...: The effectiveness of behavioural activation (BA) by mental health nurses (MHNs) for depressed older adults in primary care compared with treatment as usual (TAU) was evaluated. Methods: In this multicentre cluster-randomised controlled trial, 59 primary care centres (PCCs) were randomised to BA and TAU. Consenting...

...Antonio Piolanti; Sara Gostoli; Jessica Gervasi; Nicoletta Sonino; Jenny Guidi Background: A number of studies have documented psychosocial problems, psychiatric morbidity and impaired quality of life in primary care patients. Objective: The aim of this trial was to test the usefulness of the joint...

... budget and time restraints, a preventive, low- cost, accessible minimal intervention is much needed. In this study, we evaluated the effectiveness of a supported self-help preventive cognitive therapy (S-PCT) added to treatment as usual (TAU) in primary care, compared to TAU alone. Methods: We conducted...

...Anna Muntingh; Christina van der Feltz-Cornelis; Harm van Marwijk; Philip Spinhoven; Willem Assendelft; Margot de Waal; Herman Adèr; Anton van Balkom Background: Collaborative stepped care (CSC) may be an appropriate model to provide evidence-based treatment for anxiety disorders in primary care...

.... Depression Diagnosis Primary care Diagnosis and treatment of depression in general medical settings has received much research attention over the years [ 1,2 ]. However, this research has mainly focused on underdiagnosis and undertreatment of depression [ 1,2,3,4,5,6,7,8,9,10,11,12 ]. Less research...

...R. Schaefert; C. Kaufmann; B. Wild; D. Schellberg; R. Boelter; R. Faber; J. Szecsenyi; N. Sauer; E. Guthrie; W. Herzog Background: Patients with medically unexplained symptoms (MUS) are frequent in primary care and substantially impaired in their quality of life (QoL). Specific training of general...

... clinical outcome in depressed primary care patients is associated with receiving their preferred treatment. Methods: Within a randomized placebo-controlled single-centre 10-week trial with 5 arms (sertraline; placebo; cognitive-behavioral group therapy, CBT-G; moderated self-help group control; treatment...

...Alex J. Mitchell; Sanjay Rao; Amol Vaze Background: There is long-standing concern regarding poor recognition of depression in primary care, especially in older people. Methods: Studies that examined the unassisted (clinical) ability of general practitioners (GPs; primary care physicians...

...Femke Lamers; Catharina C.M. Jonkers; Hans Bosma; Gertrudis I.J.M. Kempen; Jaap A.M.J. Meijer; Brenda W.J.H. Penninx; J. André Knottnerus; Jacques T.M. van Eijk Background: Among older persons with chronic somatic diseases, depression often remains unrecognized and untreated in primary care...

... on outcome and reported symptoms in primary care patients with fatigue. We compared fatigue scores on a specific scale, and number of presented symptoms, in two groups of primary care patients with ‘functional’ fatigue: 75 with a high score on the somatic subscale of the Fatigue Attribution Scale (S-FAS...

...S. Ferrari; G.M. Galeazzi; A. Mackinnon; M. Rigatelli Background: Anxiety, mild depression and somatization are common in primary care (PC). Several studies have suggested that they may play a role in causing an excessive use of health care services, especially when combined with medical morbidity...

.... Somatic complaints Depression Comorbidity Primary care Although much research has been conducted with clinical patients meeting the full DSM criteria for somatization disorder, it has long been recognized that subthreshold levels of somatization are more common in the general population...

...David Mischoulon; Rachel McColl-Vuolo; Shauna Howarth; Isabel T. Lagomasino; Jonathan E. Alpert; Andrew A. Nierenberg; Maurizio Fava Background: Patients treated in community clinics, particularly those of minority status, may rely more heavily on primary care physicians (PCPs) for the diagnosis...

...L. Grassi; G. Rasconi; A. Pedriali; A. Corridoni; M. Bevilacqua Background: Growing evidence has been collected about the high prevalence of psychological distress in primary care. The role of psychosocial variables, namely the role of support from the patients’ interpersonal ties, has not been...