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P02-287 - Primary Prevention in Depression. How to Inform Primary Care Attendees About Their Risk Level and Risk Profile of Major Depression?

Published online by Cambridge University Press:  17 April 2020

P. Moreno-Peral ,
J. Bellon ,
E. Motrico ,
B. Moreno-Küstner ,
B. Oliván-Blazquez ,
A. Fernández ,
C. Fernández ,
A. Rüntel ,
A. Rodriguez  and
M. Ballesta
...Show all authors
P. Moreno-Peral
Affiliation:
Fundación Imabis, Unidad de Investigación, Málaga
J. Bellon
Affiliation:
Centro de Salud El Palo, Distrito Sanitario Málaga, Málaga Departamento de Medicina Preventiva, Málaga
E. Motrico
Affiliation:
Departamento de Psicologia Social, Universidad de Málaga, Málaga
B. Moreno-Küstner
Affiliation:
Fundación Imabis, Unidad de Investigación, Distrito Sanitario Málaga, Malaga Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga
B. Oliván-Blazquez
Affiliation:
Unidad de Investigación de Atención Primaria, Instituto Aragonés de Ciencias de la Salud, Zaragoza
A. Fernández
Affiliation:
Unidad de Investigación y Desarrollo, Sant Joan de Déu, Barcelona
C. Fernández
Affiliation:
Gerencia Rigional de Salud, Valladolid
A. Rüntel
Affiliation:
Departamento de Psiquiatría y Medicina Legal, Universidad de Granada, Granada
A. Rodriguez
Affiliation:
Centro de Salud San José, Jaén
M. Ballesta
Affiliation:
Centro de Salud Federico del Castillo, Distrito Sanitario Jaén Norte, Jaén
J. Payo
Affiliation:
Unidad de Investigación de Atención Primaria. Osakidetza, Bilbao, Spain
M. Amezcua
Affiliation:
Hospital Universitario San Cecilio, Granada, Spain

Abstract

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Introduction

The predictD study is a pioneering international study whose main objective was to develop a risk index for the onset of major depression in general practice attendees.

Objective

The aim of this exploratory study was to determine the opinion of primary care attendees and their general practitioners about how to implement primary prevention of major depression. The intervention consisted of informing primary care attendees about their risk level and risk profile for the onset of major depression.

Methods

The study participants were primary care attendees and general practitioners in urban health centres of 7 Spanish provinces. The methodology used was qualitative: there were 14 in-depth interviews (two from each province), 7 DAFO groups and 7 focus groups.

Results

The results showed that attendees generally welcomed this precautionary measure. Some even proposed potential changes in their lifestyles to prevent depression, such as improving social relationships, taking things more calmly or doing more leisure activities, while others asked their GP for advice. The GPs were more resistant about informing primary care attendees, raising doubts about the validity-reliability of the instrument, their lack of education about what they should or should not advise their attendees, the danger of creating excessive fear in their attendees, or the barrier of lack of time in the office to do these activities.

Conclusions

Primary care attendees welcome this preventive measure more than their general practitioners.

Type
Prevention of mental disorders
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E913
Copyright
Copyright © European Psychiatric Association 2010
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