A stepped care program in primary care for patients with depressive and/or anxiety disorders is more effective than care as usual.
ID
Bron
Verkorte titel
Aandoening
Depressive disorders (major and minor), Anxiety disorders (major and minor).
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Speed of recovery in terms of symptom reduction (QIDS for depression, and the HADS-A for anxiety) at baseline and after 8, 16 and 24 weeks.
Achtergrond van het onderzoek
Primary care patients with depressive and / or anxiety disorders are randomly assigned to stepped care or care as usual. Stepped care consists of 4 interventions of increasing intensity: (1) watchful waiting (2) bibliotherapy (3) problem solving therapy (4) medication and / or psychotherapy in mental health care. Patients will be monitored at baseline and after 8, 16 and 24 weeks on primary outcomes (symptoms of depression and anxiety) and secondary outcomes (quality of life, use of health care services, medication use, productivity loss, satisfaction with care / continuity of care.
Doel van het onderzoek
A stepped care program in primary care for patients with depressive and/or anxiety disorders is more effective than care as usual.
Onderzoeksproduct en/of interventie
In the current study a stepped care program will be developed for primary care patients with anxiety and/or depression. A stepped care program is characterized by different steps of treatment that are arranged in order of increasing intensity. After each step, the patient will be monitored, to determine if symptoms have been sufficiently reduced. The program consists of evidence based interventions: 1. Watchful waiting;
2. Bibliotherapy;
3. Problem solving treatment;
4. Medication and/or an evidence based treatment in specialised mental health care.
The control condition is care as usual.
Algemeen / deelnemers
Van der Boechorststraat 1
Laura Kool
Van der Boechorststraat 1
Amsterdam 1081 BT
The Netherlands
+31 (0) 20 5982544
lm.kool@psy.vu.nl
Wetenschappers
Van der Boechorststraat 1
Laura Kool
Van der Boechorststraat 1
Amsterdam 1081 BT
The Netherlands
+31 (0) 20 5982544
lm.kool@psy.vu.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
They are recruited through screening (all patients who visited their GP). They have to meet the following criteria:
1. Between 18-65 years;
2. A DSM diagnosis of minor depression, major depression, dysthymia, panic disorder (with or without agoraphobia), generalised anxiety disorder, or social phobia. Patients with minor anxiety (not fulfilling any DSM criteria of an anxiety disorder) will also be included.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Patients are excluded if they:
1. Have psychotic or bipolar symptoms;
2. Have a high suicide risk;
3. Are currently under treatment or received treatment for depression/anxiety in the past twelve months;
4. Cannot read or write Dutch sufficiently enough to complete the questionnaires.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL787 |
| NTR-old | NTR799 |
| Ander register | : N/A |
| ISRCTN | ISRCTN17831610 |