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Minimal contact psychotherapy reduces the risk of major depression in people with subthreshold depression

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Q Does minimal contact psychotherapy reduce depressive symptoms and improve quality of life for people with subthreshold depression?


Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

Single blinded (assessors).

Embedded ImageFollow up period:

12 months.

Embedded ImageSetting:

19 general practices, the Netherlands; time frame not stated.

Embedded ImagePatients:

216 adults (18–65 years) with subthreshold depression (at least one core symptom and one to four current symptoms of depression; Instel screening instrument). Exclusions: DSM-IV depressive disorder, dysthymia, bipolar disorder, social phobia, agrophobia or panic disorder in the previous year; already receiving or awaiting mental health treatment; life-threatening comorbidity; suicidality; psychosis; schizophrenia; or dementia.

Embedded ImageIntervention:

Minimal contact cognitive behavioural therapy: self-help manual teaching cognitive behavioural mood management skills, including registration exercises and assignments. A community mental health worker conducted …

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