[IMPACT OF A PSYCHOEDUCATIONAL GROUP INTERVENTION FOR PATIENTS WITH MILD/MODERATE DEPRESSION IN PRIMARY CARE CONSULTATIONS]. / Impacto de una intervención grupal psicoeducativa: PARA PACIENTES CON DEPRESIÓN LEVE/MODERADA EN LAS CONSULTAS DE ATENCIÓN PRIMARIA.

OBJECTIVE: To analyze the impact of psycho-educational groups for patients with mild/moderate depression in relation to attendance in primary care consultations, the consumption of anxiolytics and antidepressants and the number of days of temporary disability of patients who performed the intervention group versus those not performed. METHOD: Controlled, longitudinal, prospective cohorts in 13 primary care teams of Barcelona city randomized trial. 232 patients, 120 intervention group and 112 in the control group. The study variables were: sex, age, marital status, nationality, education level, employment status, consumption of anxiolytics and/or antidepressants, number of working days, depressive symptoms, quality of life, co-morbidity and attendance in consulting physician and primary care nurse. RESULTS: 69.7% of the total sample were healthy persons frequenting the control group and intervention in the nursing represented a reduction of 2 points in the average number of visits made during the pre-intervention year and the year after the intervention. This was not affected attendance in the control group and in visits to the family doctor. A reduction was observed in the number of casualties of those who have made thegroup intervention. CONCLUSIONS: The psychoeducational group intervention for patients with mild/moderate depression makes decrease the assistance frequency of the patients to nurse consultory. Patients who have assisted to psychoeducational group intervention tend to apply less for the medical leave.

Impacto de una intervención grupal psicoeducativa para pacientes con depresión leve/moderada en las consultas de atención primaria / Impact of a psychoeducational group intervention for patients with mild/moderate depression in primary care

Objetivo. Analizar el impacto de los grupos psicoeducativos para pacientes con depresión leve/moderada en relación con la frecuentación de las consultas de Atención Primaria, el consumo de ansiolíticos y antidepresivos y el número de días de incapacidad temporal de los pacientes que realizaron la intervención grupal frente a aquellos que no la realizaron. Método. Ensayo aleatorio controlado, longitudinal, prospectivo de dos cohortes en 13 Equipos de Atención Primaria de Barcelona ciudad. 232 pacientes: 120 del grupo intervención y 112 del grupo control. Las variables del estudio fueron: sexo, edad, estado civil, nacionalidad, nivel de estudios, situación laboral, consumo de ansiolíticos y/o antidepresivos, número de días de baja laboral, sintomatología depresiva, calidad de vida, comorbilidad asociada y frecuentación de las consultas de médico y enfermera de Atención Primaria. Resultados. El 69.7 % de la muestra total eran personas sanas. La frecuentación del grupo control y del grupo intervención en las consultas de enfermería representó una reducción de 2 puntos en la media de visitas realizadas durante el año previo a la intervención y el año posterior a la intervención. Esta frecuentación no quedó afectada en el grupo control ni en las visitas al médico de familia. Se observó una reducción en el número de bajas de aquellas personas que han realizado la intervención grupal. Conclusiones. La intervención grupal psicoeducativa para pacientes con depresión leve/moderada disminuye la frecuentación de los pacientes en las consultas de enfermería y reduce el número de personas que solicita una baja laboral después de la intervención (AU)

Objective. To analyze the impact of psycho-educational groups for patients with mild/moderate depression in relation to attendance in primary care consultations, the consumption of anxiolytics and antidepressants and the number of days of temporary disability of patients who performed the intervention group versus those not performed. Method. Controlled, longitudinal, prospective cohorts in 13 primary care teams of Barcelona city randomized trial. 232 patients, 120 intervention group and 112 in the control group. The study variables were: sex, age, marital status, nationality, education level, employment status, consumption of anxiolytics and/or antidepressants, number of working days, depressive symptoms, quality of life, co-morbidity and attendance in consulting physician and primary care nurse . Results. 69.7 % of the total sample were healthy persons frequenting the control group and intervention in the nursing represented a reduction of 2 points in the average number of visits made during the pre-intervention year and the year after the intervention. This was not affected attendance in the control group and in visits to the family doctor. A reduction was observed in the number of casualties of those who have made the group intervention. Conclusions. The psychoeducational group intervention for patients with mild/moderate depression makes decrease the assistance frequency of the patients to nurse consultory. Patients who have assisted to psychoeducational group intervention tend to apply less for the medical leave (AU)