title: Treating post-CABG depression with telephone-delivered collaborative care: does patient age affect treatment and outcome?
abstract: OBJECTIVE
  To determine the nature of telephone-delivered collaborative care intervention provided to patients younger than and older than 60 years experiencing clinically significant depressive symptoms after coronary artery bypass graft (CABG) surgery and whether patient age is related to response and remission rates and delivery of care at 8-month follow-up.
  
  
  METHODS
  : Exploratory post-hoc analysis of data collected in a randomized controlled trial (RCT).
  
  
  METHODS
  Seven Pittsburgh-area general hospitals.
  
  
  METHODS
  Fifty-eight depressed post-CABG patients younger than 60 and 92 comparable patients age 60 years and older randomized to the RCT's intervention arm.
  
  
  METHODS
  : Components of collaborative care provided to patients over the 8-month study period and Hamilton Rating Scale for Depression scores at 8-month follow-up to determine response and remission status.
  
  
  RESULTS
  There were no differences in the cumulative 8-month rates at which the components of collaborative care were delivered to the two age groups. Similar response and remission rates were also achieved by these groups.
  
  
  CONCLUSIONS
  Older and younger patients experiencing clinical depression after CABG surgery can be treated with comparable components of collaborative care, and both age groups will achieve clinical outcomes that do not differ significantly from each other.
authors.affiliation: Department of Psychiatry, Weill Cornell Medical College, White Plains, New York, USA.
authors.forename: Herbert C
authors.initials: HC
authors.lastname: Schulberg
authors.forename: Bea Herbeck
authors.initials: BH
authors.lastname: Belnap
authors.forename: Patricia R
authors.initials: PR
authors.lastname: Houck
authors.forename: Sati
authors.initials: S
authors.lastname: Mazumdar
authors.forename: Charles F
authors.initials: CF
authors.lastname: Reynolds
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Rollman
mesh_terms: D000367:Age Factors; D000368:Aged; D015283:Citalopram / Q000627:therapeutic use*; D001026:Coronary Artery Bypass / Q000523:psychology*; D003863:Depression / Q000188:drug therapy* / Q000628:therapy*; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000523:psychology*; D012017:Referral and Consultation; D012074:Remission Induction; D013689:Telephone
chemical_list: D015283:Citalopram