Moderate to severe, or mild persistent, episode of Major Depression (DSM-IV) who initiate a new antidepressant treatment episode. Mental and Behavioural Disorders Depression
Conditions
Interventions
Two groups, one of which is a control group comprising patients receiving usual primary care management and the other is the intervention group comprising patients on a structured programme for treati
in the continuation phase will be every two months
nevertheless, the plan of follow-up visits will be individualised. The optimal supervision and consultation mechanisms will be implemented with the psychiatric level.
Control group:
Usual primary ca
Sponsors
Jordi Gol i Gurina Primary Care Research Institute (Institut D'Investigació en Atenció Primària) (IDIAP) (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Primary care patients over 18 years of age 2. An episode of major depression (Diagnostic and Statistical Manual of mental disorders - fourth edition [DSM-IV]), moderate to severe, or persistently mild 3. Who need to initiate anti-depressant treatment
Exclusion criteria
Exclusion criteria: 1. Limitations that prevent the participation (e.g., severe illness, language limitations, etc) 2. Bipolar disorder 3. Psychotic disorder 4. Dependence of alcohol or drugs 5. Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Severity of the depressive symptoms at three, six and 12 months 2. Response rate at three, six and 12 months 3. Remission rate (Patient Health Questionnaire [PHQ-9]) at three, six and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health-related quality of life (Short Form health survey [SF-12]) 2. Satisfaction 3. Medical care conformity with clinical guidelines 4. Adherence to treatment 5. Use of resources 6. Costs | — |
Countries
Spain
Outcome results
None listed