查看文章

Objective: To compare the clinical effectiveness of general practitioner care and two general practice based psychological therapies for depressed patients.

Design: Prospective, controlled trial with randomised and patient preference allocation arms.

Setting: General practices in London and greater Manchester.

Participants: 464 of 627 patients presenting with depression or mixed anxiety and depression were suitable for inclusion.

Interventions: Usual general practitioner care or up to 12 sessions of non-directive counselling or cognitive-behaviour therapy provided by therapists.

Main outcome measures: Beck depression inventory scores, other psychiatric symptoms, social functioning, and satisfaction with treatment measured at baseline and at 4 and 12 months.

Results: 197 patients were randomly assigned to treatment, 137 chose their treatment, and 130 were randomised only between the two psychological …