Stepped care in depression and anxiety: from primary to secondary care.

• Conditions: Depressive disorders (major and minor), Anxiety disorders (major and minor).

• Registration Number: NL-OMON24367
• Lead Sponsor: VU University Medical Center, Department of Clinical Psychology, EMGO institute

Brief Summary

/A

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 28 February 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Not specified
• Target Recruitment: 200

Inclusion Criteria

They are recruited through screening (all patients who visited their GP). They have to meet the following criteria:
1. Between 18-65 years;
2. A DSM diagnosis of minor depression, major depression, dysthymia, panic disorder (with or without agoraphobia), generalised anxiety disorder, or social phobia. Patients with minor anxiety (not fulfilling any DSM criteria of an anxiety disorder) will also be included.

Exclusion Criteria

Patients are excluded if they:
1. Have psychotic or bipolar symptoms;
2. Have a high suicide risk;
3. Are currently under treatment or received treatment for depression/anxiety in the past twelve months;
4. Cannot read or write Dutch sufficiently enough to complete the questionnaires.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Speed of recovery in terms of symptom reduction (QIDS for depression, and the HADS-A for anxiety) at baseline and after 8, 16 and 24 weeks.

Secondary Outcome Measures

Name	Time	Method
At baseline and after 8, 16 and 24 weeks: <br>1. DSM diagnosis (CIDI);<br>2. Quality of life (SF36 and Euroqol);<br>3. The use of health care services (TIC-P);<br>4. The use of medication (TIC-P);<br>5. Productivity losses (TIC-P);<br>6. Satisfaction with delivered care / continuity of care (Quote).