To compare transmurale collaborative stepped care with care as usual for patients with a depression or anxiety disorder with five or more concomitant physical symptoms.
ID
Source
Brief title
Condition
- Other condition
- Somatic symptom and related disorders
Synonym
Health condition
Depressie, gegeneraliseerde angststoornis, paniekstoornis
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
PHQ-9, GAD-7 and the Dutch version of the Physical Symptoms Questionnaire, in
Dutch *Lichamelijke Klachten Vragenlijst* (LKV).
Secondary outcome
Short Form 36 Health Survey (SF36), EuroQol-D5 (EQ-D5), Nederlandse versie van
de Coping Inventory for Stressful Situations (CISS-NL), Patient-Doctor
Relationship Questionnaire (PDRQ9), Brief Pain Inventory (BPI), Scale for
Medical Utilisation of Health Services, CBS-vragenlijst and Trimbos/iMTA
questionnaire for Costs associated with Psychiatric Illness (TiC-P).
Background summary
Concomitant physical symptoms frequently complicate the treatment of common
mental disorders. At this time, usual care for this highly prevalent patient
group is insufficient. The objective of this study is to investigate effects
and costs of a Transmural Collaborative stepped Care model with Consultation
Letter (TCCCL) to the general practitioner, versus care as usual, for patients
with concomitant physical symptoms in Major Depressive Disorder, Generalized
Anxiety Disorder and Panic Disorder who are referred by general practitioners
to the mental health outpatient clinic. Patients start treatment in the mental
health outpatient setting, and receive good follow up when they are referred
back to the general practitioner care, with a consultation letter, in the
primary care setting. Results of this study will contribute to treatment
options for a complex group of patients.
Study objective
To compare transmurale collaborative stepped care with care as usual for
patients with a depression or anxiety disorder with five or more concomitant
physical symptoms.
Study design
Two armed randomized clinical trial.
Intervention
Patients in the intervention-arm will receive care following a collaborative
stepped care protocol with Problem Solving Treatment, en selfhelp manual guided
by a psychologist, graded activity excerices guided by a physiotherapist,
medication and reverral back to the general practitioner with a consultation
letter that contains instructions for futher guidance.
The control group will receive care as usual.
Study burden and risks
Both groups (intervention and care as usual) will receive evidence based
treatment, so there is no risk in participation.
Lage Witsiebaan 4
5042DA Tilburg
NL
Lage Witsiebaan 4
5042DA Tilburg
NL
Listed location countries
Age
Inclusion criteria
A score of >= 10 on the Patients Health Questionnaire-9 (PHQ-9) and >= 5 physical symptoms,
or:
A score of >= 10 on the Generalised Anxiety Disorder Assessment (GAD-7) and >= 5 physical symptoms
Exclusion criteria
Patients are excluded from the study if they are less than 18 years old, have insufficient knowledge of Dutch to fill in the questionnaires, or are suicidal, psychotic or suffering from dementia.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL37505.097.11 |
| OMON | NL-OMON23655 |