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Evidence-Based Mental Health 2009;12:115; doi:10.1136/ebmh.12.4.115
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

OTHER

Therapeutics

A stepped care intervention is effective for elderly people with subthreshold depression or anxiety

The first 150 words of the full text of this article appear below.

Question

Question:

Does an indicated prevention programme reduce the development of major depression and anxiety in an elderly population with subthreshold symptoms?

Patients:

170 participants (aged >=75 years; 73.5% female) identified through a database of participants in the Preventative Intervention for Frail Elderly (PIKO) project. Those who scored >=16 on the self-reported Centre for Epidemiologic Studies Depression Scale (CES-D) during the PIKO study (between October 2005 and October 2005), were aged 75 years or over and who did not meet the DSM-IV criteria for depressive or anxiety disorder in the 12 months prior to their PIKO questioning, were approached to participate in this study. Exclusions: DSM-IV depression or anxiety disorder detected by the Mini International Neuropsychiatric Interview (MINI); serious cognitive disorder according to the self-rated Informant Questionnaire on Cognitive Decline in the Elderly.

Setting:

33 primary care practices in northwest Netherlands; October 2004–October 2005.

Intervention:

A stepped care programme involving 3 month cognitive behavioural . . . [Full text of this article]

Dean McMillan, Simon Gilbody

Department of Health Sciences, University of York, York, UK


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