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PMHP 6. Depression

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Why is prevention of depression important?

- It has a very high prevalence and incidence, and a huge burden of disease. - Optimal treatment can reduce the burden of disease with just about 1/3. - It has very high costs - Depression is often recurrent or chronic - Prevention of MD could significantly reduce the burden of disease due to this highly common and disabling disorder.

Name a indicated prevention program for depression and illustrate the content and effectiveness.

Guided self-help in praimary care - Targets: screening of GP patients - Content: Self help book 'coping with depression' course (cognitive restructuring, behavioral activation, social skills) guidance to work through materials - Effective: Yes, at 12m the Internal Rate of Return is 0.66

Name an intervention with a stepped-care approach. Illustrate the content and effectiveness

Prevention of depression in older adults - Aimed at older adults in primary care, 75 years or older, subthreshold depression - Stepped care: 1. watchful waiting, 2. guided self-help (coping with depression course). 3. brief psychotherapy 4. referral to GP for medication - Effective: yes, NNT 8.2

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Institution
Vrije Universiteit Amsterdam (VU)
Study
Psychologie
Module
Prevention of Mental Health Problems

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