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Start Over Author "Pau Riera" Journal actas espanolas de psiquiatria
2 results on '"Pau Riera"'

1. Detection and treatment of depressive disorder in the spanish health system: a critical review

Author

Margalida, Gili, Pau, Riera-Serra, Lorenzo, Roldán-Espínola, Adoración, Castro, Victoria, Coronado-Simsic, Mauro, García-Toro, and Miquel, Roca

Subjects
Depressive Disorder, Major, Primary Health Care, Spain, Humans, Mass Screening
Abstract

Health care for depression is a major challenge. The aim of this review is to capture the status of the detection, diagno- sis and treatment of depression in the Spanish public health system. The data from the latest National Health Survey (ENSE 2017) have been analyzed and a non-systematic search for publications has been carried out in the PubMed and Scopus databases. We highlight the high specificity and low sensitivity in the detection of cases of major depression by Primary Care (PC) physicians in Spain. The detection of depression is supe- rior in specialized care compared to PC. The new healthcare systems based on the shared approach and the hierarchical model of screening, diagnosis and referral are reviewed and we present improvement proposals based on various programs and models of healthcare for depression.

Published
2022

2. Moderate alcohol consumption and depression prevention: A critical review.

Author

Lina-Jolien P, Rocío GJ, Miquel R, Margalida G, Adoración C, María Ángeles PA, Joan S, Pau R, and Mauro GT

Subjects
Alcohol Drinking, Antidepressive Agents, Depression etiology, Humans, Alcoholism complications, Alcoholism prevention & control, Cardiovascular Diseases
Abstract

There is a clear consensus that alcohol use disorders are associated with poorer outcomes concerning depression, and that drinking alcohol shouldn`t be recommended because of the risk of dependence. Until recently, literature focused almost exclusively on patients with alcohol use disorders and excludes patients with moderate alcohol use (MAU). It’s has been shown that MAU can prevent or improve the evolution of chronic diseases such as cardiovascular diseases, but several researchers have suggested that there is no safe level of alcohol drinking due to other effects on health. Nevertheless, there is some evidence regarding the antidepressant effect of moderate alcohol consumption. This critical review aims to sum up the direction and tendency of current research on the effect of MAU on depression and relate the causal or confounders factors that might explain the results.

Published
2022

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