Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000117.xml
PiD - Psychotherapie im Dialog 2021; 22(03): 39-43
DOI: 10.1055/a-1215-1607
DOI: 10.1055/a-1215-1607
Aus der Praxis
Stepped Care zur Verbesserung der Versorgung von Menschen mit Depression
Stepped Care (gestufte Behandlung) bietet einen passenden Rahmen, um evidenzbasierte Behandlungsempfehlungen bei Depression umzusetzen und dabei bestehende Defizite in der Versorgung zu reduzieren. Dadurch können niedrigschwellige Interventionen innerhalb eines adäquaten klinischen Rahmens durchgeführt werden. Im Beitrag werden Kernmerkmale, Evidenzlage und mögliche Weiterentwicklungen zu Stepped Care vorgestellt.
Publication History
Article published online:
27 August 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 World Health Organization. The World Health Report 2001 – Mental Health: New Understanding, New Hope. Geneva: World Health Organization; 2001
- 2 Watzke B, Braun M, Haller E. et al. Zugang und Nachsorge bei Psychotherapie: Herausforderungen im Behandlungspfad von Menschen mit psychischen Erkrankungen. PiD 2015; 4: 20-25 DOI: 10.1055/s-0041-105245.
- 3 Duhoux A, Fournier L, Gauvin L. et al. Quality of care for major depression and its determinants: A multilevel analysis. BMC Psychiatry 2012; 12: 142 DOI: 10.1186/1471-244X-12-142.
- 4 DGPPN, BÄK, KBV, AWMF für die Leitliniengruppe Unipolare Depression. S3-Leitlinie/Nationale VersorgungsLeitlinie Unipolare Depression – Langfassung, 2. Auflage. Version 5. 2015 DOI: 10.6101/AZQ/000364
- 5 Richards DA, Bower P, Pagel C. et al. Delivering stepped care: an analysis of implementation in routine practice. Implement Sci 2012; 7: 3 DOI: 10.1186/1748-5908-7-3.
- 6 van Straten A, Hill J, Richards DA. et al. Stepped care treatment delivery for depression: a systematic review and meta-analysis. Psychol Med 2015; 45 (02) 231-46 DOI: 10.1017/S0033291714000701.
- 7 Firth N, Barkham M, Kellett S. The clinical effectiveness of stepped care systems for depression in working age adults: A systematic review. J Affect Disord 2015; 170: 119-30 DOI: 10.1016/j.jad.2014.08.030.
- 8 Katon W, Von Korff M, Lin E. et al. Stepped collaborative care for primary care patients with persistent symptoms of depression: a randomized trial. Arch Gen Psychiatry 1999; 56: 1109-15 DOI: 10.1001/archpsyc.56.12.1109.
- 9 van Straten A, Tiemens B, Hakkaart L. et al. Stepped care vs. matched care for mood and anxiety disorders: A randomized trial in routine practice. Acta Psychiat Scand 2006; 113 (06) 468-76 DOI: 10.1111/j.1600-0447.2005.00731.x.
- 10 van’t Veer-Tazelaar PJ, van Marwijk HW, van Oppen PP. et al. Stepped-Care Prevention of Anxiety and Depression in Late Life: A Randomized Controlled Trial. Arch Gen Psychiat 2009; 66 (03) 297-304 DOI: 10.1001/archgenpsychiatry.2008.555.
- 11 Härter M, Watzke B, Daubmann A. et al. Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial. Sci Rep 2018; 8: 9389 DOI: 10.1038/s41598-018-27470-6.
- 12 Watzke B, Heddaeus D, Steinmann M. et al. Does symptom severity matter in stepped and collaborative care for depression?. J Affect Disord 2020; 277: 287-295 DOI: 10.1016/j.jad.2020.07.079.
- 13 Ali S, Rhodes L, Moreea O. et al. How durable is the effect of low intensity CBT for depression and anxiety? Remission and relapse in a longitudinal cohort study. Behav Res Ther 2017; 94: 1-8 DOI: 10.1016/j.brat.2017.04.006.
- 14 Steinmann M, Heddaeus D, Liebherz S. et al. Telefongestützte Verhaltenstherapie als niedrigschwellige Intervention bei Depression: Ein Behandlungsprogramm für den deutschen Sprachraum. Verhaltenstherapie 2016; 26: 244-253 DOI: 10.1159/000452435.
- 15 Haller E, Besson N, Watzke B. “Unrigging the support wheels” – A qualitative study on patients’ experiences with and perspectives on low-intensity CBT. BMC Health Serv Res 2019; 19: 686 DOI: 10.1186/s12913-019-4495-1.
- 16 Bockting CL, Hollon SD, Jarrett RB. et al. A lifetime approach to major depressive disorder: The contributions of psychological interventions in preventing relapse and recurrence. Clin Psychol Rev 2015; 41: 16-26 DOI: 10.1016/j.cpr.2015.02.003.
- 17 Heddaeus D, Dirmaier J, Brettschneider C. et al. Study protocol for the COMET study: a cluster-randomised, prospective, parallel-group, superiority trial to compare the effectiveness of a collaborative and stepped care model versus treatment as usual in patients with mental disorders in primary care. BMJ Open 2019; 9: e032408 DOI: 10.1136/bmjopen-2019-032408.