Collaborative care for depression in medically ill patients

Baumeister, Harald; Hutter, Nico

doi:10.1097/yco.0b013e3283556c63

Cited by 33 publications

(33 citation statements)

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“…Literature reviews to date have focused on the effectiveness of CC for psychological outcomes, rather than for physical outcomes, in patients with comorbid physical conditions 5 and depressive or anxiety disorders [30][31][32]. Therefore, the objective of this study was to perform a systematic review and meta-analysis that extends beyond previous reviews by reporting the effects of CC on physical disorders and co-morbid depressive or anxiety disorders, with a primary focus on physical outcomes and illness burden.…”

Section: Objectivesmentioning

confidence: 99%

“…In such cases of comorbidity, the treatment response is often less favourable for both the chronic medical condition [21] and the mental disorder [22][23][24]. Research has shown that CC is effective, as compared to CAU, in improving depressive and anxiety disorders [25][26][27][28][29][30][31][32][33], and the National Institute for…”

Section: Rationalementioning

confidence: 99%

“…Additional pre-defined analyses were performed for three theoretically interesting potential moderating effects, based on the literature [32], and as described in our…”

Section: Additional Pre-envisioned Subgroup Analysesmentioning

confidence: 99%

“…Appendix A presents the detailed and complete search strategy. The reference lists of three recent published systematic reviews on CC [30][31][32] were checked for studies missed by the PubMed search. Further, the search terms of the systematic review [18] were used to update the search up until August 1 st 2017.…”

Section: Eligibility Criteria Information Sources and Searchmentioning

confidence: 99%

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Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

Sluijs

Castelijns

Eijsbroek

et al. 2018

General Hospital Psychiatry

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Objective Collaborative care (CC) improves depressive symptoms in people with comorbid depressive disorder in chronic medical conditions, but its effect on physical symptoms has not yet systematically been reviewed. This study aims to do so. Methods Systematic review and meta-analysis was conducted using Pubmed, the Cochrane Library, and the European and US Clinical Trial Registers. Eligible studies included randomized controlled trials (RCTs) of CC compared to care as usual (CAU), in primary care and general hospital setting, reporting on physical and depressive symptoms as outcomes. Overall treatment effects were estimated for illness burden, physical outcomes and depression, respectively. Results Twenty RCTs were included, with N = 4774 patients. The overall effect size of CC versus CAU for illness burden was OR 1.64 (95%CI 1.47;1.83), d = 0.27 (95%CI 0.21;0.33). Overall, depression outcomes were better for CC than for CAU. Moderator analyses did not yield statistically significant differences. Conclusions CC is more effective than CAU in terms of illness burden, physical outcomes and depression, in patients with comorbid depression in chronic medical conditions. More research covering multiple physical disorders is needed. Corresponding AuthorChristina Van der Feltz-Cornelis Corresponding Author's InstitutionClinical Centre of excellence for Body, Mind and Health, GGz Breburg, Tilburg, The Netherlands Appendix A_searchterm.docx [Figure] Appendix B_PRISMA 2009 checklist.docx [Figure] Appendix C_risk of bias assessment.docx [Figure] Forest plot 1.docx [Figure] Forest plot 2.docx [Figure] Forest plot 3.docx [Figure] Forest plot 4.docx [Figure] Forest plot 5.docx [Figure] Funnel plot 1.docx [Figure] PRISMA flow diagram.docx [Figure] Table] To view all the submission files, including those not included in the PDF, click on the manuscript title on your EVISE Homepage, then click 'Download zip file'. Order of AuthorsDear Dr. Huffman,We have received your comments with regard to our manuscript 'Physical outcomes of collaborative care and illness burden in patients with comorbid depressive disorder in chronic medical conditions: a systematic review and meta-analysis' (GHP_2017_110_R1).We would like to thank you for the fast and careful review of our manuscript, and are pleased that your Journal is interested in considering a revised version. We have carefully attended to the remarks, which were most helpful for improving the manuscript. Enclosed you will also find the revised version of the manuscript, in which we have marked the revisions in yellow.During the revision process we have also changed the title to: 'Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis'. We hope that our revised manuscript is suitable for publication in General Hospital Psychiatry. Editor comments and our response:Thank you very much for your comprehensive re...

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Section: Objectivesmentioning

confidence: 99%

Section: Rationalementioning

confidence: 99%

“…Additional pre-defined analyses were performed for three theoretically interesting potential moderating effects, based on the literature [32], and as described in our…”

Section: Additional Pre-envisioned Subgroup Analysesmentioning

confidence: 99%

Section: Eligibility Criteria Information Sources and Searchmentioning

confidence: 99%

See 2 more Smart Citations

Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

Sluijs

Castelijns

Eijsbroek

et al. 2018

General Hospital Psychiatry

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“…The presence of comorbid physical diseases is among the important risk factors for poor outcomes in MDD, and MDD is highly prevalent in patients with various medical conditions. Twenty-five per cent of patients with cancer, one-third of patients with Alzheimer's disease, and half of patients with Parkinson's disease have major depression, rendering MDD a potential cause of poor prognosis in such conditions [26,27].…”

Section: Chronic Physical Diseases Plus Major Depressive Disordermentioning

confidence: 99%

Challenges in Treating Patients with Major Depressive Disorder: The Impact of Biological and Social Factors

Sato¹,

Yeh

2013

CNS Drugs

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Major depressive disorder (MDD) is frequently unrecognized and underdiagnosed by clinicians and thus remains untreated or inappropriately treated in routine clinical practice. Although the symptoms of MDD are widely acknowledged and recognized by clinicians, numerous epidemiological studies have reported that this disorder is more prevalent than had previously been thought, and that it is challenging to diagnose and treat, particularly because somatic symptoms and comorbid conditions are common in real clinical situations. MDD is associated with increased morbidity and mortality as well as with higher healthcare costs and more severe functional impairment. Therefore, optimal treatment for MDD should include collaboration focussed on comorbid physical diseases, rehabilitation aimed at restoring social functioning, and pharmacotherapy designed to ensure complete remission including psychological and physical symptoms, as well as functional recovery.

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Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression

Baumeister

Hutter

Bengel

2012

Cochrane Database of Systematic Reviews

129

128

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Collaborative care for depression in medically ill patients

Cited by 33 publications

References 53 publications

Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis

Challenges in Treating Patients with Major Depressive Disorder: The Impact of Biological and Social Factors

Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression

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