Background Few studies in Portugal have attempted to assess the impact of psychological interventions in primary health care regarding the problems shared by clients, and which variables predicted the success of this intervention. The current study, therefore, aimed to identify predictors of success related to psychological intervention in a single primary health care center in the north of Portugal. Method This was a retrospective study from secondary data, using the data from 1024 clients who attended the psychological consultation at a primary health care center over a period of 8 years. The success of the psychological consultation was defined according to the discharge made by the psychologist. The multiple logistic regression analysis was employed. Results The attendance of a greater number of consultations and the biweekly frequency of consultations significantly predicted the success of psychological intervention. Additionally, the success was associated with having a diagnosis or specific problem identified. Conclusions These findings provide contributions to enrich the literature in this field, in particular, in Portuguese primary health care. We highlight the importance of investing in psychological services in primary health care centers.
161 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a The benzodiazepines use and psychological intervention in a Porto health center AbstractThe misuse of benzodiazepines is a well know public health problem. For this reason, it is more and more relevant to monitor misuse and try to implement solutions. We aim to understand the use of benzodiazepines in a health center population in the city of Porto, as well the connections with present, past and future psychological intervention. We have built a questionnaire to assess usage of both benzodiazepines and psychological services. Our sample population included individuals older than 18 years who picked up our questionnaire in health center waiting rooms. A total of 352 participants, 258 females and 92 males, answered the questionnaire.Results points to an excessive use of benzodiazepines, especially in older persons, divorced or widowed, and females. We found a significant association between the current interest in receiving psychological intervention and the use of benzodiazepines. In the same way, the participants who have received psychological intervention use benzodiazepines less in comparison to the participants who are still receiving psychological intervention. In conclusion, there is an abuse of benzodiazepines in this health center, and few access to psychological intervention that may have good results reducing benzodiazepines abuse. Keywords: psychological intervention; benzodiazepines; primary health careResumo O uso inadequado de benzodiazepinas é um problema de saúde pública bem conhecido e, por isso, é particularmente relevante a sua monitorização e a implementação de soluções adequadas. Pretendemos conhecer a realidade dos utentes de um Centro de Saúde na Cidade do Porto relativamente ao consumo de benzodiazepinas, bem como a sua relação com o acompanhamento psicológico passado, atual ou futuro por parte dos mesmos. Foi construído um inquérito por questionário. Foi aplicado a indivíduos com mais de 18 anos nas salas de espera do Centro de Saúde. Responderam ao questionário 352 participantes, dos quais 258 mulheres e 92 homens. Os resultados obtidos apontam para um consumo excessivo de benzodiazepinas com predominância nas pessoas com mais idade, divorciadas ou viúvas, e do sexo feminino. Verificou-se uma associação significativa entre o interesse atual em ter acompanhamento psicológico e o consumo de benzodiazepinas. Os utentes que beneficiaram de acompanhamento psicológico consomem menos benzodiazepinas, quando comparados com os que ainda estão em acompanhamento. Em conclusão, pode salientar-se que existe um consumo desproporcionado de benzodiazepinas nos cuidados de saúde primários, havendo um acesso reduzido à intervenção psicológica que pode apresentar bons resultados ao nível da redução da utilização destes fármacos.Palavras-chave: acompanhamento psicológico; benzodiazepinas; cuidados de saúde primários
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