outcomes for depression and anxiety in primary care and details of treatment a naturalistic longitudinal study结果抑郁和焦虑在初级保健和治疗的细节,一个自然的纵向研究.pdfVIP

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outcomes for depression and anxiety in primary care and details of treatment a naturalistic longitudinal study结果抑郁和焦虑在初级保健和治疗的细节,一个自然的纵向研究.pdf

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outcomes for depression and anxiety in primary care and details of treatment a naturalistic longitudinal study结果抑郁和焦虑在初级保健和治疗的细节,一个自然的纵向研究

Prins et al. BMC Psychiatry 2011, 11:180 /1471-244X/11/180 RESEARCH ARTICLE Open Access Outcomes for depression and anxiety in primary care and details of treatment: a naturalistic longitudinal study 1 1,2* 3 1 3 Marijn A Prins , Peter FM Verhaak , Mirrian Hilbink-Smolders , Peter Spreeuwenberg , Miranda GH Laurant , 2 4 5,6,7 1,8 Klaas van der Meer , Harm WJ van Marwijk , Brenda WJH Penninx and Jozien M Bensing Abstract Background: There is little evidence as to whether or not guideline concordant care in general practice results in better clinical outcomes for people with anxiety and depression. This study aims to determine possible associations between guideline concordant care and clinical outcomes in general practice patients with depression and anxiety, and identify patient and treatment characteristics associated with clinical improvement. Methods: This study forms part of the Netherlands Study of Depression and Anxiety (NESDA). Adult patients, recruited in general practice (67 GPs), were interviewed to assess DSM-IV diagnoses during baseline assessment of NESDA, and also completed questionnaires measuring symptom severity, received care, socio- demographic variables and social support both at baseline and 12 months later. The definition of guideline adherence was based on an algorithm on care received. Information on guideline adherence was obtained from GP medical records. Results: 721 patients with a current (6-month recency) anxiety or depressive disorder participated. While patients who received guideline concordant care (N = 281) suffered from more