Details

Autor(en) / Beteiligte

• Oosterbaan, Desiree B.
• Verbraak, Marc J. P. M.
• Terluin, Berend
• Hoogendoorn, Adriaan W.
• Peyrot, Wouter J.
• Muntingh, Anna
• van Balkom, Anton J. L. M.

Titel

Collaborative stepped care v. care as usual for common mental disorders: 8-month, cluster randomised controlled trial

Ist Teil von

• British journal of psychiatry, 2013-08, Vol.203 (2), p.132-139

Ort / Verlag

Cambridge, UK: Cambridge University Press

Erscheinungsjahr

2013

Link zum Volltext

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Thus far collaborative stepped care (CSC) studies have not incorporated self-help as a first step. To evaluate the effectiveness of CSC in the treatment of common mental disorders. An 8-month cluster randomised controlled trial comparing CSC to care as usual (CAU) (Dutch Trial Register identifier NTR1224). The CSC consisted of a stepped care approach guided by a psychiatric nurse in primary care with the addition of antidepressants dependent on the severity of the disorder, followed by cognitive-behavioural therapy in mental healthcare. Twenty general practitioners (GPs) and 8 psychiatric nurses were randomised to provide CSC or CAU. The GPs recruited 163 patients of whom 85% completed the post-test measurements. At 4-month mid-test CSC was superior to CAU: 74.7% (n = 68) v. 50.8% (n = 31) responders (P = 0.003). At 8-month post-test and 12-month follow-up no significant differences were found as the patients in the CAU group improved as well. Treatment within a CSC model resulted in an earlier treatment response compared with CAU.