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[Effectiveness of a nursing program of self-care and Mindfulness, in the approach to the common mental disorder in primary care].

Abstract：

OBJECTIVE:To evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Asturias, between 2014 and 2018. PARTICIPANTS:Subjects between 18-65 years with mixed anxiety, depressive, and adaptive disorders, with no serious mental disease. Non-probabilistic convenience sampling was used. INTERVENTION:A group intervention was made, consisting of 9 weekly sessions of 90min, daily practice, and reinforcement sessions at one month, 3, 6, and 12 months. MAIN MEASUREMENTS:Pre-post measurements using validated and self-administered questionnaires; medium-term (3-6 months) and long-term (>12 months) of the variables: trait anxiety/state anxiety (Status-Trait Anxiety Questionnaire -STAI-); anxiety/depression (Goldberg Anxiety and Depression Scale -GHQ28-), mindfulness (Five Facet Mindfulness Questionnaire -FFMQ-), reduction of pharmacological treatment (open questions). RESULTS:The study included a final sample of 314 subjects. A statistically significant difference in means was found in the 3 follow-up periods as regards the baseline values for all the scales/subscales. There was a reduction of 54.3% in the taking of anxiolytic/antidepressant baseline medication in the long-term follow-up (P<.001). CONCLUSIONS:A moderate reduction of the symptoms, together with the reduction of the medication, indicate that the intervention of mindfulness supervised by the primary care nurse can be a treatment option for the mental disorders common in this level of care.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Izaguirre-Riesgo A,Menéndez-González L,Alonso Pérez F

doi

10.1016/j.aprim.2019.05.015

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

400-409

issue

6

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(19)30001-0

journal_volume

52

pub_type

杂志文章

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