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  • A collaborative care intervention improved depression outcomes, but not glycaemic control, in diabetes and comorbid depression

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A collaborative care intervention improved depression outcomes, but not glycaemic control, in diabetes and comorbid depression

https://doi.org/10.1136/ebn.8.3.81

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    Katon WJ, Von Korff M, Lin EHB, et al. The Pathways Study: a randomized trial of collaborative care in patients with diabetes and depression. Arch Gen Psychiatry 2004;61:1042–9.OpenUrlCrossRefPubMedWeb of Science

    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?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}.*

    Embedded ImageBlinding:

    blinded (outcome assessors).

    Embedded ImageFollow up period:

    12 months

    Embedded ImageSetting:

    9 Group Health Cooperative primary care clinics in western Washington, USA.

    Embedded ImagePatients:

    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.

    Embedded ImageIntervention:

    a PCCI …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr W J Katon, University of Washington School of Medicine, Seattle, WA, USA. wkatonu.washington.edu

    • Source of funding: National Institute of Mental Health Services Division, Bethesda, MD.