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  • Bondesson, ElisabethLund University,Lunds universitet,Tillämpad epidemiologi,Forskargrupper vid Lunds universitet,Epidemiologi,Applied epidemiology,Lund University Research Groups,Epidemiology,Skåne University Hospital (author)

Utilization of healthcare and prescription medicines after non-pharmacological interventions for depression - A 3-year register follow-up of an RCT in primary care

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • Elsevier,2022
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:lnu-110375
  • https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-110375URI
  • https://doi.org/10.1016/j.pmedr.2021.101658DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-467452URI
  • https://lup.lub.lu.se/record/83b261bf-ccdf-4193-b932-730419a021f9URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:148693139URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Depression is a common, recurrent disorder. There is a need for readily available treatments with few negative side effects, that demands little resources and that are effective both in the short- and long term. Our aim was to investigate the long-term effectiveness of two different interventions; physical exercise and internet-based cognitive behavioural therapy (internet-CBT), compared to usual care in patients with mild to moderate depression in a Swedish primary care setting. We performed a register-based 3-year follow-up study of participants in the randomized controlled trial REGASSA (n = 940) using healthcare utilization and dispensed medicines as outcomes. We found no difference between the three groups regarding proportion of participants consulting healthcare due to mental illness or pain during follow-up. Regarding number of consultations, there was no difference between the groups, except for consultations related to pain. For this outcome both treatment arms had significantly fewer consultations compared to usual care, during year 2-3, the risk ratio (RR) for physical exercise and internet-CBT was 0.64 (95% CI = 0.43-0.95) and 0.61 (95% CI = 0.41-0.90), respectively. A significantly lower proportion of patients in both treatment arms were dispensed hypnotics and sedatives year 2-3 compared to the usual care arm, RR for both physical exercise and internet-CBT was 0.72 (95% CI = 0.53-0.98). No other differences between the groups were found. In conclusion, considering long-term effects, both physical exercise and internet-CBT, being resource-efficient treatments, could be considered as appropriate additions for patients with mild to moderate depression in primary care settings.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Jöud, AnnaLund University,Lunds universitet,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,Tillämpad epidemiologi,Forskargrupper vid Lunds universitet,Epidemiologi,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Faculty of Medicine,Applied epidemiology,Lund University Research Groups,Epidemiology,Skåne University Hospital(Swepub:lu)med-aju (author)
  • Stigmar, KjerstinLund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Tillämpad epidemiologi,Human Movement: health and rehabilitation,Lund University Research Groups,Applied epidemiology(Swepub:lu)med-ksm (author)
  • Ringqvist, ÅsaSkåne University Hospital, Sweden,Skane Univ Hosp, Dept Neurosurg & Pain Rehabil, Lund, Sweden(Swepub:lu)med-aar (author)
  • Kraepelien, MartinKarolinska Institutet,Karolinska Institute (author)
  • Kaldo, Viktor,ProfessorLinnaeus University,Karolinska Institute,Linnéuniversitetet,Institutionen för psykologi (PSY),Karolinska Institutet, Sweden;Region Stockholm, Sweden,DISA ; DISA-IDP,Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden.;Linnaeus Univ, Fac Hlth & Life Sci, Dept Psychol, Växjö, Sweden(Swepub:lnu)vikaaa (author)
  • Wettermark, BjörnUppsala University,Uppsala universitet,Institutionen för farmaci(Swepub:uu)bjowe336 (author)
  • Forsell, YvonneKarolinska Institutet,Karolinska Institute (author)
  • Petersson, Ingemar F.Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,Tillämpad epidemiologi,Epidemiologi,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Applied epidemiology,Epidemiology,Skåne University Hospital(Swepub:lu)ort-ipe (author)
  • Schelin, Maria E.C.Lund University,Lunds universitet,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Palliativ vård,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,The Institute for Palliative Care,Lund University Research Groups,Palliative care,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-ms37 (author)
  • Tillämpad epidemiologiForskargrupper vid Lunds universitet (creator_code:org_t)

Related titles

  • In:Preventive Medicine Reports: Elsevier252211-3355

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