Outcomes of Depression International Network (ODIN) -: Background, methods and field trials

Outcomes of Depression International Network (ODIN) -: Background, methods and field trials
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DOI:
10.1192/bjp.172.4.359
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发表时间:
1998-04-01
影响因子:
10.5
通讯作者:
Wilkinson, G
Wilkinson, G
中科院分区:
医学1区
文献类型:
--
作者:
Dowrick, C;Casey, P;Wilkinson, G

文献摘要

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背景ODIN的目的是(a)提供数据的流行病学抽样框架的基础上,在欧洲联盟(EU)的农村和城市环境中的抑郁症的患病率,风险因素和结果:和(B),以评估两个心理干预措施对抑郁症的结果和服务利用率和costs.Method的影响五个中心在欧盟正在参加ODIN。各中心通过电子方式联系,成员定期开会进行培训和战略审查。每个中心都确定了城市和农村地区。抽样范围是通过初级保健数据库或选民登记册确定的18至64岁的成年人。使用贝克抑郁量表确定抑郁障碍的潜在病例。SCAN II和其他有效的措施用于分配病例对DSM-IV和ICD-10标准;评估合并症,残疾遗传/家族易感性,心理社会压力,人格特质和认知因素;和利用当地的医疗保健服务。一项随机对照试验的个人解决问题的治疗和一组教育计划进行的受访者确定为抑郁症的情况下。个人在6个月和12 months.Results和结论ODIN已经刺激了有效的国际研究伙伴关系的发展。
Background ODIN aims (a) to provide data on the prevalence, risk factors and outcome of depressive disorders in rural and urban settings within the European Union (EU) based on an epidemiological sampling frame: and (b) to assess the impact of two psychological interventions on the outcome of depression and on service utilisation and costs.Method Five centres across the EU are participating in ODIN. The centres are linked electronically and members meet regularly for training and strategic reviews. Urban and rural areas have been identified in each centre. The sampling frame is of adults aged 18-64, identified via primary care databases or electoral registers. Potential cases of depressive disorders are identified using the Beck Depression Inventory. SCAN II and other validated measures are used to assign caseness against DSM-IV and ICD-10 criteria; assess comorbidity, disability genetic/familial susceptibility, psychosocial stressors, personality traits and cognitive factors; and utilisation of local health care services. A randomised controlled trial of individual problem-solving treatment and a group educational programme is undertaken for respondents identified as cases of depressive disorder. Individuals are followed-up at six and 12 months.Results and Conclusions ODIN has already stimulated the development of an effective international research partnership.