Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults

Background: This paper addresses the evaluation of the effectiveness of brief psychological treatment (BPT) for common mental disorders (CMD) in mental health centers (MHC), comparing it to treatment as usual (TAU). Method: 144 patients were randomly assigned to either the experimental treatment gro...

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Main Authors: Marco A. Luengo-Castro, Javier Fernández-Méndez, José M. García-Montes, Pedro J. Caunedo-Riesco, Juan M. García-Haro, Begoña Braña-Menéndez, Dolores González-Díaz, Andrés Cabero-Álvarez, Marcelino Cuesta-Izquierdo
Format: Article
Language:English
Published: Colegio Oficial de Psicólogos de Madrid 2025-02-01
Series:Clínica y Salud. Investigación Empírica en Psicología
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Online Access: https://journals.copmadrid.org/clysa/art/clh2025a2
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author Marco A. Luengo-Castro
Javier Fernández-Méndez
José M. García-Montes
Pedro J. Caunedo-Riesco
Juan M. García-Haro
Begoña Braña-Menéndez
Dolores González-Díaz
Andrés Cabero-Álvarez
Marcelino Cuesta-Izquierdo
author_facet Marco A. Luengo-Castro
Javier Fernández-Méndez
José M. García-Montes
Pedro J. Caunedo-Riesco
Juan M. García-Haro
Begoña Braña-Menéndez
Dolores González-Díaz
Andrés Cabero-Álvarez
Marcelino Cuesta-Izquierdo
author_sort Marco A. Luengo-Castro
collection DOAJ
description Background: This paper addresses the evaluation of the effectiveness of brief psychological treatment (BPT) for common mental disorders (CMD) in mental health centers (MHC), comparing it to treatment as usual (TAU). Method: 144 patients were randomly assigned to either the experimental treatment group (EG), receiving BPT, or the control group (CG), receiving TAU. Pre-treatment and up to 3-year assessments were conducted on clinical-administrative, symptomatic, disability, satisfaction, and psychopharmacological consumption. Results: The EG had an average of 7 sessions compared to 6.17 sessions for the CG. At 6 months, the CG – with 70% exclusively receiving psychopharmacological treatment – showed better symptomatic improvement than the EG, but worsened after one year. The EG initially exhibited a more modest improvement pattern, but continued and became more effective than TAU after one year. Conclusions: In the medium term, BPT proves to be more effective with longer-lasting effects.
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institution Kabale University
issn 1130-5274
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language English
publishDate 2025-02-01
publisher Colegio Oficial de Psicólogos de Madrid
record_format Article
series Clínica y Salud. Investigación Empírica en Psicología
spelling doaj-art-4f7d4988e2ce4576aef3c58143bbc8202025-02-10T11:47:46ZengColegio Oficial de Psicólogos de MadridClínica y Salud. Investigación Empírica en Psicología1130-52742174-05502025-02-0100000010.5093/clh2025a211320559Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in AdultsMarco A. Luengo-Castro0Javier Fernández-Méndez1José M. García-Montes2Pedro J. Caunedo-Riesco3Juan M. García-Haro4Begoña Braña-Menéndez5Dolores González-Díaz6Andrés Cabero-Álvarez7Marcelino Cuesta-Izquierdo8Public Health Service of Asturias SESPA, Spain, Public Health Service of Asturias SESPA, Spain;Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Department of Psychology, University of Almería, Spain, Department of Psychology, University of Almería, Spain;Psychiatrist in the Mental Health Service of SESPA, Spain, Psychiatrist in the Mental Health Service of SESPA (Spain).Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Clinical Psychologist in the Mental Health Service of SESPA, Spain, Clinical Psychologist in the Mental Health Service of SESPA, Spain;Background: This paper addresses the evaluation of the effectiveness of brief psychological treatment (BPT) for common mental disorders (CMD) in mental health centers (MHC), comparing it to treatment as usual (TAU). Method: 144 patients were randomly assigned to either the experimental treatment group (EG), receiving BPT, or the control group (CG), receiving TAU. Pre-treatment and up to 3-year assessments were conducted on clinical-administrative, symptomatic, disability, satisfaction, and psychopharmacological consumption. Results: The EG had an average of 7 sessions compared to 6.17 sessions for the CG. At 6 months, the CG – with 70% exclusively receiving psychopharmacological treatment – showed better symptomatic improvement than the EG, but worsened after one year. The EG initially exhibited a more modest improvement pattern, but continued and became more effective than TAU after one year. Conclusions: In the medium term, BPT proves to be more effective with longer-lasting effects. https://journals.copmadrid.org/clysa/art/clh2025a2 brief psychological therapypsychopharmacological treatmenttreatment-as-usualcommon mental disordersrandomized clinical trialpublic mental health centers
spellingShingle Marco A. Luengo-Castro
Javier Fernández-Méndez
José M. García-Montes
Pedro J. Caunedo-Riesco
Juan M. García-Haro
Begoña Braña-Menéndez
Dolores González-Díaz
Andrés Cabero-Álvarez
Marcelino Cuesta-Izquierdo
Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
Clínica y Salud. Investigación Empírica en Psicología
brief psychological therapy
psychopharmacological treatment
treatment-as-usual
common mental disorders
randomized clinical trial
public mental health centers
title Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
title_full Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
title_fullStr Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
title_full_unstemmed Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
title_short Multicenter Randomized Clinical Trial of Brief Psychotherapy versus Usual Treatment for Common Mental Disorders in Adults
title_sort multicenter randomized clinical trial of brief psychotherapy versus usual treatment for common mental disorders in adults
topic brief psychological therapy
psychopharmacological treatment
treatment-as-usual
common mental disorders
randomized clinical trial
public mental health centers
url https://journals.copmadrid.org/clysa/art/clh2025a2
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