Stepped care for depression and anxiety: from primary care to specialized mental health care: a randomised controlled trial testing the effectiveness of a stepped care program among primary care patients with mood or anxiety disorders

Stepped Care for Depression and Anxiety: From Primary Care to Specialized Mental Health Care A Randomised Controlled Trial Testing the Effectiveness of a Stepped Care Program among Primary Care Patients with Mood or Anxiety Disorders

Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial

BACKGROUND Depressive and anxiety disorders are common in general practice but not always treated adequately. Introducing stepped care might improve this. In this randomized trial we examined the effectiveness of such a stepped care model. METHODS The study population consisted of primary care attendees aged 18-65 years with minor or major DSM-IV depressive and/or anxiety disorders, recruited...

Cost-effectiveness of a stepped care intervention to prevent depression and anxiety in late life: randomised trial.

BACKGROUND There is an urgent need for the development of cost-effective preventive strategies to reduce the onset of mental disorders. AIMS To establish the cost-effectiveness of a stepped care preventive intervention for depression and anxiety disorders in older people at high risk of these conditions, compared with routine primary care. METHOD An economic evaluation was conducted alongsi...

Stepped-care to prevent depression and anxiety in visually impaired older adults – design of a randomised controlled trial

BACKGROUND Subthreshold depression and anxiety are common in the growing population of visually impaired older adults and increase the risk of full-blown depressive or anxiety disorders. Adequate treatment may prevent the development of depression or anxiety in this high risk group. METHOD/DESIGN A stepped-care programme was developed based on other effective interventions and focus groups wi...

Disease management for co-morbid depression and anxiety in diabetes mellitus: design of a randomised controlled trial in primary care

BACKGROUND Depression and anxiety are common co-morbid health problems in patients with type 2 diabetes. Both depression and anxiety are associated with poor glycaemic control and increased risk of poor vascular outcomes and higher mortality rates. Results of previous studies have shown that in clinical practice, treatment of depression and anxiety is far from optimal as these symptoms are freq...