• Anaí Izaguirre-Riesgo, Lara Menéndez-González, and Fernando Alonso Pérez.
• Enfermera especialista en Enfermería Familiar y Comunitaria, Centro de Salud El Llano, Servicio de Salud del Principado de Asturias, Gijón, Asturias, España. Electronic address: anai.izaguirre@gmail.com.
• Aten Primaria. 2020 Jun 1; 52 (6): 400-409.

ObjectiveTo evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care.DesignQuasi-experimental non-controlled, non-randomised study, with repeated measurements.SettingSeven health centres, in area v of the Principality of Asturias, between 2014 and 2018.ParticipantsSubjects between 18-65 years with mixed anxiety, depressive, and adaptive disorders, with no serious mental disease. Non-probabilistic convenience sampling was used.InterventionA group intervention was made, consisting of 9 weekly sessions of 90min, daily practice, and reinforcement sessions at one month, 3, 6, and 12 months.Main MeasurementsPre-post measurements using validated and self-administered questionnaires; medium-term (3-6 months) and long-term (>12 months) of the variables: trait anxiety/state anxiety (Status-Trait Anxiety Questionnaire -STAI-); anxiety/depression (Goldberg Anxiety and Depression Scale -GHQ28-), mindfulness (Five Facet Mindfulness Questionnaire -FFMQ-), reduction of pharmacological treatment (open questions).ResultsThe study included a final sample of 314 subjects. A statistically significant difference in means was found in the 3 follow-up periods as regards the baseline values for all the scales/subscales. There was a reduction of 54.3% in the taking of anxiolytic/antidepressant baseline medication in the long-term follow-up (P<.001).ConclusionsA moderate reduction of the symptoms, together with the reduction of the medication, indicate that the intervention of mindfulness supervised by the primary care nurse can be a treatment option for the mental disorders common in this level of care.Copyright © 2019 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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