Depressive disorders (major and minor), Anxiety disorders (major and minor).
Conditions
Interventions
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
2. Bibliotherapy
4. Medication and/or an evidence based treatment in specialised mental health care.
The control condition is care as usual.
Sponsors
VU University Medical Center, Department of Clinical Psychology, EMGO institute
Eligibility
Inclusion criteria
Inclusion criteria: 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.
Exclusion criteria
Exclusion criteria: 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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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. | — |
Secondary
| Measure | Time frame |
|---|---|
| At baseline and after 8, 16 and 24 weeks: 1. DSM diagnosis (CIDI); 2. Quality of life (SF36 and Euroqol); 3. The use of health care services (TIC-P); 4. The use of medication (TIC-P); 5. Productivity losses (TIC-P); 6. Satisfaction with delivered care / continuity of care (Quote). | — |
Contacts
Public ContactLaura Kool
VU University Medical Center, FPP, Department of Clinical Psychology Van der Boechorststraat 1
Outcome results
None listed