Stepped Care in patients with common mental disorders: a randomized controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON24281

Enrollment

163

Registered

2008-03-17

Start date

2003-01-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stepped Care Anxiety Disorders

Interventions

Stepped Care: The first step intervention was provided in primary care. These patients were offered a selfhelp course, guided by five forthy-five minute sessions with a psychiatric nurse at the office

Eligibility

Inclusion criteria

Inclusion criteria: 1. Primary Care patients with the following ICPC codes: - Feeling Anxious/Nervous/Tense (P01) - Feeling Depressed (P03) - Feeling/Behaving Irritable/Angry (P04) - Anxiety Disorder/Anxiety State (P74) - Hypochondriasis (P79) - Depressive Disorder (P76) - Neurasthenia (P78) - Other Neurosis (P79) 2. 18 years and older.

Exclusion criteria

Exclusion criteria: 1. Obsessive Compulsive Disorder 2. Posttraumatic Stress Disorder 3. Alcohol or Drug Dependence 4. Dementia 5. Psychotic Disorder 6. Bipolar Disorder 7. Terminal Illness 8. Language Barrier 9. Treatment with psychotropic drugs (except for benzodiazepines) 10. Cognitive Behavioural Therapy or InterPersonal Therapy in the present episode of the psychiatric disorder

Design outcomes

Primary

Measure	Time frame
1. Percentage of patients responding to treatment, defined as a score of 1 (“very much improved”) or 2 (“much improved”) on the clinical global improvement rating(CGI). 2. Percentage of patients achieving remission, defined as a score of 1 (“normal, not at all ill”) or 2 (“borderline mentally ill”) on the clinical global rating of severity (CGS). CGI and CGS were measured by independent raters.	—

Measure

Time frame

1. Percentage of patients responding to treatment, defined as a score of 1 (“very much improved”) or 2 (“much improved”) on the clinical global improvement rating(CGI). 2. Percentage of patients achieving remission, defined as a score of 1 (“normal, not at all ill”) or 2 (“borderline mentally ill”) on the clinical global rating of severity (CGS). CGI and CGS were measured by independent raters.

—

Secondary

Measure	Time frame
Assessor-rated (indenpendent, blind rater): 1. HAM-Anxiety 2. Criteria for index diagnosis were checked with the MINI during telephone interview by an independent rater. 3. Medical consumption. Self-rated: 1. CES-D 2. Fear Questionnaire 3. SCL-90 4. 4-DSQ 5. Whiteley Index 6. SF-36 7. MALC 8. SSI 9. PDQ-R (B-cluster) 10. medical consumption	—

Contacts

Public ContactDesiree Oosterbaan

Adapt/Adhesie Stationsplein 20

d.oosterbaan@adhesie.nl31-546-832300

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)