Table 19.

Classification of recommendation and level of evidence in approaching psychosocial factors in primary prevention

Recommendation	Class	Level of evidence
• Behavioral changes with cognitive-behavioral strategy (motivational) I	I	A
• Integration of education and motivational strategies with a multiprofessional team whenever possible I	I	A
• Psychological or psychiatric consultation for more severe cases I	I	C
• Assessment of psychosocial risk factors IIa	IIa	B
• Pharmacological treatment and psychotherapy for patients with severe depression, anxiety and hostility, aimed at improving ^ the quality of life, despite lack of evidence	IIb	B