Collaborative care is effective in managing and removing depression

Collaborative careMain Point:

Researchers have found that Collaborative Care for Depression in UK Primary Care Trial (CADET) is more helpful than usual care in decreasing depression immediately after treatment.

Published in:

BMJ

Study Further:

Depression:

Depression is a state of unhappiness and hopelessness. It is considered as a psychological disorder showing symptoms such as persistent feelings of hopelessness, dejection, poor concentration, lack of energy, inability to sleep, and, sometimes, suicidal tendencies. It not only needs treatment but also continuous management as the symptoms may come again.

Depression is thought to become the 2nd largest cause of global disability by 2020.

Collaborative care management of depression:

It is “a complex intervention developed in the United States incorporating a multiprofessional approach to patient care; a structured management plan; scheduled patient follow-ups; and enhanced interprofessional communication.”

This management has shown advantages in the patients of depression for up to five years.

Research:

In the present study, researchers worked on 581 adults having the symptoms of depression. The volunteers were of age 18 years and older. Among these participants, 276 were placed in the group of collaborative care and 305 were placed in the group of usual care, i.e. use of antidepressants and other treatments.

Researchers found that the quality of mental health was significantly better in the participants of collaborative care group as compared to the usual care group after about four months. Although there was no difference in anxiety in two groups but the participants of collaborative care group were much more satisfied with the treatment as compared to the participants of usual care group.

Researchers have concluded that continual positive effects were found for up to 12 months after the start of treatment in the participants of collaborative group. About 56% of participants receiving collaborative care “recovered” after 12 months that is about 15% more than in usual care. Researchers are taking their further to the next few years.

This study is also representing that collaborative care could be effective in UK, i.e. outside US.

Research Suggestions:

Researchers have suggested that future trials can be done by using better treatment options with the effective collaborative care organizational framework. Testing the collaborative care itself would not be required as its efficacy has been established.

Reference:

David A Richards, et al. (2013). Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial BMJ DOI: 10.1136/bmj.f4913