities. All patients will be evaluated at baseline, 6, 12 and 18 months. The level and profile of risk of depression will be communicated to patients by the FPs in the intervention practices at baseline, 6 and 12 months. Our primary outcome will be the cumulative incidence of major depression (measured by CIDI each 6 months) over 18 months of follow-up. Secondary outcomes will be health-related quality of life (SF-12 and EuroQol), and measurements of cost-effectiveness and cost-utility. The inferences will be made at patient level. We shall undertake an intention-to-treat effectiveness analysis and will handle missing data using multiple imputations. We will perform multi-level logistic regressions and will adjust for the probability of the onset of major depression at 12 months measured at baseline as well as for unbalanced variables if appropriate. The economic evaluation will be approached from two perspectives, societal and health system.DiscussionTo our knowledge, this will be the first RCT of universal primary prevention for depression in adults and the first to test a personalized intervention implemented by FPs. We discuss possible biases as well as other limitations.Trial registrationClinicalTrials.gov identifier: NCT01151982

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Section: Interventionmentioning

confidence: 99%

Preventing the onset of major depression based on the level and profile of risk of primary care attendees: protocol of a cluster randomised trial (the predictD-CCRT study)

Bellón

Conejo-Cerón²,

Moreno-Peral³

et al. 2013

BMC Psychiatry

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Ansiedad, depresión y apatía en relación a la situación de fragilidad

Peláez

Bernal

Cámara

et al. 2020

Revista INFAD de Psicología

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Esta investigación descriptiva transversal estudia la relación de la situación de fragilidad en adultos mayores institucionalizados y la ansiedad, depresión y apatía en los mismos con una muestra de 193 personas mayores institucionalizadas en cuatro residencias para personas mayores.La fragilidad se mide con la herramienta Short Physical Performance Battery; la ansiedad y la depresión con la escala Goldberg; y la apatía con la escala Dementhia Apathy Interview and Rating.Se trata de un estudio transversal y descriptivo que no realiza ningún tipo de intervención sobre las personas participantes y pretende establecer si existe o no relación entre las variables, pero no una relación de causalidad entre ellas.Se observa que las tres variables correlacionan con la puntuación total de la escala de fragilidad y con cada una de sus subescalas; de manera que, a mayor situación de fragilidad y/o dependencia, mayores niveles de ansiedad, depresión y apatía.Aparecen además diferencias significativas entre el grupo de personas frágiles y prefrágiles en lo referente a la apatía; y entre los grupos dependiente y prefrágil en relación a la ansiedad y la depresión.

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Prevención de los trastornos de la salud mental

Cited by 2 publications

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Preventing the onset of major depression based on the level and profile of risk of primary care attendees: protocol of a cluster randomised trial (the predictD-CCRT study)

Preventing the onset of major depression based on the level and profile of risk of primary care attendees: protocol of a cluster randomised trial (the predictD-CCRT study)

Ansiedad, depresión y apatía en relación a la situación de fragilidad

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