Effectiveness of a self-management training for patients with chronic and treatment resistant anxiety or depressive disorders on quality of life symptoms and empowerment: results of a randomized controlled trial

摘要

BackgroundAnxiety and depressive disorders are common mental disorders. A substantial part of patients does not achieve symptomatic remission after treatment in specialized services. Current care as usual (CAU) for these patients consists of long-term supportive contacts. Termination of CAU is often not considered to be an option due to persistent symptoms, a low level of functioning, and the absence of further treatment options. A new intervention, ZemCAD, offers a program focused on rehabilitation and self-management, followed by referral back to primary care.