title: Is there a case for mental health promotion in the primary care setting? A systematic review.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Centre for Disability Research and Policy/Brain and Mind Research Institute, Faculty of Health Sciences, University of Sydney, Australia; Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Department of Pharmacology and Therapeutic Chemistry, School of Pharmacy, Universitat de Barcelona, Spain. Electronic address: ana.fernandez@sydney.edu.au.
authors.forename: Ana
authors.initials: A
authors.lastname: Fernandez
authors.affiliation: Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Moreno-Peral
authors.affiliation: Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain.
authors.forename: Edurne
authors.initials: E
authors.lastname: Zabaleta-del-Olmo
authors.affiliation: Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain; Centro de Salud El Palo, Distrito de Atención Primaria Málaga-Guadalohorce, Departamento de Medicina Preventiva, Universidad de Málaga, Spain.
authors.forename: Juan Angel
authors.initials: JA
authors.lastname: Bellon
authors.affiliation: Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain; Centro de Salud San Andrés Torcal, Distrito Sanitario Málaga-Guadalhorce, Servicio Andaluz de Salud, Málaga, Spain.
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Aranda-Regules
authors.affiliation: Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Open University of Catalonia, Barcelona, Spain.
authors.forename: Juan Vicente
authors.initials: JV
authors.lastname: Luciano
authors.affiliation: Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain.
authors.forename: Antoni
authors.initials: A
authors.lastname: Serrano-Blanco
authors.affiliation: Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Open University of Catalonia, Barcelona, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Rubio-Valera
mesh_terms: D005260:Female; D006293:Health Promotion; D064368:Healthy Volunteers; D006801:Humans; D008297:Male; D008603:Mental Health; D011320:Primary Health Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic
keywords: Health promotion; Mental health; Primary health care; Systematic review