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Q In patients with diabetes mellitus and comorbid major depression or dysthymia, does a pathways collaborative care intervention (PCCI) for depression improve both depression and glycaemic control outcomes?
randomised controlled trial.
blinded (outcome assessors).
Follow up period:
9 Group Health Cooperative primary care clinics in western Washington, USA.
329 ambulatory patients (mean age 58 y, 65% women) with diabetes mellitus and comorbid major depression or dysthymia. Exclusion criteria included care from a psychiatrist, confusion suggestive of dementia, or a diagnosis of bipolar disorder or schizophrenia.
a PCCI …
↵* Information provided by author.
For correspondence: Dr W J Katon, University of Washington School of Medicine, Seattle, WA, USA.
Source of funding: National Institute of Mental Health Services Division, Bethesda, MD.