psychische stoornissen: angststoornissen en -symptomen anxiety and depression
Conditions
Interventions
Stepped care model with 4 evidence based steps: 1. Watchful waiting, 2.
Internet-based self-help, 3. Problem Solving Therapy applied by a nurse, and 4.
Specialised psychological interventions and/or
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Treatment for UICC stage I-IV lung or head and neck carcinoma: ICD-10 C00-C14 (lip, oral cavity and pharynx), C32 (larynx), C33 (trachea), C34 (lung); psychological distress or possible or probable cases of depression or anxiety as assessed by the Hospital Anxiety Depression Scale (HADS-Anxiety subscale score > 7 and/or HADS-Depression subscale score > 7, or total score on HADS > 14). For more details, see page 11 of the researchprotocol.
Exclusion criteria
Exclusion criteria: Other (neurological) diseases causing cognitive dysfunction; no motivation to undergo psychosocial therapy; current treatment for a depressive or anxiety disorder; end of treatment for a psychiatric disorder less than two months ago, high suicide risk; psychotic and/or manic signs; too little knowledge of the Dutch language to fill out the questionnaires.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the Hospital Anxiety and Depression Scale (HADS) and costs (health care utilization and work loss (TIC-P and PRODISQ modules)). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are quality of life questionnaires (EORTC QLQ-C30, EORTC QLQ-HN35, EORTC QLQ-LC13) and patient satisfaction with care (EORTC QLQ-PATSAT). | — |
Countries
Netherlands
Outcome results
None listed