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

Abstract

Willemse GRWM, Smit F, Cuijpers P, et al . Minimal-contact psychotherapy for sub-threshold depression in primary care—randomised trial. Br J Psychiatry 2004;185:416–21.[OpenUrl][1][Abstract/FREE Full Text][2] Q Does minimal contact psychotherapy reduce depressive symptoms and improve quality of life for people with subthreshold depression? ### ![Graphic][3] Design: Randomised controlled trial. ### ![Graphic][4] Allocation: Unconcealed. ### ![Graphic][5] Blinding: Single blinded (assessors). ### ![Graphic][6] Follow up period: 12 months. ### ![Graphic][7] Setting: 19 general practices, the Netherlands; time frame not stated. ### ![Graphic][8] Patients: 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. ### ![Graphic][9] Intervention: 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 … [1]: {openurl}?query=rft.jtitle%253DThe%2BBritish%2BJournal%2Bof%2BPsychiatry%26rft.stitle%253DBr.%2BJ.%2BPsychiatry%26rft.aulast%253DWillemse%26rft.auinit1%253DG.%2BR.%2BW.%2BM.%26rft.volume%253D185%26rft.issue%253D5%26rft.spage%253D416%26rft.epage%253D421%26rft.atitle%253DMinimal-contact%2Bpsychotherapy%2Bfor%2Bsub-threshold%2Bdepression%2Bin%2Bprimary%2Bcare%253A%2BRandomised%2Btrial%26rft_id%253Dinfo%253Adoi%252F10.1192%252Fbjp.185.5.416%26rft_id%253Dinfo%253Apmid%252F15516551%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bjprcpsych&resid=185/5/416&atom=%2Febmental%2F8%2F2%2F39.atom [3]: /embed/inline-graphic-1.gif [4]: /embed/inline-graphic-2.gif [5]: /embed/inline-graphic-3.gif [6]: /embed/inline-graphic-4.gif [7]: /embed/inline-graphic-5.gif [8]: /embed/inline-graphic-6.gif [9]: /embed/inline-graphic-7.gif

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