Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial (2024)

Abstract

Background: Depressive disorders are highly prevalent in primary care (PC) and are associated with considerable functional impairment and increased health care use. Research has shown that many patients prefer psychological treatments to pharmacotherapy, however, it remains unclear which treatment is most optimal for depressive patients in primary care.

Methods/Design: A randomized, multi-centre trial involving two intervention groups: one receiving brief cognitive behavioral therapy and the other receiving general practitioner care. General practitioners from 109 General Practices in Nijmegen and Amsterdam (The Netherlands) will be asked to include patients aged between 18-70 years presenting with depressive symptomatology, who do not receive an active treatment for their depressive complaints. Patients will be telephonically assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to ascertain study eligibility. Eligible patients will be randomized to one of two treatment conditions: either 8 sessions of cognitive behavioral therapy by a first line psychologist or general practitioner's care according to The Dutch College of General Practitioners Practice Guideline (NHG-standaard). Baseline and follow-up assessments are scheduled at 0, 6, 12 and 52 weeks following the start of the intervention. Primary outcome will be measured with the Hamilton Depression Rating Scale-17 (HDRS-17) and the Patient Health Questionnaire-9 (PHQ-9). Outcomes will be analyzed on an intention to treat basis.

Original languageEnglish
Pages (from-to)96
JournalTrials
Volume11
DOIs
Publication statusPublished - 2010

Keywords

  • MENTAL-HEALTH SURVEY
  • MAJOR DEPRESSION
  • DISORDERS
  • SEVERITY
  • POPULATION
  • RATIONALE
  • COST
  • NEED
  • MD

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Baas, K. D., Koeter, M. W. J., Van Weert, H. C., Lucassen, P., Bockting, C. L. H., Wittkampf, K. A., & Schene, A. H. (2010). Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial. Trials, 11, 96. https://doi.org/10.1186/1745-6215-11-96

Baas, K. D. ; Koeter, M. W. J. ; Van Weert, H. C. et al. / Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care : a randomized trial. In: Trials. 2010 ; Vol. 11. pp. 96.

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title = "Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial",

abstract = "Background: Depressive disorders are highly prevalent in primary care (PC) and are associated with considerable functional impairment and increased health care use. Research has shown that many patients prefer psychological treatments to pharmacotherapy, however, it remains unclear which treatment is most optimal for depressive patients in primary care.Methods/Design: A randomized, multi-centre trial involving two intervention groups: one receiving brief cognitive behavioral therapy and the other receiving general practitioner care. General practitioners from 109 General Practices in Nijmegen and Amsterdam (The Netherlands) will be asked to include patients aged between 18-70 years presenting with depressive symptomatology, who do not receive an active treatment for their depressive complaints. Patients will be telephonically assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to ascertain study eligibility. Eligible patients will be randomized to one of two treatment conditions: either 8 sessions of cognitive behavioral therapy by a first line psychologist or general practitioner's care according to The Dutch College of General Practitioners Practice Guideline (NHG-standaard). Baseline and follow-up assessments are scheduled at 0, 6, 12 and 52 weeks following the start of the intervention. Primary outcome will be measured with the Hamilton Depression Rating Scale-17 (HDRS-17) and the Patient Health Questionnaire-9 (PHQ-9). Outcomes will be analyzed on an intention to treat basis.",

keywords = "MENTAL-HEALTH SURVEY, MAJOR DEPRESSION, DISORDERS, SEVERITY, POPULATION, RATIONALE, COST, NEED, MD",

author = "Baas, {K. D.} and Koeter, {M. W. J.} and {Van Weert}, {H. C.} and P. Lucassen and Bockting, {C. L. H.} and Wittkampf, {K. A.} and Schene, {A. H.}",

year = "2010",

doi = "10.1186/1745-6215-11-96",

language = "English",

volume = "11",

pages = "96",

journal = "Trials",

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publisher = "BioMed Central",

}

Baas, KD, Koeter, MWJ, Van Weert, HC, Lucassen, P, Bockting, CLH, Wittkampf, KA & Schene, AH 2010, 'Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial', Trials, vol. 11, pp. 96. https://doi.org/10.1186/1745-6215-11-96

Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial. / Baas, K. D.; Koeter, M. W. J.; Van Weert, H. C. et al.
In: Trials, Vol. 11, 2010, p. 96.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care

T2 - a randomized trial

AU - Baas, K. D.

AU - Koeter, M. W. J.

AU - Van Weert, H. C.

AU - Lucassen, P.

AU - Bockting, C. L. H.

AU - Wittkampf, K. A.

AU - Schene, A. H.

PY - 2010

Y1 - 2010

N2 - Background: Depressive disorders are highly prevalent in primary care (PC) and are associated with considerable functional impairment and increased health care use. Research has shown that many patients prefer psychological treatments to pharmacotherapy, however, it remains unclear which treatment is most optimal for depressive patients in primary care.Methods/Design: A randomized, multi-centre trial involving two intervention groups: one receiving brief cognitive behavioral therapy and the other receiving general practitioner care. General practitioners from 109 General Practices in Nijmegen and Amsterdam (The Netherlands) will be asked to include patients aged between 18-70 years presenting with depressive symptomatology, who do not receive an active treatment for their depressive complaints. Patients will be telephonically assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to ascertain study eligibility. Eligible patients will be randomized to one of two treatment conditions: either 8 sessions of cognitive behavioral therapy by a first line psychologist or general practitioner's care according to The Dutch College of General Practitioners Practice Guideline (NHG-standaard). Baseline and follow-up assessments are scheduled at 0, 6, 12 and 52 weeks following the start of the intervention. Primary outcome will be measured with the Hamilton Depression Rating Scale-17 (HDRS-17) and the Patient Health Questionnaire-9 (PHQ-9). Outcomes will be analyzed on an intention to treat basis.

AB - Background: Depressive disorders are highly prevalent in primary care (PC) and are associated with considerable functional impairment and increased health care use. Research has shown that many patients prefer psychological treatments to pharmacotherapy, however, it remains unclear which treatment is most optimal for depressive patients in primary care.Methods/Design: A randomized, multi-centre trial involving two intervention groups: one receiving brief cognitive behavioral therapy and the other receiving general practitioner care. General practitioners from 109 General Practices in Nijmegen and Amsterdam (The Netherlands) will be asked to include patients aged between 18-70 years presenting with depressive symptomatology, who do not receive an active treatment for their depressive complaints. Patients will be telephonically assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to ascertain study eligibility. Eligible patients will be randomized to one of two treatment conditions: either 8 sessions of cognitive behavioral therapy by a first line psychologist or general practitioner's care according to The Dutch College of General Practitioners Practice Guideline (NHG-standaard). Baseline and follow-up assessments are scheduled at 0, 6, 12 and 52 weeks following the start of the intervention. Primary outcome will be measured with the Hamilton Depression Rating Scale-17 (HDRS-17) and the Patient Health Questionnaire-9 (PHQ-9). Outcomes will be analyzed on an intention to treat basis.

KW - MENTAL-HEALTH SURVEY

KW - MAJOR DEPRESSION

KW - DISORDERS

KW - SEVERITY

KW - POPULATION

KW - RATIONALE

KW - COST

KW - NEED

KW - MD

U2 - 10.1186/1745-6215-11-96

DO - 10.1186/1745-6215-11-96

M3 - Article

SN - 1745-6215

VL - 11

SP - 96

JO - Trials

JF - Trials

ER -

Baas KD, Koeter MWJ, Van Weert HC, Lucassen P, Bockting CLH, Wittkampf KA et al. Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial. Trials. 2010;11:96. doi: 10.1186/1745-6215-11-96

Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial (2024)
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