Is there a case for mental health promotion in the primary care setting? A systematic review

Abstract Objectives To evaluate the effectiveness of mental health promotion (MHP) interventions by primary health care professionals in the adult population. Methods Systematic review of literature in English and Spanish for randomized controlled trials (RCTs) and observational studies evaluating t...

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Bibliographic Details
Published in:Preventive medicine 2015-07, Vol.76, p.S5-S11
Main Authors: Fernandez, Ana, Moreno-Peral, Patricia, Zabaleta-del-Olmo, Edurne, Bellon, Juan Angel, Aranda-Regules, Jose Manuel, Luciano, Juan Vicente, Serrano-Blanco, Antoni, Rubio-Valera, Maria
Format: Article
Language:English
Subjects:
Female
Health Promotion
Healthy Volunteers
Humans
Internal Medicine
Male
Mental Health
Primary health care
Primary Health Care - methods
Randomized Controlled Trials as Topic
Systematic review
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Summary:Abstract Objectives To evaluate the effectiveness of mental health promotion (MHP) interventions by primary health care professionals in the adult population. Methods Systematic review of literature in English and Spanish for randomized controlled trials (RCTs) and observational studies evaluating the impact of interventions carried out by primary care professionals explicitly to promote and improve the overall mental health of adult patients. PubMed, PsycINFO, and Web of Science were independently searched by two investigators to identify all MHP articles from inception to October 2013 (no restrictions). Results We retrieved 4262 records and excluded 4230 by a review of title and abstract. Of 32 full-text articles assessed, 3 RCTs were selected (2 in USA, 1 in UK); two focused on the mental health of parents whose children have behavioral problems, the other on older people with disabilities. One study reported a MHP intervention that improved participants' mental health at 6-month follow-up. All studies had low-moderate quality (2 of 5 points) on the Jadad Scale. Conclusion There is a lack of implementation and/or evaluation of mental health promotion activities conducted by primary care professionals. More research is needed to clearly understand the benefits of promoting mental health in this setting.
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2014.11.019