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Minimal-contact psychotherapy for sub-threshold depression in primary care: Randomised trial

  • Godelief R. W. M. Willemse (a1), Filip Smit (a1), Pim Cuijpers (a2) and Bea G. Tiemens (a3)
Abstract
Background

Sub-threshold depression is a prognostic variable for major depression. Interventions in sub-threshold depression may prevent the onset of new cases of major depression.

Aims

To examine the effects of minimal-contact psychotherapy in primary care patients with sub-threshold depression on the onset of major depression, on the reduction in depressive symptoms and on health-related quality of life.

Method

We conducted a randomised trial in primary care, in which patients screened for sub-threshold depression were randomly assigned to minimal-contact psychotherapy (n=107) or to usual care (n=109).

Results

One year after baseline, the incidence of major depressive disorder was found to be significantly lower in the psychotherapy group (12%) than in those receiving usual care (18%). Small but significant effects were also found on depressive symptoms and on aspects of health-related quality of life.

Conclusions

Primary care patients with sub-threshold depression can benefit from minimal-contact psychotherapy.

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Copyright
Corresponding author
Godelief Willemse, Trimbos Institute, PO Box 725, 3500 AS Utrecht, The Netherlands. E-mail: gwillemse@trimbos.nl
Footnotes
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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Minimal-contact psychotherapy for sub-threshold depression in primary care: Randomised trial

  • Godelief R. W. M. Willemse (a1), Filip Smit (a1), Pim Cuijpers (a2) and Bea G. Tiemens (a3)
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