Investigación Psicología

URI permanente para esta colecciónhttps://repositorio.21.edu.ar/handle/ues21/19916

Examinar

Mostrando 1 - 6 de 6

Cost-Effectiveness and Cost-Utility Analysis of the Treatment of Emotional Disorders in Primary Care: PsicAP Clinical Trial. Description of the Sub-study Design
(Frontiers in Psychology, 2018) Ruíz Rodríguez, Paloma; Cano Vindel, Antonio; Muñoz Navarro, Roger; Mae Wood, Cristina; Medrano, Leonardo Adrian; Moretti, Luciana Sofía
In the primary care (PC) setting in Spain, the prevalence of emotional disorders (EDs) such as anxiety, depression and somatoform disorder is high. In PC patients, these disorders are not always managed in accordance with the recommendations provided by clinical practice guidelines, resulting in major direct and indirect economic costs and suboptimal treatment outcomes. The aim is to analyze and compare the cost-effectiveness and cost-utility of group-based psychological therapy versus treatment as usual (TAU).
Factor structure and measurement invariance across various demographic groups and over time for the PHQ-9 in primary care patients in Spain
(PLOS ONE, 2018) Gonzalez Blanch, Cesar; Medrano, Leonardo Adrian; Muñoz Navarro, Roger; Ruíz Rodríguez, Paloma; Moriana, Juan Antonio; Limonero, Joaquín T; Schmitz, Florian; Cano Vindel, Antonio
The Patient Health Questionnaire (PHQ-9) is a widely-used screening tool for depression in primary care settings. The purpose of the present study is to identify the factor structure of the PHQ-9 and to examine the measurement invariance of this instrument across different sociodemographic groups and over time in a sample of primary care patients in Spain. Data came from 836 primary care patients enrolled in a randomized controlled trial (PsicAP study) and a subsample of 218 patients who participated in a follow-up assessment at 3 months. Confirmatory factor analysis (CFA) was used to test one- and two-factor structures identified in previous studies. Analyses of multiple-group invariance were conducted to determine the extent to which the factor structure is comparable across various demographic groups (i.e., gender, age, marital status, level of education, and employment situation) and over time. Both one-factor and two-factor re-specified models met all the preestablished fit criteria. However, because the factors identified in the two-factor model were highly correlated (r = .86), the one-factor model was preferred for its parsimony. Multi-group CFA indicated measurement invariance across different demographic groups and across time. The present findings suggest that physicians in Spain can use the PHQ-9 to obtain a global score for depression severity in different demographic groups and to reliably monitor changes over time in the primary care setting.
PsicAP transdiagnostic protocol of group cognitive-behavioral training for emotional disorders in Dominican Republic: a randomized controlled trial protocol
(BMC Psychiatry, Part of Springer Nature., 2023) Cantisano Guzmán, Luisa Marilia; García Batista, Zoilo Emilio; Guerra Peña, Kiero; Alvarez, Adriana; Moretti, Luciana; Cano Vindel, Antonio; Muñoz Navarro, Roger; Medrano, Leonardo Adrián; Baltra, Ricardo Araya
Emotional disorders (ED) such as anxiety, depression and somatization are extremely prevalent disorders that can affect an individual’s quality of life and functionality. Primary Health Care (PHC) is the first place to identify most patients with these conditions. Mental health services in the Dominican Republic, as well as in Latin America and the Caribbean in general, are unable to provide appropriate care for most people with mental disorders. Using evidence-based treatment protocols is also crucial to make progress in helping people with ED. The PsicAP project is a group intervention that uses a transdiagnostic approach and is grounded in cognitive-behavioral techniques. The program is implemented in 7 group sessions, each lasting for one and a half hours. The program has been shown to be effective in reducing clinical symptoms, dysfunction, and in improving quality of life. It is also a non-time-intensive, low-cost treatment that is helpful for addressing EDs in a PHC context. The objective is to bring psychological treatments into PHC facilities of Dominican Republic, making them more accessible for a larger amount of the population.
The PHQ-PD as a Screening Tool for Panic Disorder in the Primary Care Setting in Spain
(PLOS ONE, 2016) Muñoz Navarro, Roger; Cano Vindel, Antonio; Mae Wood, Cristina; Ruíz Rodríguez, Paloma; Medrano, Leonardo Adrian; Limonero, Joaquín T; Tomás Tomás, Patricia; Gracia Gracia, Irene; Dongil Collado, Esperanza; Iruarrizaga, M. Iciar
Panic disorder is a common anxiety disorder and is highly prevalent in Spanish primary care centres. The use of validated tools can improve the detection of panic disorder in primary care populations, thus enabling referral for specialized treatment. The aim of this study is to determine the accuracy of the Patient Health Questionnaire-Panic Disorder (PHQ-PD) as a screening and diagnostic tool for panic disorder in Spanish primary care centres.
Transdiagnostic Cognitive Behavioral Therapy Versus Treatment as Usual in Adult Patients With Emotional Disorders in the Primary Care Setting (PsicAP Study): Protocol for a Randomized Controlled Trial
(JMIR RESEARCH PROTOCOLS JMIR Res Protoc, 2016) Cano Vindel, Antonio; Muñoz Navarro, Roger; Mae Wood, Cristina; Limonero, Joaquín T; Medrano, Leonardo Adrian; Ruíz Rodríguez, Paloma; Gracia Gracia, Irene; Dongil Collado, Esperanza; Iruarrizaga, M. Iciar; Chacón, Fernando; Santolaya, Francisco
Background: Demand for primary care (PC) services in Spain exceeds available resources. Part of this strong demand is due to the high prevalence of emotional disorders (EDs)—anxiety, depression, and somatic symptom disorders—and related comorbidities such as pain or chronic illnesses. EDs are often under- or misdiagnosed by general practitioners (GPs) and, consequently, treatment is frequently inadequate. Objective: We aim to compare the short- and long-term effectiveness of group-delivered transdiagnostic cognitive behavioral therapy (TD-CBT) versus treatment as usual (TAU) in the treatment of EDs in the PC setting in Spain. We also aim to compare the effect of these treatments on disability, quality of life, cognitive-emotional factors, and treatment satisfaction. Methods: Here we present the study design of a two-arm, single-blind, randomized controlled trial (N=1126) to compare TAU to TD-CBT for EDs. TAU will consist primarily of pharmacological treatment and practical advice from the GP while TD-CBT will be administered in seven 90-minute group sessions held over a period ranging from 12 to 14 weeks. Psychological assessments are carried out at baseline (ie, pretreatment); posttreatment; and at 3-, 6-, and 12-month follow-up. The study is conducted in approximately 26 PC centers from the National Health System in Spain. Results: This study was initiated in December 2013 and will remain open to new participants until recruitment and follow-up has been completed. We expect all posttreatment evaluations to be completed by December 2017, and follow-up will end in December 2018. Conclusions: We expect the TD-CBT group to have better results compared to TAU on all posttreatment measures and that this improvement will be maintained during follow-up. This project could serve as a model for use in other areas or services of the National Health System in Spain and even in other countries.
Validación argentina de la versión breve del inventario de situaciones y respuestas de ansiedad
(Revista Latinoamericana de Ciencia Psicológica PSIENCIA, 2017) Medrano, Leonardo Adrian; Moretti, Luciana Sofía; Muñoz Navarro, Roger; Cano Vindel, Antonio
La ansiedad es un estado emocional, que nos pone en alerta ante posibles amenazas, pero que puede convertirse en patológica y derivar en problemas de salud mental de alta prevalencia. Una de las pruebas más utilizadas para evaluar la ansiedad, es el inventario de Situaciones y Respuestas de Ansiedad (ISRA). Existe una versión breve (ISRA-B) que consta de 24 reactivos para evaluar “Respuestas” de ansiedad y 22 reactivos que evalúan los cuatro tipos de “Situaciones” de ansiedad del ISRA original. En este trabajo se analizaron sus propiedades psicométricas en una muestra de 376 jóvenes y adultos argentinos. Mediante análisis factorial confirmatorio se corroboró la estructura de tres factores de “Respuestas” y cuatro factores de “Situaciones” de la versión original. Se verificó la consistencia interna y se obtuvieron evidencias satisfactorias de validez externa. Como conclusión, las puntuaciones del ISRA-B son válidas y confiables para la evaluación de problemas de ansiedad en población argentina.

Examinar

Examinando Investigación Psicología por Autor "Cano Vindel, Antonio"