PATHWAYS Epidemiological Study
  Overview
  Depression and Diabetes
Overview Research Findings

 

 


Research Findings

Overall summary and Annotated Bibliography
The PATHWAYS study had two important aims: to gather epidemiological data on approximately 5,000 patients with diabetes in nine primary care clinics and to conduct a randomized trial comparing two different approaches to treating depression in a subset of these diabetes patients.

The epidemiological data collected revealed important results such as:
  • The prevalence of Major Depression was 12% among the patients with diabetes
  • An additional 8.5% of patients met criteria for Minor Depression
  • Diabetic patients with minor and major depression had a more severe symptom burden, greater disability, a higher number of diabetes complications, increased mortality and higher medical costs than non-depressed patients
The randomized trial, in which approximately 330 patients were assigned to usual care or collaborative care for depression revealed that patients with diabetes who received collaborative care had higher global improvement scores, lost more weight, experienced higher satisfaction with their care and had lower medical costs than patients with depression treated with usual care.

For more details about the important findings in both the epidemiological and the interventional arm of the PATHWAYS study please visit the links below.

Annotated Bibliography Annotated Bibliography: Epidemiological Study
Slide Set Annotated Bibliography: Intervention
Slide Set Slide Set