Management of Depression in Primary Care

Göteborg University

Status: Completed

Conditions: Depression

Treatments: Behavioral: Structured patient-centered follow up of depression

Study type: Interventional

Funder types: Other

Identifiers

NCT01402206

Madrs 2010

Details and patient eligibility

About

Most people in Sweden with mild to moderate depression are treated in primary care, but follow-up is unstructured, and we know little about whether structured, follow-up would affect the prognosis for depression and working life. The purpose of this study is to determine the effectiveness of regular, structured, patient-centered visits on mild to moderate depression.

Enrollment: 258 patients

Sex: All

Ages: 20 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria

• Age 18 years and up
• Attends a participating primary health care center in the region
• Diagnosis of mild/moderate depressive disorder (new episode)
• No change in possible antidepressant maintenance therapy during the preceding 1 month
• Provided written informed consent

Exclusion criteria

• Antidepressant medication initiated or changed during the preceding 1 month
• Patient diagnosed with major depressive disorder (BDI-II >28)
• Patients diagnosed of severe mental psychiatric disorder (i.e. bipolar disorder, antisocial personality disorder, psychosis, substance use disorder or other serious mental disorder)
• Suicidal ideation or intentions
• Inability to speak and understand Swedish language well enough to take part in the activities required in the study.
• Cognitive impairment that makes it impossible to take part in the activities required in the study
• Does not provide written informed consent to participation in the study

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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258 participants in 2 patient groups

Structured patient visits

Other group

Description:

Participants in the intervention group visit their general practitioner at baseline and 4, 8, and 12 weeks. At each visit, participants complete MADRS-s for the assessment of depression severity and discuss the results with their GP in a patient-centered consultation.

Treatment:

Behavioral: Structured patient-centered follow up of depression

Treatment as usual

Other group

Description:

The control group receives treatment as usual by general practitioner (no intervention).

Treatment:

Behavioral: Structured patient-centered follow up of depression