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BMC Primary Care
Published in: BMC Primary Care 1/2011

Open Access 01-12-2011 | Study protocol

Disease management for co-morbid depression and anxiety in diabetes mellitus: design of a randomised controlled trial in primary care

Authors: Corinne H Stoop, Viola RM Spek, Victor JM Pop, François Pouwer

Published in: BMC Primary Care | Issue 1/2011

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Abstract

Background

Depression and anxiety are common co-morbid health problems in patients with type 2 diabetes. Both depression and anxiety are associated with poor glycaemic control and increased risk of poor vascular outcomes and higher mortality rates. Results of previous studies have shown that in clinical practice, treatment of depression and anxiety is far from optimal as these symptoms are frequently overlooked and undertreated.

Methods/Design

This randomised controlled trial will examine the effectiveness of a disease management programme treating symptoms of depression and anxiety in primary care patients with Type 2 diabetes. Patients will be randomized on patient level in 1:1 ratio. Random block sizes of 2 and 4 are used. The disease management programme consists of screening, stepped treatment and monitoring of symptoms (n = 80). This will be compared to care as usual (n = 80).

Discussion

The disease management model for co-morbid depression and anxiety in primary care patients with diabetes is expected to result in reduced symptoms of depression and anxiety, improved quality of life, reduced diabetes specific distress and improved glyceamic control, compared to care as usual.

Trial Registration

Dutch Trial Register NTR2626
Appendix
Available only for authorised users
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Metadata
Title
Disease management for co-morbid depression and anxiety in diabetes mellitus: design of a randomised controlled trial in primary care
Authors
Corinne H Stoop
Viola RM Spek
Victor JM Pop
François Pouwer
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2011
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-12-139

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