Background We set out to investigate whether community nurses could be trained in problem-solving therapy and, once trained, how effective they would be in treating emotional disorders in primary care.
Method Seventy patients with an emotional disorder in primary care were randomly allocated to receive either problem-solving therapy from atrained community nurse or treatment as usual from their general practitioner.
Interview and self-rated assessments ofclinical and economic outcome were made pretreatment, at eight weeks and at 26 weeks after treatment.
Results There was no difference in clinical outcome between patients who received problem-solving treatment and patients who received the general practitioner's usual treatment.
However, patients who received problem-solving treatment had fewer disability days and fewer days off work.
The health care cost of problem-solving was greater than that of the general practitioner's usual treatment but this was more than offset by savings in the cost of days off work.
Conclusions Problem-solving treatment can be given by trained community nurses.
The clinical effectiveness and cost-benefit ofthe treatment will depend on the selection ofappropriate patients.
Mots-clés Pascal : Trouble humeur, Angoisse anxiété, Thérapie comportementale, Traitement, Soin santé primaire, Infirmier, Traitement communautaire, Aptitude professionnelle, Formation professionnelle, Résolution problème, Analyse coût, Economie santé, Homme
Mots-clés Pascal anglais : Mood disorder, Anxiety, Behavior therapy, Treatment, Primary health care, Nurse, Community treatment, Vocational aptitude, Occupational training, Problem solving, Cost analysis, Health economy, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0224094
Code Inist : 002B18H04. Création : 11/06/1997.