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A collaborative care approach delivering treatment to patients with depression comorbid with diabetes or cardiovascular disease achieves significant but small improvements over usual care in depression and patient satisfaction
  1. Michael Sharpe
  1. Department of Psychiatry, University of Oxford, Oxford, UK;

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ABSTRACT FROM: Coventry P, Lovell K, Dickens C, et al. Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease. BMJ 2015;350:h638.

What is already known on this topic

Collaborative care, a treatment model in which a specialist mental health provider collaborates with primary care, often assisted by a care manager, aims to improve the management of depression, including depression comorbid with medical conditions.1 There is recent evidence from the TEAMcare trial in the USA that integrating depression management and the management of diabetes and cardiovascular disease achieves better outcomes for both.2

Methods of the study

This study was a randomised trial in which patients were allocated to an intervention in clusters (by general practice). Patients had to have a Patient Health Questionaire-9 (PHQ-9) depression score of …

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  • Competing interests None declared.