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Preventie van depressie en angst

Bij bewoners van verzorgingshuizen

  • Wetenschappelijk artikel
  • Published:
Tijdschrift voor VerpleeghuisGeneeskunde

Samenvatting

Bewoners van verzorgingshuizen vormen een hoog- risico groep voor het ontwikkelen van een depressie en/of angststoornis. Deze stoornissen hebben een grote impact, komen veel voor en worden vaak slecht herkend in verzorgingshuizen in Nederland. Een preventieve benadering verdient daarom meer aandacht. Dit artikel beschrijft de opzet van een gerandomiseerd, gecontroleerd onderzoek naar de haalbaarheid en (kosten) effectiviteit van een stepped-care programma met als doel het ontstaan van depressieve- en/of angststoornissen bij bewoners van verzorgingshuizen te voorkomen. De primaire uitkomstmaat van het onderzoek is het ontstaan van een dergelijke stoornis binnen een jaar, met een vervolgmeting na twee jaar. Secundaire uitkomstmaten zijn: symptomen van depressie en angst, kwaliteit van leven, directe gezondheidszorgkosten en tevredenheid met de behandeling. Er is nog weinig onderzoek gedaan naar de effecten van preventieve interventies van psychiatrische problemen bij ouderen. Geïndiceerde preventie door middel van een stepped care programma lijkt echter een veelbelovende aanpak om bewoners en hun verzorgenden te ondersteunen om deze problemen te voorkomen. Dit onderzoek levert een bijdrage aan de kennis op het gebied van preventie van depressie en angst bij ouderen. Mogelijke positieve resultaten kunnen een bijdrage leveren aan het verbeteren van de zorg op dit terrein.

Abstract

Depressive and anxiety disorders are a very common, serious and under detected problem in homes for the elderly. Elderly persons in residential homes are at high risk for developing major depressive and anxiety disorders, and, therefore, deserve attention with regard to prevention. This protocol describes a randomised trial on the feasibility and (cost) effectiveness of a stepped-care programme for prevention of depressive and anxiety disorders in homes for the elderly. The main outcome measure is the incidence of depressive and anxiety disorder in one year with a two years follow up. Secondary outcomes are symptoms of depression and anxiety, quality of life, direct health care costs and satisfaction with treatment. The number of studies examining the effects of preventive interventions on the incidence of mental disorders in the elderly population is very small. However, indicated prevention by means of a stepped-care programme seems to be an important option for decreasing the burden of illness for residents and their caregivers. This study contributes to the body of knowledge in this field. Positive effects may contribute to further use and development of tailored, (cost-) effective and easy to use interventions in a preventive stepped-care programme.

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  1. www.bsl.nl/shop/tijds-verpleeghuisgeneeskunde-1386-1514.html

    Els Dozeman

Authors
  1. Els Dozeman
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  2. Anneke JF van Schaik
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  3. Aartjan TF Beekman
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  4. Wim AB Stalman
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  5. Judith E Bosmans
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  6. Harm WJ van Marwijk
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Corresponding author

Correspondence to Els Dozeman.

Additional information

verpleegkundig specialist en hoofdonderzoeker, Emgo-instituut afdeling huisartsgeneeskunde VUmc

psychiater en senior onderzoeker, Emgo-instituut afdeling psychiatrie

psychiater en hoogleraar psychiatrische epidemiologie, Emgo-instituut afdeling psychiatrie

hoogleraar huisartsgeneeskunde, Emgo-instituut afdeling huisartsgeneeskunde VUmc

universitair docent gezondheids-wetenschappen, Instituut voor gezondheidwetenschappen VU

huisarts en universitair hoofddocent, Emgo-instituut afdeling huisartsgeneeskunde VUmc

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Dozeman, E., van Schaik, A.J., Beekman, A.T. et al. Preventie van depressie en angst. TVVG 33, 170–173 (2008). https://doi.org/10.1007/BF03078550

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