Psychosocial interventions by general practitioners

Abstract

Background Many patients visit their general practitioner (GP) because of problems that are psychosocial in origin. However, for many of these problems there is no evidence-based treatment available in primary care, and these patients place time-consuming demands on their GP. Therefore, GPs could benefit from tools to help these patients more effectively and efficiently. In this light, it is important to assess whether structured psychosocial interventions might be an appropriate tool for GPs. Previous reviews have shown that psychosocial interventions in primary care seem more effective than usual care. However, these interventions were mostly performed by health professionals other than the GP. Objectives To examine the effectiveness of psychosocial interventions by general practitioners by assessing the clinical outcomes and the methodological quality of selected studies. Search methods The search was conducted using the CCDANCTR-Studies and CCDANCTR-References on 20/10/2005, The Cochrane Library, reference lists of relevant studies for citation tracking and personal communication with experts. Selection criteria Randomised controlled trials, controlled clinical trials and controlled patient preference trials addressing the effectiveness of psychosocial interventions by GPs for any problem or disorder. Studies published before November 2005 were eligible for entry. Data collection and analysis Methodological quality was independently assessed by two review authors using the Maastricht-Amsterdam Criteria List. The qualitative and quantitative characteristics of selected trials were independently extracted by two review authors using a standardised data extraction form. Levels of evidence were used to determine the strength of the evidence available. Results from studies that reported similar interventions and outcome measures were meta-analysed.

Entre “centrado na pessoa” e “freestyle”: a abordagem do sofrimento mental comum em residências de medicina de família e comunidade

“…O MCCP também foi a intervenção mais citada. Apenas dois preceptores aplicavam uma intervenção psicossocial avançada: a terapia de resolução de problemas, avaliada em uma revisão sistemática como a intervenção com mais evidências de eficácia e indicação na abordagem do SMC por médicos de família e comunidade 31 .…”

Entre “centrado na pessoa” e “freestyle”: a abordagem do sofrimento mental comum em residências de medicina de família e comunidade

“…O MCCP também foi a intervenção mais citada. Apenas dois preceptores aplicavam uma intervenção psicossocial avançada: a terapia de resolução de problemas, avaliada em uma revisão sistemática como a intervenção com mais evidências de eficácia e indicação na abordagem do SMC por médicos de família e comunidade 31 .…”

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

“…Secondly, it should be noted that there is significant variability in the type of studies analysed. The characteristics of the studies included in the reviews selected in this research suggest that there is not enough consensus regarding the criteria to describe and classify the different aspects of psychosocial interventions [ 63 ] for CRF. This fact makes it difficult to compare the results of the different reviews and between their primary studies [ 43 ].…”

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

“…This study also cannot conclude as to the effectiveness of treatment by MHNs. Previous research showed that although psychosocial treatment in primary care may be effective, 14–16 it might be less effective than treatment in a specialist setting, possibly because of the shorter treatment duration. 33 It is highly likely that some of the patients visiting the MHN still need treatment in specialised care, especially when diagnostics are the main reason for MHN consultation.…”

Entre “centrado na pessoa” e “freestyle”: a abordagem do sofrimento mental comum em residências de medicina de família e comunidade

“…O MCCP também foi a intervenção mais citada. Apenas dois preceptores aplicavam uma intervenção psicossocial avançada: a terapia de resolução de problemas, avaliada em uma revisão sistemática como a intervenção com mais evidências de eficácia e indicação na abordagem do SMC por médicos de família e comunidade 31 .…”

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

“…Secondly, it should be noted that there is significant variability in the type of studies analysed. The characteristics of the studies included in the reviews selected in this research suggest that there is not enough consensus regarding the criteria to describe and classify the different aspects of psychosocial interventions [ 63 ] for CRF. This fact makes it difficult to compare the results of the different reviews and between their primary studies [ 43 ].…”

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

“…This study also cannot conclude as to the effectiveness of treatment by MHNs. Previous research showed that although psychosocial treatment in primary care may be effective, 14–16 it might be less effective than treatment in a specialist setting, possibly because of the shorter treatment duration. 33 It is highly likely that some of the patients visiting the MHN still need treatment in specialised care, especially when diagnostics are the main reason for MHN consultation.…”

Entre “centrado na pessoa” e “freestyle”: a abordagem do sofrimento mental comum em residências de medicina de família e comunidade

“…O MCCP também foi a intervenção mais citada. Apenas dois preceptores aplicavam uma intervenção psicossocial avançada: a terapia de resolução de problemas, avaliada em uma revisão sistemática como a intervenção com mais evidências de eficácia e indicação na abordagem do SMC por médicos de família e comunidade 31 .…”

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

“…Secondly, it should be noted that there is significant variability in the type of studies analysed. The characteristics of the studies included in the reviews selected in this research suggest that there is not enough consensus regarding the criteria to describe and classify the different aspects of psychosocial interventions [ 63 ] for CRF. This fact makes it difficult to compare the results of the different reviews and between their primary studies [ 43 ].…”

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

“…This study also cannot conclude as to the effectiveness of treatment by MHNs. Previous research showed that although psychosocial treatment in primary care may be effective, 14–16 it might be less effective than treatment in a specialist setting, possibly because of the shorter treatment duration. 33 It is highly likely that some of the patients visiting the MHN still need treatment in specialised care, especially when diagnostics are the main reason for MHN consultation.…”