Randomized controlled trial of collaborative care management of depression among low-income patients with cancer.

ABSTRACT:

Purpose

To determine the effectiveness of the Alleviating Depression Among Patients With Cancer (ADAPt-C) collaborative care management for major depression or dysthymia.

Patients and methods

Study patients included 472 low-income, predominantly female Hispanic patients with cancer age >or= 18 years with major depression (49%), dysthymia (5%), or both (46%). Patients were randomly assigned to intervention (n = 242) or enhanced usual care (EUC; n = 230). Intervention patients had access for up to 12 months to a depression clinical specialist (supervised by a psychiatrist) who offered education, structured psychotherapy, and maintenance/relapse prevention support. The psychiatrist prescribed antidepressant medications for patients preferring or assessed to require medication.<

SUBMITTER: Ell K 

PROVIDER: S-EPMC2653113 | biostudies-literature | 2008 Sep

REPOSITORIES: biostudies-literature