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Screening and treatment of psychological distress in colorectal cancer with metastasized disease: the TES-trial


ABSTRACT: Interventions: Targeted selection of patients with psychological distress. Enhanced care by the clinical nurse specialist. Stepped care: The steps include: (i) Watchful waiting. (ii) If psychological distress persists, the guided self-help program. (iii) If psychological distress persists, a problem analysis is performed and an agreement is made with the patient on the next step; treatment consists of problem solving therapy (face-to-face). (iv) If psychological distress persists, psychotherapy, medication or a referral for other services (e.g. social work) is offered. The TES intervention is compared to usual care. Primary outcome(s): Psychological distress: - Hospital Anxiety and Depression Scale (HADS) Study Design: Randomized controlled trial, Single blinded (masking used), Active, Parallel

DISEASE(S): Colorectal Cancer, Distress, Anxiety, Depression, Colorectaal Kanker, Angst, Depressie

PROVIDER: 18256 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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