Author:
Willemse Godelief R. W. M.,Smit Filip,Cuijpers Pim,Tiemens Bea G.
Abstract
BackgroundSub-threshold depression is a prognostic variable for major depression. Interventions in sub-threshold depression may prevent the onset of new cases of major depression.AimsTo examine the effects of minimal-contact psychotherapy in primary care patients with sub-threshold depression on the onset of major depression, on the reduction in depressive symptoms and on health-related quality of life.MethodWe conducted a randomised trial in primary care, in which patients screened for sub-threshold depression were randomly assigned to minimal-contact psychotherapy (n=107) or to usual care (n=109).ResultsOne year after baseline, the incidence of major depressive disorder was found to be significantly lower in the psychotherapy group (12%) than in those receiving usual care (18%). Small but significant effects were also found on depressive symptoms and on aspects of health-related quality of life.ConclusionsPrimary care patients with sub-threshold depression can benefit from minimal-contact psychotherapy.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Reference36 articles.
1. The Course of Depression in Adult Outpatients
2. Dutch general practitioner society Guidelines on Depression (in Dutch);Van Marwiijk;Huisarts en Wetenschap,1994
3. The CES-D Scale
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