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Evaluation of a brief psychological treatment for emotional disorders in primary care

Published online by Cambridge University Press:  09 July 2009

J. Catalan
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
D. H. Gath*
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
P. Anastasiades
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
S. A. K. Bond
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
A. Day
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
L. Hall
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford
*
1Address for correspondence: Dr D. H. Gath, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX.

Synopsis

A randomized trial in general practice compared: (i) a brief psychological treatment (problem-solving) given by a psychiatrist; (ii) any treatment of the GP's choice, whether psychological or pharmacological. The patients had recent onset emotional disorders of poor prognosis. Patients in the problem-solving group showed significantly greater reductions in symptoms. Problem-solving as given by a psychiatrist was feasible in primary care and acceptable to patients. Problem-solving is now being evaluated as given by general practitioners trained in the method.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

Catalan, J., Gath, D., Edmonds, G. & Ennis, J. (1984 a). The effects of non-prescribing of anxiolytics in general practice. I. Controlled evaluation of psychiatric and social outcome. British Journal of Psychiatry 144, 593602.CrossRefGoogle ScholarPubMed
Catalan, J., Gath, D., Bond, A. & Martin, P. (1984 b). The effects of non-prescribing of anxiolytics in general practice. II. Factors associated with outcome. British Journal of Psychiatry 144, 603610.CrossRefGoogle ScholarPubMed
Duckworth, D. (1983). Evaluation or a programme for increasing the effectiveness of personal problem-solving. British Journal of Psychology 74, 119127.CrossRefGoogle Scholar
D'Zurilla, T. J. & Goldfield, M. R. (1971). Problem solving and behaviour modification. Journal of Abnormal Psychology 78, 1, 107126.CrossRefGoogle Scholar
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.CrossRefGoogle ScholarPubMed
Hawton, K., Salkovskis, P., Kirk, J. & Clark, D. M. (1990). Cognitive Behaviour Therapy for Psychiatric Problems. Oxford University Press: Oxford.Google Scholar
Nezu, A. M., Nezu, C. M. & Perri, M. G. (1989). Problem-Solving Therapy for Depression. John Wiley & Sons: New York.Google Scholar
Nie, N. H. (1983). Statistical Package for Social Sciences. McGraw-Hill: New York.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar