作者
Petronella J van't Veer-Tazelaar, Harm WJ van Marwijk, Patricia van Oppen, Hein PJ van Hout, Henriëtte E van der Horst, Pim Cuijpers, Filip Smit, Aartjan TF Beekman
发表日期
2009/3/1
期刊
Archives of general psychiatry
卷号
66
期号
3
页码范围
297-304
出版商
American Medical Association
简介
Context
Given the public health significance of late-life depression and anxiety, and the limited capacity of treatment, there is an urgent need to develop effective strategies to prevent these disorders.
Objective
To determine the effectiveness of an indicated stepped-care prevention program for depression and anxiety disorders in the elderly.
Design
Randomized controlled trial with recruitment between October 1, 2004, and October 1, 2005.
Setting
Thirty-three primary care practices in the northwestern part of the Netherlands.
Participants
A total of 170 consenting individuals, 75 years and older, with subthreshold symptom levels of depression or anxiety who did not meet the full diagnostic criteria for the disorders.
Intervention
Participants were randomly assigned to a preventive stepped-care program (n = 86) or to usual care (n = 84). Stepped-care participants sequentially received a watchful waiting approach, cognitive …
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PJ van't Veer-Tazelaar, HWJ van Marwijk, P van Oppen… - Archives of general psychiatry, 2009