TY  - JOUR
AU  - Cano-Vindel, Antonio
AU  - Muñoz-Navarro, Roger
AU  - Wood, Cristina Mae
AU  - Limonero, Joaquín T
AU  - Medrano, Leonardo Adrián
AU  - Ruiz-Rodríguez, Paloma
AU  - Gracia-Gracia, Irene
AU  - Dongil-Collado, Esperanza
AU  - Iruarrizaga, Iciar
AU  - Chacón, Fernando
AU  - Santolaya, Francisco
PY  - 2016
DA  - 2016/12/23
TI  - 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
JO  - JMIR Res Protoc
SP  - e246
VL  - 5
IS  - 4
KW  - anxiety
KW  - depression
KW  - somatization
KW  - treatment as usual
KW  - cognitive behavioral therapy
KW  - quality of life
KW  - primary care
KW  - emotional disorders
KW  - transdiagnostic therapy
KW  - medically unexplained symptoms
KW  - common mental health disorders
AB  - 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. ClinicalTrial: International Standard Randomized Controlled Trial Number (ISRCTN): 58437086; http://www.isrctn.com/ISRCTN58437086 (Archived by WebCite at http://www.webcitation.org/6mbYjQSn3) 
SN  - 1929-0748
UR  - http://www.researchprotocols.org/2016/4/e246/
UR  - https://doi.org/10.2196/resprot.6351
UR  - http://www.ncbi.nlm.nih.gov/pubmed/28011446
DO  - 10.2196/resprot.6351
ID  - info:doi/10.2196/resprot.6351
ER  -