TY - JOUR T1 - Psychological therapy reduced depression earlier (4 months) but at 1 year was not better than usual general practitioner care JF - Evidence Based Medicine JO - Evid Based Med SP - 119 LP - 119 DO - 10.1136/ebm.6.4.119 VL - 6 IS - 4 A2 - , Y1 - 2001/07/01 UR - http://ebm.bmj.com/content/6/4/119.abstract N2 - (2000) BMJ 321, 1383. Ward E, King M, Lloyd M, et al.. Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. I: Clinical effectiveness.. Dec 2;. :. –8.OpenUrlAbstract/FREE Full Text
 
 QUESTION: In patients with depression, is psychological therapy (non-directive counselling or cognitive behavioural therapy [CBT]) more effective than usual general practitioner (GP) care? Randomised (allocation concealed*), unblinded,* controlled trial with 1 year follow up. This abstract reports the results of the randomised 3 way comparison only (197 of 464 patients). 13 general practices in northern London and 11 practices in greater Manchester, UK. 197 patients who were ≥18 years of age (mean age 37 y, 77% women) and were depressed or depressed and anxious (score ≥14 on Beck Depression Inventory [BDI]). Exclusion criteria were serious suicidal intent, psychological treatment in previous 6 months, use of antidepressants, restricted mobility, organic brain syndromes, or inability to complete questionnaires. Follow up was 91% at 4 months and 84% at 1 year. Patients were allocated to non-directive counselling (n=67), CBT (n=63), … ER -