Major depression Mental and Behavioural Disorders Major depression
Conditions
Interventions
Half of the participants will be allocated to the intervention group and another half into the control group. This trial involves 23 doctors and 23 nurses from 12 primary care teams in Barcelona.
Int
Sponsors
Jordi Gol i Gurina Primary Care Research Institute (IDIAP Jordi Gol i Gurina) (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients between 25 and 70 years of age 2. Rating of 20 or more points in the Beck Depression Inventory Scale (BDI) 3. Whose family practitioner thinks they suffer from depression and they need to initiate anti-depressant treatment
Exclusion criteria
Exclusion criteria: 1. Pregnancy or breastfeeding 2. Background of severe psychiatric disorders: psychosis, paranoia, severe personality disorders, delusional thoughts 3. Existence of suicidal ideation or attempts 4. Two or more episodes of major depression, or one or more episodes that might require hospitalization 5. Patients who have received antidepressant medication in the past year 6. Patients with mental health problems who have been referred to psychiatric specialists for these reasons 7. Substance abuse and/or drugs 8. Treatment for Parkinson's disease or epilepsy 9. Temporal residents (plan to move in the next six months) 10. Unable to communicate in Spanish or Catalan languages
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Differences between groups in the average of decrease in depression symptoms, measured by BDI at 6 months 2. Increase in quality of life, measured by the 12-item Short Form health survey (SF-12) at 6 months 3. Increase in satisfaction with the professional, measured by the satisfaction questionnaire of Baker at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Percentage of acceptance of the intervention (comparison of the two groups): patient satisfaction and losses that occur at different times of follow-up 2. Average of differences between the two groups with respect to: 2.1. Frequency and duration of visits 2.2. Referrals 2.3. Drug treatment 3. Comparison of adherence to treatment between the two groups | — |
Countries
Spain
Outcome results
None listed