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BACKGROUND Cognitive-behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. AIMS To assess the cost-effectiveness of computer-delivered CBT. METHOD A sample of people with depression or anxiety were randomised to usual(More)
BACKGROUND Common mental disorders are associated with substantial morbidity and disability in developing countries, but there are no data for efficacy of treatment. We aimed to assess the efficacy and cost-effectiveness of antidepressant and psychological treatment for common mental disorders in general health-care settings. METHOD We did a randomised,(More)
OBJECTIVE People with coronary heart disease (CHD) are at heightened risk of depression, and this co-occurrence of conditions is associated with poorer outcomes including raised mortality. This study compares the diagnostic accuracy of two depression case finding instruments in CHD patients relative to a diagnostic standard, the revised Clinical Interview(More)
BACKGROUND Preliminary results have demonstrated the clinical efficacy of computerised cognitive-behavioural therapy (CBT) in the treatment of anxiety and depression in primary care. AIMS To determine, in an expanded sample, the dependence of the efficacy of this therapy upon clinical and demographic variables. METHOD A sample of 274 patients with(More)
BACKGROUND There is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments. AIMS To test the concurrent validity and test-retest reliability of a brief screen for personality disorder. METHOD Sixty psychiatric patients were administered a brief screening interview for personality disorder. On(More)
BACKGROUND The evaluation of multi-dimensional outcomes such as health-related quality of life (HRQL) is particularly relevant in dementia where the disease can compromise all areas of functioning. The nature of dementia can make self-report difficult, yet the subjective nature of HRQL makes the value of proxy reports limited. Previous work suggests that(More)
BACKGROUND Traditional healers provide a popular and accessible service across the African continent. Little is known of the characteristics or mental health status of those using these services. AIMS To determine and compare the prevalence of common mental disorder among, and the characteristics of, those attending primary health care clinics (PHCs) and(More)
BACKGROUND There have been no studies of the co-occurrence of personality and substance use disorders in young community-dwelling adults. AIMS To examine the association between DSM-IV personality disorders and substance use disorders in a large representative sample of young community-dwelling participants. METHOD Young Australian adults (n=1520, mean(More)
BACKGROUND An association between depression and coronary heart disease is now accepted but there has been little primary care research on this topic. The UPBEAT-UK studies are centred on a cohort of primary patients with coronary heart disease assessed every six months for up to four years. The aim of this research was to determine the prevalence and(More)
BACKGROUND Patients with medically unexplained symptoms (MUS) are often distressed, disabled and dissatisfied with the care they receive. Illness beliefs held by patients have a major influence on the decision to consult, persistence of symptoms and the degree of disability. Illness perception models consist of frameworks to organise information from(More)