Projects
1. Various primary care interventions, mostly for older adults, have been tested or are in the process of being tested:
Costeffectiveness of implementation of a patient-centred collaborative care model with a treatment algorithm for the use of antidepressants, casemanagement and problem solving treatment for patients with major depression in primary care.
Costeffectiveness of a collaborative stepped care intervention for anxiety disorders in the primary care setting.
Duloxetine plus collaborative care treatment versus duloxetine alone in the treatment of concomitant pain and depressive disorder. A randomized clinical trial in primary care.
Antidepressant drug treatment for the elderly (PhD thesis defended):
http://www.emgo.nl/research_prog/common/researchprojects_04.asp
Life review and reminiscence (PhD thesis defended):
http://www.emgo.nl/research_prog/common/researchprojects_06.asp
Interpersonal therapy (PhD thesis defended):
http://www.emgo.nl/research_prog/common/researchprojects_09.asp
Effectiveness of a minimal intervention for psychological distress carried out in general practice; a pragmatic randomised controlled trial (PhD thesis defended):
http://www.emgo.nl/research_prog/common/researchprojects_23.asp
Effects on emotional disorders of problem-solving therapy (PST) provided by nurses (PhD thesis defended):
http://www.emgo.nl/research_prog/common/researchprojects_24.asp
Stepped care for depression and anxiety: from primary to secondary care (www.steppedcare.nl)
http://www.emgo.nl/research_prog/common/researchprojects_53.asp
Prognosis of minor and major depression in older primary-care patients. The West Friesland Study (PhD thesis defended)
http://www.emgo.nl/research_prog/common/researchprojects_10.asp
Exploring pathophysiologic and behavioural pathways in the link between depression and cardiovascular disease (PhD thesis defended)
http://www.emgo.nl/research_prog/common/researchprojects_12.asp
2. There is a growing emphasis on preventative interventions:
Prevention of anxiety and depression in later life: a programme testing the feasibility and effectiveness of a generic stepped-care programme for the elderly at high risk of developing anxiety and depression
http://www.emgo.nl/research_prog/common/researchprojects_28.asp
Prevention of anxiety and depression in homes for the elderly
Family Meetings in Memory Clinics: Indicated Prevention of developing Anxiety and Depressive Disorders in primary informal caregivers of demented patients
http://www.emgo.nl/research_prog/common/researchprojects_58.asp
Development and feasibility of collaborative care for dementia in general practice
3. Several longitudinal studies are being performed:
The Netherlands Study on late-life depression, building an infrastructure and longitudinal cohort of depressed older persons (NESDO)
http://www.emgo.nl/research_prog/common/researchprojects_50.asp
Depression, Anxiety, and Atherosclerosis: shared pathways? Cardiovascular extension of the Netherlands Study of Depression and Anxiety (NESDA)
http://www.emgo.nl/research_prog/common/researchprojects_59.asp
4. Patient and vocational trainee communication studies
Patient feedback as a learning tool for general practitioner trainees
Learning from supervision by general practice trainers