RESUMO
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.
Assuntos
Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Atenção Primária à Saúde/organização & administração , Psicologia Clínica/organização & administração , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Comunicação Interdisciplinar , Masculino , Transtornos Mentais/fisiopatologia , Serviços de Saúde Mental/normas , Pessoa de Meia-Idade , Satisfação do Paciente , Atenção Primária à Saúde/normas , Estudos Prospectivos , Psicologia Clínica/normas , Qualidade da Assistência à Saúde , Encaminhamento e Consulta , Inquéritos e Questionários , Adulto JovemRESUMO
En los últimos años, la terapia cognitivo-conductual (TCC) ha comenzado a utilizarse como una intervención en las psicosis crónicas, generalmente como complemento al tratamiento farmacológico. Este hecho ha motivado la realización de estudios controlados que analizan la eficacia de este tipo de intervenciones. Así, esta revisión bibliográfica tuvo como objetivo analizar aquellos estudios más relevantes hasta la fecha. Se incluyeron aquellos trabajos con un diseño controlado y aleatorio, y que garantizaban los requisitos de fiabilidad y validez. Los estudios muestran resultados esperanzadores, en cuanto que avalan la eficacia de la TCC como medida de tratamiento. Sin embargo, todavía se hace necesario un mayor número de investigaciones que avalen estos datos (AU)
Cognitive-behavioral therapy (CBT) has been used in recent years as an intervention for chronic psychoses, generally as a complement to the pharmacological treatment. This fact has motivated controlled studies that analyze the efficiency of this type of interventions. That is why this bibliographical review has aimed to analyze the most relevant studies up-to-date. Those works having a controlled and random design, that assured the requirements of reliability and validity, were included. The studies show encouraging results, because they support the efficiency of CBT as a measurement of treatment. Nevertheless, more investigations that support this information are still required (AU)
