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Evidence-Based Medicine 2009;14:146; doi:10.1136/ebm.14.5.146
Copyright © 2009 by the BMJ Publishing Group Ltd.

OTHER

Therapeutics

A stepped-care prevention programme decreased depression and anxiety disorders in elderly patients

The first 150 words of the full text of this article appear below.

Study design

Design:

randomised controlled trial. ISRCTN26474556 [controlled-trials.com] .

Allocation:

{concealed}*.{dagger}

Blinding:

blinded (outcome assessors).*

Study question

Setting:

primary care practices in the northwestern Netherlands.

Patients:

170 general practice patients >=75 years of age (mean age 81 y, 74% women) who had Center for Epidemiologic Studies Depression Scale (CES-D) scores >=16 and did not meet DSM-IV criteria for depressive or anxiety disorder in the previous 12 months as measured by the Mini International Neuropsychiatric Interview (MINI). Patients with serious cognitive decline were excluded. All patients completed 3 months of watchful waiting, after which they completed a second CES-D questionnaire. Patients with scores >=16 underwent a diagnostic MINI. Patients with CES-D scores >=16 but who did not have a depressive or anxiety disorder were randomized.

Intervention:

stepped care (n = 86) or usual care (n = 84). Stepped-care patients progressed from watchful waiting through up to 3 steps if their CES-D score was >=16 at the end of the preceding 3-month . . . [Full text of this article]

Toshi A Furukawa

Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan


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