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Collaborative care for major depressive disorder in an occupational healthcare setting

  • M. C. Vlasveld (a1), C. M. van der Feltz-Cornelis (a2), H. J. Adèr (a3), J. R. Anema (a4), R. Hoedeman (a5), W. van Mechelen (a6) and A. T. F. Beekman (a7)...
Summary

Randomised controlled trial to evaluate the effectiveness of collaborative care in a Dutch occupational healthcare setting: 126 workers on sick leave with major depressive disorder were randomised to usual care (n = 61) or collaborative care (n = 65). After 3 months, collaborative care was more effective on the primary outcome measure of treatment response (i.e. reduction in symptoms of ≥50%) on the Patient Health Questionnaire-9 (PHQ-9). However, the groups did not differ on the PHQ-9 as a continuous outcome measure. Implications of these results are discussed.

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Copyright
Corresponding author
Moniek C. Vlasveld, Netherlands Institute of Mental Health and Addiction, The Trimbos-institute, PO Box 725, 3500 AS Utrecht, The Netherlands. Email: mvlasveld@trimbos.nl
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See editorial, pp. 442–443, this issue.

Declaration of interest

C.M.v.d.F.-C.: payment for a presentation at the International Journal of Integrated Care conference, grants for collaborative care trials for anxiety (from The Netherlands Organisation for Health Research and Development, ‘ZonMw’) and for return to work (from Achmea), and payment from Eli Lilly for a lecture on diabetes and depression. H.J.A.: fee from the Trimbos Institute for consulting on the statistical analyses and comments on the draft manuscript.

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References
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1 Gilbody, S, Bower, P, Fletcher, J, Richards, D, Sutton, AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med 2006; 166: 2314–21.
2 Katon, W, Unutzer, J, Wells, K, Jones, L. Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability. Gen Hosp Psychiatry 2010; 32: 456–64.
3 Vlasveld, MC, Anema, JR, Beekman, AT, van Mechelen, W, Hoedeman, R, Van Marwijk, HW, et al. Multidisciplinary collaborative care for depressive disorder in the occupational health setting: design of a randomised controlled trial and cost-effectiveness study. BMC Health Serv Res 2008; 8: 99.
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5 Anema, JR, Jettinghoff, K, Houtman, I, Schoemaker, CG, Buijs, PC, van den Berg, R. Medical care of employees long-term sick listed due to mental health problems: a cohort study to describe and compare the care of the occupational physician and the general practitioner. J Occup Rehabil 2006; 16: 4152.
6 Nederlandse Vereniging voor Arbeids- en Bedrijfsgeneeskunde (NVAB). De bedrijfsarts: dokter en adviseur [The occupational physician: physician and advisor]. NVAB, 2007 (http://nvab.artsennet.nl/web/file?uuid=5374192a-8e44–4735-acd4–10f34dfd14d9&owner=0779a854–5315–496f-805d-16b2316c26cc).
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9 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder (4th edn) (DSM-IV). APA, 1994.
10 Poirier, MF, Boyer, P. Venlafaxine and paroxetine in treatment-resistant depression. Double-blind, randomised comparison. Br J Psychiatry 1999; 175: 12–6.
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Collaborative care for major depressive disorder in an occupational healthcare setting

  • M. C. Vlasveld (a1), C. M. van der Feltz-Cornelis (a2), H. J. Adèr (a3), J. R. Anema (a4), R. Hoedeman (a5), W. van Mechelen (a6) and A. T. F. Beekman (a7)...
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