Psicología Clínica en Atención Primaria: la experiencia en Asturias / Clinical Psychologist in Primary Care: the work carried out in Asturias

OBJETIVO: Describir las características de la población atendida en el programa de psicología clínica en Atención Primaria, así como realizar un análisis preliminar de los resultados obtenidos. MÉTODO: Estudio descriptivo prospectivo de los resultados obtenidos tras intervención psicológica breve. Se utilizaron los instrumentos de evaluación PHQ-9, GAD-7, WHOQOL-BREF y un cuestionario de satisfacción diseñado ad hoc. RESULTADOS: Se derivaron al programa 1.084 pacientes, en su mayoría mujeres. Los diagnósticos más frecuentes fueron ansiedad, trastornos adaptativos, códigosZ (factores que influyen en el estado de salud y contacto con los servicios de salud) y trastornos depresivos. El tiempo de espera medio se sitúa en 7,25 días, y el número medio de consultas, en 3. En la comparación al inicio y tras la finalización del tratamiento se encontró una mejora estadísticamente significativa en todas las variables evaluadas, así como una alta satisfacción y utilidad del tratamiento. CONCLUSIONES: La integración del psicólogo clínico en Atención Primaria supone una mejora en la calidad asistencial de los pacientes con alteraciones emocionales, facilitando un abordaje interdisciplinar bio-psico-social y ofreciendo tratamientos e intervenciones basadas en la evidencia y recomendadas internacionalmente

AIM: To describe the characteristics of the population attended in the clinical psychology programme in Primary Care, as well as to perform a preliminary analysis of the results obtained. METHOD: Prospective, descriptive study of the results obtained after brief psychological intervention. The following evaluation tools were used: PHQ-9, GAD-7, WHOQOL-BREF, and an ad hoc designed satisfaction questionnaire. RESULTS: A total of 1084 patients were referred to the program, and were mostly women. The most frequent diagnoses were anxiety, adaptive disorders, Zcodes (factors that influence the state of health and contact with health services) and depressive disorders. The mean waiting list time was 7.25 days, and the mean number of consultations was3. The analyses performed after the treatment showed an improvement in all the variables evaluated, as well as high satisfaction and usefulness of the treatment. CONCLUSIONS: The integration of the clinical psychologist in Primary Care leads to an improvement in the quality of care of patients with emotional disorders, facilitating an interdisciplinary bio-psycho-social approach, and offering internationally recommended evidence-based treatments and interventions

[Clinical Psychologist in Primary Care: The work carried out in Asturias]. / Psicología Clínica en Atención Primaria: la experiencia en Asturias.

AIM: To describe the characteristics of the population attended in the clinical psychology programme in Primary Care, as well as to perform a preliminary analysis of the results obtained. METHOD: Prospective, descriptive study of the results obtained after brief psychological intervention. The following evaluation tools were used: PHQ-9, GAD-7, WHOQOL-BREF, and an ad hoc designed satisfaction questionnaire. RESULTS: A total of 1084 patients were referred to the program, and were mostly women. The most frequent diagnoses were anxiety, adaptive disorders, Zcodes (factors that influence the state of health and contact with health services) and depressive disorders. The mean waiting list time was 7.25days, and the mean number of consultations was3. The analyses performed after the treatment showed an improvement in all the variables evaluated, as well as high satisfaction and usefulness of the treatment. CONCLUSIONS: The integration of the clinical psychologist in Primary Care leads to an improvement in the quality of care of patients with emotional disorders, facilitating an interdisciplinary bio-psycho-social approach, and offering internationally recommended evidence-based treatments and interventions.