The effects of collaborative care versus consultation liaison for anxiety disorders and depression in Denmark: two randomised controlled trials

Author:

Curth Nadja KehlerORCID,Hjorthøj Carsten,Brinck-Claussen Ursula,Jørgensen Kirstine Bro,Rosendal Susanne,Bojesen Anders Bo,Nordentoft Merete,Eplov Lene Falgaard

Abstract

BackgroundCollaborative care (CC) and consultation liaison (CL) are two conceptual models aiming to improve mental healthcare in primary care. The effects of these models have not been compared in a Danish setting.AimsTo examine the effects of CC versus CL for persons with anxiety and depression in Danish general practices (trial registration: NCT03113175 and NCT03113201).MethodTwo randomised parallel superiority trials for anxiety disorders and depression were carried out in 2018–2019. In the CC-group, care managers collaborated with general practitioners (GPs) to provide evidence-based treatment according to structured treatment plans. They followed up and provided psychoeducation and/or cognitive–behavioural therapy. The GPs initiated pharmacological treatment if indicated, and a psychiatrist provided supervision. In the CL-group, the intervention consisted of the GP's usual treatment. However, the psychiatrist and care manager could be consulted. Primary outcomes were depression symptoms (Beck Depression Inventory-II, BDI-II) in the depression trial and anxiety symptoms (Beck Anxiety Inventory, BAI) in the anxiety trial at 6-month follow-up.ResultsIn total, 302 participants with anxiety disorders and 389 participants with depression were included. A significant difference in BDI-II score was found in the depression trial, with larger symptom reductions in the CC-group (CC: 12.7, 95% CI 11.4–14.0; CL: 17.5, 95% CI 16.2–18.9; Cohen's d = −0.50, P ≤ 0.001). There was a significant difference in BAI in the anxiety trial (CC: 14.9, 95% CI 13.5–16.3; CL: 17.9, 95% CI 16.5–19.3; Cohen's d = −0.34, P ≤ 0.001), with larger symptom reductions in the CC-group.ConclusionsCollaborative care was an effective model to improve outcomes for persons with depression and anxiety disorders.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference33 articles.

1. 20 Sundhedsstyrelsen. [Danish Health Authority.] Referenceprogram for Unipolar Depression hos Voksne. [Reference Programme for Unipolar Depression in Adults.] Sundhedsstyrelsen, 2007 (https://www.sst.dk/-/media/Udgivelser/2007/Publ2007/PLAN/SfR/SST_Dep,-d-,rapport,-d-,pdf.ashx).

2. EQ-SD: a measure of health status from the EuroQol Group

3. A systematic review of complex system interventions designed to increase recovery from depression in primary care

4. Consultation liaison in primary care for people with mental disorders;Gillies;Cochrane Database Syst Rev,2015

5. Generalized anxiety and depression in primary care: prevalence, recognition, and management;Wittchen;J Clin Psychiatry,2002

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3