Collaborative care cuts depression with diabetes

Collaborative care cuts depression with diabetes

(HealthDay)—Using a nurse case-manager-based collaborative primary care team can cut depressive symptoms in patients with type 2 diabetes, according to a study published online Oct. 14 in Diabetes Care.

Jeffrey A. Johnson, Ph.D., from the University of Alberta in Edmonton, Canada, and colleagues evaluated a nurse case-manager-based collaborative primary care team model. The Patient Health Questionnaire (PHQ) score was used to screen for depression at baseline and at 12 months. Ninety-five patients were assigned to the intervention, 62 to active control, and 71 comparable patients were used as nonscreened usual-care .

The researchers found that one-quarter of the 1,924 screened patients had a PHQ score >10 (mean age, 57.8 years; 55 percent women; mean PHQ score, 14.5). Compared with active-control subjects, intervention patients had greater 12-month improvements in PHQ (5.2 versus 7.3; P = 0.015). PHQ reduction of 50 percent (recovery from ) was also greater among intervention patients (61 versus 44 percent; P = 0.03). Nonscreened control subjects had significantly less improvement at 12 months in the PHQ score (3.2) and lower rates of recovery (24 percent; P < 0.05 for both), compared to screened patients.

"In with who screened positive for depressive symptoms, collaborative care improved depressive symptoms, but physician notification and follow-up was also a clinically effective initial strategy compared with usual care," the authors write.

Two authors disclosed financial ties to the pharmaceutical industry.


Explore further

Collaborative depression care beneficial in ob-gyn clinics

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Diabetes Care

Copyright © 2014 HealthDay. All rights reserved.

Citation: Collaborative care cuts depression with diabetes (2014, November 6) retrieved 8 April 2020 from https://medicalxpress.com/news/2014-11-collaborative-depression-diabetes.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments