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Treating co-morbid chronic medical conditions and anxiety/depression

Part of: Special Articles

Published online by Cambridge University Press:  08 April 2011

D. Cimpean  and
R. E. Drake
D. Cimpean*
Affiliation:
Dartmouth Psychiatric Research Center, NH, USA
R. E. Drake
Affiliation:
Dartmouth Psychiatric Research Center, NH, USA
*
*Address for correspondence: D. Cimpean M.D., Dartmouth Hitchcock Medical Center, General Internal Medicine-Lyme, One Medical Center Drive, Lebanon, NH 03756, USA. (Email: [email protected])
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Abstract

Aims.

This systematic review examines interventions for care of people with co-morbid chronic medical illness and anxiety/depression disorders – a group with high risks for morbidity and mortality.

Methods.

Systematic search of Medline 1995 to January 2011 for randomized controlled trials of treatment interventions designed for adult outpatients with diagnosed chronic medical illness (diabetes mellitus, cardiovascular disorders, and chronic respiratory disorders) and anxiety/depression disorders.

Results.

Six trials studied complex interventions based on the chronic care model, and eight trials studied psychosocial interventions. Most interventions addressed the mental health aspect of the co-morbidity and showed improvements in anxiety/depression but not in the co-morbid medical disorder.

Conclusions.

Further research might focus on interventions integrating mental health treatment with enhanced medical care components, incorporating shared-decision making and information technology advances.

Keywords

Anxiety disorderschronic diseaseco-morbiditydepressive disorders
Type
Special Article
Information
Epidemiology and Psychiatric Sciences , Volume 20 , Issue 2 , June 2011 , pp. 141 - 150
Copyright
Copyright © Cambridge University Press 2011

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