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

J.F. van Eck van der Sluijs, H. Castelijns, V. Eijsbroek, C.A.Th. Rijnders, H.W.J. van Marwijk, C.M. van der Feltz-Cornelis

Research output: Contribution to journalReview articlepeer-review

14 Citations (Scopus)

Abstract

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). Best physical outcomes in CC were found for hypertension with comorbiddepression. 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 medical conditions is needed.
Original languageEnglish
Pages (from-to)1-14
JournalGeneral Hospital Psychiatry: Psychiatry, Medicine and Primary Care
Volume50
DOIs
Publication statusPublished - 2018

Keywords

  • ACUTE CORONARY SYNDROME
  • ANXIETY DISORDERS
  • CARDIAC EVENTS
  • CLINICAL-TRIAL
  • COST-EFFECTIVENESS
  • Chronic medical disorder
  • Collaborative care
  • Comorbidity
  • Depression
  • Illness burden
  • LOW-INCOME
  • MAJOR DEPRESSION
  • MENTAL-HEALTH CONDITIONS
  • Meta-analysis
  • PSYCHIATRIC-DISORDERS
  • Physical outcomes
  • RANDOMIZED-CONTROLLED-TRIAL
  • Systematic review

Fingerprint Dive into the research topics of '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'. Together they form a unique fingerprint.

Cite this