{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:47:06Z","timestamp":1791798426943,"version":"4.3.4"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018812","name":"Instituto de Investigaci\u00f3n Marqu\u00e9s de Valdecilla","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018812","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Common mental disorders (CMDs), including depression and anxiety, are highly prevalent in primary care, yet access to psychological therapies, which are the first\u2010line 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\u2010based interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Naturalistic observational pre\u2013post study in primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 1149 patients (66% women;\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200944\u2009years) were assessed with the PHQ\u20109 and GAD\u20107 before and after a brief psychological intervention of up to eight sessions per patient delivered individually or in groups. Linear mixed\u2010effects models examined pre\u2013post changes and moderators (intervention format, age, sex). Reliable change, deterioration and recovery were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant and clinically meaningful reductions were observed in depressive (\u0394PHQ\u20109\u2009=\u2009\u22127.8) and anxiety symptoms (\u0394GAD\u20107\u2009=\u2009\u22127.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). 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 (\n                      <jats:italic>d<\/jats:italic>\n                      <jats:sub>RM<\/jats:sub>\n                      \u2009\u2248\u20091.3); 73% achieved reliable improvement and 51% met reliable recovery criteria, while deterioration rates were below 1%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.70068","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:04:46Z","timestamp":1778573086000},"page":"1216-1231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Real\u2010world effectiveness of integrating clinical psychologists into primary care: First\u2010year outcomes from a regional programme for common mental disorders in Spain"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-4731","authenticated-orcid":false,"given":"C\u00e9sar","family":"Gonz\u00e1lez\u2010Blanch","sequence":"first","affiliation":[{"name":"Mental Health Centre University Hospital Marqu\u00e9s de Valdecilla  Santander Spain"},{"name":"IDIVAL Valdecilla Biomedical Research Institute  Santander Spain"},{"name":"Department of Psychology International University of La Rioja (UNIR)  Logro\u00f1o Spain"},{"name":"Faculty of Health Sciences Universidad Europea del Atl\u00e1ntico  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia","family":"Rodr\u00edguez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"IDIVAL Valdecilla Biomedical Research Institute  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0900-6308","authenticated-orcid":false,"given":"Mar\u00eda","family":"Camino\u2010S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Primary Care Services Servicio C\u00e1ntabro de Salud (SCS)  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8906-219X","authenticated-orcid":false,"given":"Rosario","family":"Bengochea\u2010Seco","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Universidad Europea del Atl\u00e1ntico  Santander Spain"},{"name":"Primary Care Services Servicio C\u00e1ntabro de Salud (SCS)  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8655-0512","authenticated-orcid":false,"given":"Cintia","family":"Montes\u2010Novoa","sequence":"additional","affiliation":[{"name":"Primary Care Services Servicio C\u00e1ntabro de Salud (SCS)  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7328-4978","authenticated-orcid":false,"given":"David","family":"Gil\u2010Sanz","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Universidad Europea del Atl\u00e1ntico  Santander Spain"},{"name":"Primary Care Services Servicio C\u00e1ntabro de Salud (SCS)  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6058-3767","authenticated-orcid":false,"given":"Silvia","family":"P\u00e9rez\u2010Monz\u00f3n","sequence":"additional","affiliation":[{"name":"Primary Care Services Servicio C\u00e1ntabro de Salud (SCS)  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2943-3125","authenticated-orcid":false,"given":"Blanca","family":"Uriz\u2010Zafra","sequence":"additional","affiliation":[{"name":"Mental Health Centre University Hospital Marqu\u00e9s de Valdecilla  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7811-8503","authenticated-orcid":false,"given":"Mikel","family":"Mu\u00f1iz\u2010Videchea","sequence":"additional","affiliation":[{"name":"Mental Health Centre University Hospital Marqu\u00e9s de Valdecilla  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4849-496X","authenticated-orcid":false,"given":"Paula","family":"D\u00edaz\u2010G\u00f3mez","sequence":"additional","affiliation":[{"name":"Mental Health Strategy and Planning Office Servicio C\u00e1ntabro de Salud  Cantabria Spain"},{"name":"Department of Nursing University Hospital Marqu\u00e9s de Valdecilla  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3553-7858","authenticated-orcid":false,"given":"Amador","family":"Priede","sequence":"additional","affiliation":[{"name":"IDIVAL Valdecilla Biomedical Research Institute  Santander Spain"},{"name":"Mental Health Strategy and Planning Office Servicio C\u00e1ntabro de Salud  Cantabria Spain"},{"name":"Mental Health Centre Hospital General Sierrallana  Torrelavega Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010022\u201003726\u20104"},{"key":"e_1_2_12_3_1","first-page":"258","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change","author":"Baldwin S. A.","year":"2013"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2020.1729440"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720005498"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44220\u2010024\u201000310\u20105"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44220\u2010023\u201000106\u2010z"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010050817\u2010084833"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.07.010"},{"issue":"2","key":"e_1_2_12_10_1","first-page":"21","article-title":"Utilizaci\u00f3n de los servicios de salud mental en la poblaci\u00f3n general espa\u00f1ola: Resultados del estudio ESEMeD\u2010Espa\u00f1a","volume":"35","author":"Codony M.","year":"2007","journal-title":"Actas Espa\u00f1olas de Psiquiatr\u00eda"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2020.11.002"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856216641310"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.0164"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1134032"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842\u2010200107000\u201000021"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2025.103045"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(19)30132\u20104"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u20108\u20108"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010022\u201001225\u2010y"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000060"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0283104"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010018\u201028995\u20106"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.09.007"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23164"},{"issue":"1","key":"e_1_2_12_25_1","first-page":"1","article-title":"Psychological treatment of emotional disorders in primary care: The transdiagnostic treatment manual of the PsicAP study","volume":"24","author":"Gonz\u00e1lez\u2010Blanch C.","year":"2018","journal-title":"Ansiedad y Estr\u00e9s"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.06.004"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010012\u20109476\u20101"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.prcp.20230064"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006x.59.1.12"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.005"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1159\/000504453"},{"issue":"11","key":"e_1_2_12_32_1","first-page":"858","article-title":"The treatment gap in mental health care","volume":"82","author":"Kohn R.","year":"2004","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_12_34_1","first-page":"139","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change","author":"Lambert M. J.","year":"2004"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082\u2010989x.7.1.105"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218117"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2024.100931"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)31612\u2010X"},{"key":"e_1_2_12_39_1","unstructured":"R Core Team. (2025).R: A language and environment for statistical computing (Version 4.4.3) [Computer software]. R Foundation for Statistical Computing.https:\/\/www.r\u2010project.org\/"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.10.001"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psychotherapy.20200031"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(25)00207\u2010X"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562\u2010023\u201001787\u20103"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.9910"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0031423"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010022\u201001819\u20103"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1521\/ijgp.51.2.243.49848"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.70040"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12259"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010022\u201003806\u20105"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029418"},{"key":"e_1_2_12_53_1","volume-title":"World mental health report: Transforming mental health for all","author":"World Health Organization","year":"2022"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.665019"}],"container-title":["British Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.70068","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bjc.70068","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.70068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:03:22Z","timestamp":1791795802000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/bjc.70068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,12]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/bjc.70068"],"URL":"https:\/\/doi.org\/10.1111\/bjc.70068","archive":["Portico"],"relation":{},"ISSN":["0144-6657","2044-8260"],"issn-type":[{"value":"0144-6657","type":"print"},{"value":"2044-8260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,12]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}