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Randomized controlled trial of transdiagnostic group treatments for primary care patients with common mental disorders
- Source :
- Family Practice
- Publication Year :
- 2014
- Publisher :
- Oxford University Press, 2014.
-
Abstract
- Background. The purpose was to test the effectiveness of two transdiagnostic group interventions compared to care as usual (CAU) for patients with anxiety, depressive or stress-related disorders within a primary health care context. Objectives. To compare the effects of cognitive-based-behavioural therapy (CBT) and multimodal intervention (MMI) on the quality of life and relief of psychological symptoms of patients with common mental disorders or problems attending primary health care centre. Methods. Patients (n = 278), aged 18–65 years, were referred to the study by the GPs and 245 were randomized to CAU or one of two group interventions in addition to CAU: (i) group CBT administered by psychologists and (ii) group MMI administered by assistant nurses. The primary outcome measure was the Mental Component Summary score of short form 36. Secondary outcome measures were Perceived Stress Scale and Self-Rating Scale for Affective Syndromes. The data were analysed using intention-to-treat with a linear mixed model. Results. On the primary outcome measure, the mean improvement based on mixed model analyses across post- and follow-up assessment was significantly larger for the MMI group than for the CBT (4.0; P = 0.020) and CAU (7.5; P = .001) groups. Participants receiving CBT were significantly more improved than those in the CAU group. On four of the secondary outcome measures, the MMI group was significantly more improved than the CBT and CAU groups. The course of improvement did not differ between the CBT group and the CAU group on these measures. Conclusions. Transdiagnostic group treatment can be effective for patients with common mental disorders when delivered in a primary care setting. The group format and transdiagnostic approach fit well with the requirements of primary care.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Psychological intervention
CBT
law.invention
Phobic disorder
Quality of life (healthcare)
Randomized controlled trial
law
medicine
Humans
Psychiatry
transdiagnostic group interventions
Somatoform Disorders
common mental disorders
Depressive Disorder
Depressive Disorder, Major
Intention-to-treat analysis
Cognitive Behavioral Therapy
Primary Health Care
business.industry
MMI
Middle Aged
Anxiety Disorders
Cognitive behavioral therapy
Treatment Outcome
quality of life
Phobic Disorders
Health Service Research
Cognitive therapy
Psychotherapy, Group
Anxiety
Female
medicine.symptom
Family Practice
business
Stress, Psychological
Subjects
Details
- Language :
- English
- ISSN :
- 14602229 and 02632136
- Volume :
- 31
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Family Practice
- Accession number :
- edsair.doi.dedup.....55195a07eec56e37324bc99dc9320c2f