Evaluation of a brief psychological treatment for emotional disorders in primary care

Psychol Med. 1991 Nov;21(4):1013-8. doi: 10.1017/s0033291700030002.


A randomized trial in general practice compared: (i) a brief psychological treatment (problem-solving) given by a psychiatrist; (ii) any treatment of the GP's choice, whether psychological or pharmacological. The patients had recent onset emotional disorders of poor prognosis. Patients in the problem-solving group showed significantly greater reductions in symptoms. Problem-solving as given by a psychiatrist was feasible in primary care and acceptable to patients. Problem-solving is now being evaluated as given by general practitioners trained in the method.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / psychology
  • Affective Symptoms / therapy*
  • Aged
  • Anxiety / psychology
  • Anxiety / therapy
  • Depression / psychology
  • Depression / therapy
  • Family Practice
  • Female
  • Humans
  • Irritable Mood
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Patient Satisfaction
  • Physician's Role*
  • Physician-Patient Relations*
  • Problem Solving
  • Prognosis
  • Psychotherapy, Brief / methods*
  • Sleep Wake Disorders / psychology
  • Sleep Wake Disorders / therapy
  • Somatoform Disorders / psychology
  • Somatoform Disorders / therapy