depressive complaints subthreshold depressive disorder
Conditions
Interventions
The stepped-care program with a central role for patients consists of
sequentially watchful waiting, bibliotherapy, problem solving treatment (PST),
medication and referral to secondary care/psychia
Sponsors
Vrije Universiteit
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - 18 years and older - diagnosis of diabetes mellitus type 2 and/or coronary heart disease - in primary care - subthreshold depression (scoring 6 points or more on PHQ-9 in combination with the absence of a diagnosis on the Mini International Neuropsychiatric Interviw (MINI)
Exclusion criteria
Exclusion criteria: - bipolar disorder - cognitive impairment or dementia - psychotic illnes - terminal illnes - currently taking antidepressant medication - a history of suicide attempts - insufficient Dutch language skills - visual impairments or illiteracy - loss of significant other
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The cumulative incidence of depression after 12 months according to an independent Mini International Neuropsyciatric Interview (MINI) Severity of depression symptoms Quality of life | — |
Secondary
| Measure | Time frame |
|---|---|
| HbA1C bloodpressure LDL cholesterol | — |
Countries
Netherlands
Outcome results
None listed