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Randomised controlled trial of a brief, activating treatment by social workers and usual general practitioner care for patients with minor mental disorders leading to sickness absence

Completed
Conditions
Minor mental disorders
Mental and Behavioural Disorders
Registration Number
ISRCTN10342533
Lead Sponsor
The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
370
Inclusion Criteria

Included were primary care patients who:
1. Were suffering from minor mental disorder(s) according to GP and patient
2. Had paid employment
3. Were on sick leave or planning to be directly after visit to GP, but had not been on sick leave for longer than three months
4. Were aged 18 to 60 years
5. Were Dutch speaking

Exclusion Criteria

Excluded were patients who were already receiving psychotherapy, or who, according to the Composite International Diagnostic Interview (CIDI), had a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnosis of:
1. Moderately severe or severe mood disorder
2. Agoraphobia
3. Panic disorder
4. Social phobia

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The groups did not differ at baseline, nor after three, six or 18 months with respect to levels of depression, anxiety, somatisation, distress, functional status or sick leave duration. In both groups, well-being improved significantly in the first months after baseline, regardless of treatment.
Secondary Outcome Measures
NameTimeMethod
Patients who received the brief activating treatment by social workers reported higher satisfaction than patients who received GPs' usual care.
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