Clinical effectiveness of group cognitive behavioural therapy for depressed older people in primary care: A randomised controlled trial
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2015
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| _version_ | 1876481905602330624 |
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| author | Carmen García-Peña |
| author_facet | Carmen García-Peña |
| contents | Clinical effectiveness of group cognitive behavioural therapy for depressed older people in primary care: A randomised controlled trial Carmen García-Peña Felipe Vázquez-Estupiñan Fabián Avalos-Pérez Leslie Viridiana Robles Jiménez Sergio Sánchez-Garcia Teresa Juárez-Cedillo Medicina Elderly depression cognitive therapy BackgroundDepression is associated with an increased use of medical resources and reduced quality of life, cognitive functions, functionality and gen-eral health. The treatment of depression is limited by the scarcity of mental health professionals, as reflected in the mental health atlas of the World Health Organization.MethodA randomised controlled trial that was not blinded was conducted. Family doctors referred patients older than 60 years who were sus-pected to have depression to the screening module. The PHQ-9 ques-tionnaire, the Six-Item Screener, and previous diagnosis for psychiat-ric disorders were collected. Major depression was excluded. Those with a score from two to six on the PHQ-9 and with no comorbidities were referred to the Baseline Phase. A simple random process with-out blocking was applied. Groups of 7-10 participants engaged in weekly sessions over the course of three months. The control group was referred to their family physician.Reduction in depression score of the PHQ-9 was the main outcome.Results and discussionThere were 40 patients in the control group (CG) and 41 in the in-tervention group (IG). 84% were women, 41% married and 41% re-ported at least primary education. The mean age for the GC was 69.7 years vs. 71.3 in the GI. The baseline mean MMSE score was 23.7 in the GC and 24.1 in the IG. No significant baseline differences be-tween groups were reported. In the IG, 56% of the participants (n=23) displayed a decrease that was greater than or equal to 5 points on the PHQ-9 compared with 30% (n=12) in the control group. The CT group evidenced a marginal improvement. 2015 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58238799006 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.1 Vol.38 |
| format | Artículo científico |
| id | redalyc_58238799006 |
| institution | Redalyc |
| language | en |
| publishDate | 2015 |
| publisher | Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz |
| spellingShingle | Clinical effectiveness of group cognitive behavioural therapy for depressed older people in primary care: A randomised controlled trial Carmen García-Peña Medicina Elderly depression cognitive therapy Clinical effectiveness of group cognitive behavioural therapy for depressed older people in primary care: A randomised controlled trial Carmen García-Peña Felipe Vázquez-Estupiñan Fabián Avalos-Pérez Leslie Viridiana Robles Jiménez Sergio Sánchez-Garcia Teresa Juárez-Cedillo Medicina Elderly depression cognitive therapy BackgroundDepression is associated with an increased use of medical resources and reduced quality of life, cognitive functions, functionality and gen-eral health. The treatment of depression is limited by the scarcity of mental health professionals, as reflected in the mental health atlas of the World Health Organization.MethodA randomised controlled trial that was not blinded was conducted. Family doctors referred patients older than 60 years who were sus-pected to have depression to the screening module. The PHQ-9 ques-tionnaire, the Six-Item Screener, and previous diagnosis for psychiat-ric disorders were collected. Major depression was excluded. Those with a score from two to six on the PHQ-9 and with no comorbidities were referred to the Baseline Phase. A simple random process with-out blocking was applied. Groups of 7-10 participants engaged in weekly sessions over the course of three months. The control group was referred to their family physician.Reduction in depression score of the PHQ-9 was the main outcome.Results and discussionThere were 40 patients in the control group (CG) and 41 in the in-tervention group (IG). 84% were women, 41% married and 41% re-ported at least primary education. The mean age for the GC was 69.7 years vs. 71.3 in the GI. The baseline mean MMSE score was 23.7 in the GC and 24.1 in the IG. No significant baseline differences be-tween groups were reported. In the IG, 56% of the participants (n=23) displayed a decrease that was greater than or equal to 5 points on the PHQ-9 compared with 30% (n=12) in the control group. The CT group evidenced a marginal improvement. 2015 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58238799006 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.1 Vol.38 |
| title | Clinical effectiveness of group cognitive behavioural therapy for depressed older people in primary care: A randomised controlled trial |
| topic | Medicina Elderly depression cognitive therapy |
| url | https://www.redalyc.org/articulo.oa?id=58238799006 |