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Titolo:
Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. I: Clinical effectiveness
Autore:
Ward, E; King, M; Lloyd, M; Bower, P; Sibbald, B; Farrelly, S; Gabbay, M; Tarrier, N; Addington-Hall, J;
Indirizzi:
Univ London Kings Coll, Sch Med & Dent, Dept Palliat Care & Policy, London, England Univ London Kings Coll London England at Care & Policy, London, England Univ Coll London, Royal Free & Univ Coll Med Sch, Dept Psychiat & Behav Sci, London NW3 2PF, England Univ Coll London London England NW3 2PF hav Sci, London NW3 2PF, England Univ Manchester, NPCRDC, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England Univ Liverpool, Dept Primary Care, Liverpool L69 3BX, Merseyside, England Univ Liverpool Liverpool Merseyside England L69 3BX , Merseyside, England Univ Manchester, Sch Psychiat & Behav Sci, Dept Clin Psychol, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England
Titolo Testata:
BRITISH MEDICAL JOURNAL
fascicolo: 7273, volume: 321, anno: 2000,
pagine: 1383 - 1388
SICI:
0959-8138(200012)321:7273<1383:RCTONC>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISORDER; EFFICACY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: King, M Univ Coll London, Royal Free & Univ Coll Med Sch, Dept Psychiat & Behav Sci, London NW3 2PF, England Univ Coll London London England NW3 2PF London NW3 2PF, England
Citazione:
E. Ward et al., "Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. I: Clinical effectiveness", BR MED J, 321(7273), 2000, pp. 1383-1388

Abstract

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 therapies. All groups improved significantly over time. At four months, patientsrandomised to non-directive counselling or cognitive-behaviour therapy improved more in terms of the Beck depression inventory (mean (SD) scores 12.9(9.3) and 14.3 (10.8) respectively) than those randomised to usual generalpractitioner care (18.3 (12.4)). However, there was no significant difference between the two therapies. There were no significant differences between the three treatment groups at 12 months (Beck depression scores 11.8 (9.6), 11.4 (10.8), and 12.1(10.3) for non-directive counselling, cognitive-behaviour therapy, and general practitioner care). Conclusions Psychological therapy was a more effective treatment for depression than usual general practitioner care in the short term, but after oneyear there was no difference in outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 12:58:47