gevoelens van angst en depressie Psychological distress. Anxious and depressive mood.
Conditions
Interventions
We have developed the TES program, which involves Targeted selection and
Enhanced care, delivered on the basis of Stepped care (TES). The steps include:
(i) Watchful waiting. (ii) If psychological d
an internet based self-help program or a booklet and surface mail is used to
deliver self help. (iii) If psychological distress persists, a problem analysis
is performed and a contract is made with
treatment consists of problem solving therapy (face-to-face).(iv) If
psychological distress persists, psychotherapy or medication is offered.
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients with metastatic colorectal cancer (CRC); start of treatment with 1st line chemotherapy according to standard care, including fluoropyrimidine (e.g. fluorouracil or capecitabine), irinotecan, and oxaliplatin; life expectation > 3 months.
Exclusion criteria
Exclusion criteria: Age 85 years; insufficient command of the Dutch language; recent psychotherapy (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the difference in treatment effect over time in psychological distress, as assessed with the HADS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include quality of life, patient evaluation of care, recognition and management of psychological distress, and costs. | — |
Countries
Netherlands
Outcome results
None listed