Examinando por Autor "Mae Wood, Cristina"

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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).
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.