Trial reportJournal of general internal medicine2006
Improving depression care in patients with diabetes and multiple complications.
Trial report in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Collaborative care for patients with depression and diabetes mellitus: a systematic review and meta-analysis.BMC psychiatry · 2013Pooled it
- Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression.The Cochrane database of systematic reviews · 2012Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Pooled it
- Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetes.Diabetes care · 2008Trial
- Continuity of care in primary healthcare settings among patients with chronic diseases in Saudi Arabia.SAGE open medicine · 2023Article
- Integrated self-management support provided by primary care nurses to persons with chronic diseases and common mental disorders: a scoping review.BMC nursing · 2022Article
- Review
- Severe Depressive Episode with Psychotic Symptoms and Type 2 Diabetes: A 2010-2017 Longitudinal Study.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
- Problem-solving therapy for adults with diabetic retinopathy and diabetes-specific distress: a pilot randomized controlled trial.BMJ open diabetes research & care · 2017Article
- A Randomized Controlled Trial Protocol to Evaluate the Effectiveness of an Integrated Care Management Approach to Improve Adherence Among HIV-Infected Patients in Routine Clinical Care: Rationale and Design.JMIR research protocols · 2016Article
- Anxiety and diabetes: Innovative approaches to management in primary care.Experimental biology and medicine (Maywood, N.J.) · 2016Review
- Association between depression and diabetes amongst adults in Bangladesh: a hospital based case-control study.Journal of global health · 2015Article
- The prevalence and correlates of depression and anxiety in a sample of diabetic patients in Sharjah, United Arab Emirates.BMC family practice · 2010Article
- Interdisciplinary stepped care for depression after acute coronary syndrome.Archives of internal medicine · 2010Article
- The comorbidity of diabetes mellitus and depression.The American journal of medicine · 2008Article
- From Bedside to Bench: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Comorbidity and Multiple Morbidity in Older Adults.Aging clinical and experimental research · 2008Article
- The difficulty of making psychology research and clinical practice relevant to medicine: experiences and observations.Journal of clinical psychology in medical settings · 2008Article
- Depression in primary care: encouragement and caution for the business case.Journal of general internal medicine · 2006Article
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundDepression is common in patients with diabetes, but it is often inadequately treated within primary care. Competing clinical demands and treatment resistance may make it especially difficult to improve depressive symptoms in patients with diabetes who have multiple complications.
objectiveTo determine whether a collaborative care intervention for depression would be as effective in patients with diabetes who had 2 or more complications as in patients with diabetes who had fewer complications.
designThe Pathways Study was a randomized control trial comparing collaborative care case management for depression and usual primary care. This secondary analysis compared outcomes in patients with 2 or more complications to patients with fewer complications. PATIENTS: Three hundred and twenty-nine patients with diabetes and comorbid depression were recruited through primary care clinics of a large prepaid health plan. MEASUREMENTS: Depression was assessed at baseline, 3, 6, and 12 months with the 20-item depression scale from the Hopkins Symptom Checklist. Diabetes complications were determined from automated patient records.
resultsThe Pathways collaborative care intervention was significantly more successful at reducing depressive symptoms than usual primary care in patients with diabetes who had 2 or more complications. Patients with fewer than 2 complications experienced similar reductions in depressive symptoms in both intervention and usual care.
conclusionPatients with depression and diabetes who have multiple complications may benefit most from collaborative care for depression. These findings suggest that with appropriate intervention depression can be successfully treated in patients with diabetes who have the highest severity of medical problems.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.