eprintid: 28570 rev_number: 6 eprint_status: archive userid: 2 dir: disk0/00/02/85/70 datestamp: 2026-05-14 23:30:15 lastmod: 2026-05-14 23:30:15 status_changed: 2026-05-14 23:30:15 type: article metadata_visibility: show creators_name: González‐Blanch, César creators_name: Rodríguez‐Pérez, Noelia creators_name: Camino‐Sánchez, María creators_name: Bengochea-Seco, Rosario creators_name: Montes‐Novoa, Cintia creators_name: Gil-Sanz, David creators_name: Pérez‐Monzón, Silvia creators_name: Uriz‐Zafra, Blanca creators_name: Muñiz‐Videchea, Mikel creators_name: Díaz‐Gómez, Paula creators_name: Priede, Amador creators_id: cesar.gonzalezblanch@uneatlantico.es creators_id: creators_id: creators_id: creators_id: creators_id: david.gil@uneatlantico.es creators_id: creators_id: creators_id: creators_id: creators_id: title: Real‐world effectiveness of integrating clinical psychologists into primary care: First‐year outcomes from a regional programme for common mental disorders in Spain ispublished: pub subjects: uneat_ps divisions: uneatlantico_produccion_cientifica full_text_status: none abstract: Objectives Common mental disorders (CMDs), including depression and anxiety, are highly prevalent in primary care, yet access to psychological therapies, which are the first-line treatment for these conditions, remains limited. This study evaluated the effectiveness of the Clinical Psychology in Primary Care Programme in Cantabria during its first year of implementation, which integrated clinical psychologists into primary care teams to deliver brief, evidence-based interventions. Design Naturalistic observational pre–post study in primary care. Methods A total of 1149 patients (66% women; M = 44 years) were assessed with the PHQ-9 and GAD-7 before and after a brief psychological intervention of up to eight sessions per patient delivered individually or in groups. Linear mixed-effects models examined pre–post changes and moderators (intervention format, age, sex). Reliable change, deterioration and recovery were calculated. Results Significant and clinically meaningful reductions were observed in depressive (ΔPHQ-9 = −7.8) and anxiety symptoms (ΔGAD-7 = −7.1; p < .001). Individual therapy produced greater improvements than group interventions, and younger participants showed slightly larger gains; sex showed no effect. Moderate variability in outcomes was observed across therapists. Among completers, large effect sizes were found (dRM ≈ 1.3); 73% achieved reliable improvement and 51% met reliable recovery criteria, while deterioration rates were below 1%. Conclusions Findings support the consolidation and expansion of the integration of clinical psychologists into primary care, providing evidence that the psychological interventions delivered in this context are a feasible, equitable and effective approach to treating CMDs in the Spanish public health system. date: 2026-05 publication: British Journal of Clinical Psychology id_number: doi:10.1111/bjc.70068 refereed: TRUE issn: 0144-6657 official_url: http://doi.org/10.1111/bjc.70068 access: close language: en citation: Artículo Materias > Psicología Universidad Europea del Atlántico > Investigación > Artículos y libros Cerrado Inglés Objectives Common mental disorders (CMDs), including depression and anxiety, are highly prevalent in primary care, yet access to psychological therapies, which are the first-line treatment for these conditions, remains limited. This study evaluated the effectiveness of the Clinical Psychology in Primary Care Programme in Cantabria during its first year of implementation, which integrated clinical psychologists into primary care teams to deliver brief, evidence-based interventions. Design Naturalistic observational pre–post study in primary care. Methods A total of 1149 patients (66% women; M = 44 years) were assessed with the PHQ-9 and GAD-7 before and after a brief psychological intervention of up to eight sessions per patient delivered individually or in groups. Linear mixed-effects models examined pre–post changes and moderators (intervention format, age, sex). Reliable change, deterioration and recovery were calculated. Results Significant and clinically meaningful reductions were observed in depressive (ΔPHQ-9 = −7.8) and anxiety symptoms (ΔGAD-7 = −7.1; p < .001). Individual therapy produced greater improvements than group interventions, and younger participants showed slightly larger gains; sex showed no effect. Moderate variability in outcomes was observed across therapists. Among completers, large effect sizes were found (dRM ≈ 1.3); 73% achieved reliable improvement and 51% met reliable recovery criteria, while deterioration rates were below 1%. Conclusions Findings support the consolidation and expansion of the integration of clinical psychologists into primary care, providing evidence that the psychological interventions delivered in this context are a feasible, equitable and effective approach to treating CMDs in the Spanish public health system. metadata González‐Blanch, César; Rodríguez‐Pérez, Noelia; Camino‐Sánchez, María; Bengochea-Seco, Rosario; Montes‐Novoa, Cintia; Gil-Sanz, David; Pérez‐Monzón, Silvia; Uriz‐Zafra, Blanca; Muñiz‐Videchea, Mikel; Díaz‐Gómez, Paula y Priede, Amador mail cesar.gonzalezblanch@uneatlantico.es, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, david.gil@uneatlantico.es, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR (2026) Real‐world effectiveness of integrating clinical psychologists into primary care: First‐year outcomes from a regional programme for common mental disorders in Spain. British Journal of Clinical Psychology. ISSN 0144-6657