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Shabnam Nejati,1 Nashmil Ariai,1 Cecilia Björkelund,1 Ingmarie Skoglund,1,2 Eva-Lisa Petersson,1,2 Pia Augustsson,2 Dominique Hange,1,2 Irene Svenningsson1,2 1Primary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden; 2Narhalsan Research and Development Primary Health Care, Region Vastra Gotaland, Gothenburg, SwedenCorrespondence: Dominique HangePrimary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, PO Box 454, Gothenburg SE-405 30, SwedenTel +46 722 245 700Email dominique.hange@vgregion.seObjective: To investigate the correspondence between the diagnoses received by patients with symptoms of common mental disorder attending primary care, based on the diagnostic instrument International Neuropsychiatric Interview (M.I.N.I.) and the self-assessment instruments such as Beck Depression Inventory (BDI-II) and Montgomery–Asberg Depression Rating Scale – self-rating version (MADRS-S), respectively.Design: Data were collected from a prospective observational study, ADAS, between 2014 and 2015.Setting: Twenty-eight primary care centers in Region Västra Gotaland, Sweden.Patients: A total of 192 patients, 18– 60 years of age, on sick leave ≥ 14 days, with mild/moderate depression, anxiety syndrome, and stress-related mental illness were included.Main Outcome Measures: Scores of the assessment instruments (BDI-II and MADRS-S) on inclusion, sensitivity, specificity, positive (PPV) and negative predictive value (NPV) for BDI-II and MADRS-S, respectively, with M.I.N.I used as diagnostic instrument.Results: Using M.I.N.I. as gold standard, the BDI-II and MADRS-S showed almost the same sensitivity (86.9% and 87.4%, respectively), but specificity for MADRS-S was doubled compared to BDI-II (36% and 18%, respectively). There was a signif

Objective: The aim of this study was to explore nurses’experiences and perceptions of working as care managers at primary care centers. Design: Qualitative, focus group study. Malterud’s method of systematic text condensation was used to analyse the data. Setting: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden. Subjects: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support in the method. Main outcome measures: The nurses’s experiences and perceptions of working as care managers at primary care centers. Results: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. Conclusion: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care.

Dominique Hange,1 Nashmil Ariai,1 Marie Kivi,2 Maria CM Eriksson,1 Shabnam Nejati,1 Eva-Lisa Petersson,1,3 1Department of Public Health and Community Medicine/Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Department of Psychology, University of Gothenburg, Gothenburg, Sweden; 3Narhalsan Research and Development Primary Health Care, Region Vastra Gotaland, Gothenburg, Sweden Objectives: The aim of this randomized controlled trial (RCT) was to investigate the effects of internet-based cognitive behavior therapy (ICBT) treatment for depression compared to treatment-as-usual (TAU) on improving work ability and quality of life in patients with mild-to-moderate depression. We also examined whether patients treated with ICBT returned to work more rapidly, that is, had fewer days of sick leave, than patients treated with TAU.Design: This study is based on material from the PRIM-NET RCT that took place between 2010 and 2013.Setting: Primary care centers in Region Vastra Gotaland, Sweden, population about 1.6 million.Patients: A total of 77 patients with depression randomized to either ICBT (46 patients) or TAU (31 patients). Mean age of participants was 35.8 years, and 67.5% were women.Main outcome measures: Work ability was measured with the Work Ability Index, depressive symptoms with Montgomery Asberg Depression Rating Scale – self-rating version (MADRS-S), quality of life with EuroQoL-5D (EQ-5D), and number of sick leave days.Results: Both groups showed an association between improved work ability and reduction of depressive symptoms and between improved work ability and better quality of life. ICBT could not be shown to improve work ability more than TAU among patients with mild-to-moderate depression. There were no differences between the groups concerning number of patients with sick leave or number of sick leave days.Conclusion: Our study indicates that a high level of work ability has an association with