Title |
Cost-effectiveness of a stepped-care intervention to prevent major depression in patients with type 2 diabetes mellitus and/or coronary heart disease and subthreshold depression: design of a cluster-randomized controlled trial
|
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Published in |
BMC Psychiatry, May 2013
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DOI | 10.1186/1471-244x-13-128 |
Pubmed ID | |
Authors |
Susan EM van Dijk, Alide D Pols, Marcel C Adriaanse, Judith E Bosmans, Petra JM Elders, Harm WJ van Marwijk, Maurits W van Tulder |
Abstract |
Co-morbid major depression is a significant problem among patients with type 2 diabetes mellitus and/or coronary heart disease and this negatively impacts quality of life. Subthreshold depression is the most important risk factor for the development of major depression. Given the highly significant association between depression and adverse health outcomes and the limited capacity for depression treatment in primary care, there is an urgent need for interventions that successfully prevent the transition from subthreshold depression into a major depressive disorder. Nurse led stepped-care is a promising way to accomplish this. The aim of this study is to evaluate the cost-effectiveness of a nurse-led indicated stepped-care program to prevent major depression among patients with type 2 diabetes mellitus and/or coronary heart disease in primary care who also have subthreshold depressive symptoms. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Egypt | 1 | 14% |
Unknown | 6 | 86% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 7 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | <1% |
Spain | 1 | <1% |
Poland | 1 | <1% |
Denmark | 1 | <1% |
Unknown | 274 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 48 | 17% |
Student > Ph. D. Student | 44 | 16% |
Researcher | 36 | 13% |
Student > Bachelor | 30 | 11% |
Student > Doctoral Student | 12 | 4% |
Other | 43 | 15% |
Unknown | 66 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 67 | 24% |
Medicine and Dentistry | 61 | 22% |
Nursing and Health Professions | 33 | 12% |
Social Sciences | 11 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 8 | 3% |
Other | 27 | 10% |
Unknown | 72 | 26% |