Trial reportBMC health services research2009
Stepped care for depression and anxiety: from primary care to specialized mental health care: a randomised controlled trial testing the effectiveness of a stepped care program among primary care patients with mood or anxiety disorders.
Trial report in BMC health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Shared care across the interface between primary and specialty care in management of long term conditions.The Cochrane database of systematic reviews · 2017Pooled it
- Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults.The Cochrane database of systematic reviews · 2013Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Pooled it
- Evaluation of a brief intervention within a stepped care whole of service model for personality disorder.BMC psychiatry · 2019Trial
- Effectiveness and efficiency of assertive outreach for Schizophrenia in Germany: study protocol on a pragmatic quasi-experimental controlled trial.BMC psychiatry · 2013Trial
- Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial.Trials · 2011Trial
- Integrated management of dry eye-depression comorbidity: mechanistic insights and temporal therapeutic strategies.Frontiers in medicine · 2026Article
- Does baseline psychiatric symptom severity predict well-being improvement in low-intensity mindfulness interventions?Psychiatry research communications · 2024Article
- Scoping review of stepped care interventions for mental health and substance use service delivery to youth and young adults.Early intervention in psychiatry · 2022Article
- Evaluating the Change Process of a Brief Cognitive Behavior Therapy Workshop for Psychological Distress Among Primary Care Self-Referrals in Selangor, Malaysia.Frontiers in psychiatry · 2022Article
- Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study.Frontiers in psychiatry · 2021Article
- Prevalence and Associated Factors of Mental Distress among Caregivers of Patients with Epilepsy in Ethiopia: A Cross-Sectional Study Design.Psychiatry journal · 2018Article
- Integrating a suicide prevention program into the primary health care network: a field trial study in Iran.BioMed research international · 2015Article
- A stepped-care model of post-disaster child and adolescent mental health service provision.European journal of psychotraumatology · 2014Article
- Health reform and the Affordable Care Act: the importance of mental health treatment to achieving the triple aim.Journal of psychosomatic research · 2013Article
- Evaluation of collaborative models of care in the management of patients with depression: protocol and progress.Mental health in family medicine · 2012Article
- Collaboration between general practitioners (GPs) and mental healthcare professionals within the context of reforms in Quebec.Mental health in family medicine · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMood and anxiety disorders are highly prevalent and have a large impact on the lives of the affected individuals. Therefore, optimal treatment of these disorders is highly important. In this study we will examine the effectiveness of a stepped care program for primary care patients with mood and anxiety disorders. A stepped care program is characterized by different treatment steps that are arranged in order of increasing intensity.
methodsThis study is a randomised controlled trial with two conditions: stepped care and care as usual, whereby the latter forms the control group. The stepped care program consists of four evidence based interventions: (1) Watchful waiting, (2) Guided self-help, (3) Problem Solving Treatment and (4) Medication and/or specialized mental health care. The study population consists of primary care attendees aged 18-65 years. Screeners are sent to all patients of the participating general practitioners. Individuals with a Diagnostic and Statistical Manual of mental disorders (DSM) diagnosis of major depression, dysthymia, panic disorder (with or without agoraphobia), generalized anxiety disorder, or social phobia are included as well as individuals with minor depression and anxiety disorders. Primary focus is the reduction of depressive and anxiety symptoms. Both conditions are monitored at 8, 16 and 24 weeks. DISCUSSION: This study evaluates the effectiveness of a stepped care program for patients with depressive and anxiety disorder. If effective, a stepped care program can form a worthwhile alternative for care as usual. Strengths and limitations of this study are discussed.
trial registrationCurrent Controlled Trails: ISRCTN17831610.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.