Collaborative care depression management for older adults: level of comorbidity does not affect outcome

Conn, David K.
November 2005
Evidence Based Mental Health;Nov2005, Vol. 8 Issue 4, p105
Academic Journal
This article presents a study which found that level of comorbidity does not affect outcome in collaborative care depression management for older adults. Participants randomised to collaborative care management had access for up to 12 months to a depression care manager who provided education, care management, and brief psychotherapy or support of antidepressant treatment. Surprisingly, although people with more chronic medical conditions had higher depression severity at baseline, the number of chronic diseases did not affect the likelihood of response to the intervention when compared with usual care. This study's findings are important because many elderly adults with depression also have chronic medical conditions, and the study should provide much needed encouragement for clinicians treating depression in these patients.


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