Impact of Family Structure on Adolescent Depression Outcomes in a Collaborative Care Program.

IF 2.5 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241291790

Brian A Lynch, Charles P Lewis, Jennifer L Vande Voort, Aiswarya L Nandakumar, RoxAnne M Brennan, Kristin C Cole, Sandra J Rackley, Chung-Ii Wi, Paul E Croarkin, Magdalena Romanowicz

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Abstract

Introduction/objectives: We aimed to investigate the effect of family structure on depression program outcomes for adolescents enrolled in a depression-focused, primary care-based collaborative care program.

Methods: This was a retrospective study of primary care patients ages 12 to 18 years seen at a Midwestern academic center with data obtained by medical record review. We used logistic regression models to assess the effect of family structure on program graduation and achievement of a single Patient Health Questionnaire 9-Modified for Adolescents (PHQ-9M) score <5 at any time while enrolled.

Results: Adolescents were divided into 2 groups, Both Parents in Household (n = 179) and Parents Not Together (n = 161). The Both Parents in Household group had higher rates of graduation (38.0% vs 23.6%, P = .005) and achieving single PHQ-9M scores <5 (64.1% vs 46.2%, P = .002) than the Parents Not Together group.

Discussion: Youth residing with both parents had higher rates of successful outcomes in a depression-focused collaborative care program.

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家庭结构对合作护理计划中青少年抑郁症结果的影响。

引言/目的：我们旨在研究家庭结构对参加以抑郁症为重点、以初级保健为基础的合作保健项目的青少年抑郁症治疗效果的影响：这是一项回顾性研究，研究对象是在美国中西部一家学术中心就诊的 12 至 18 岁初级保健患者，研究数据通过病历审查获得。我们使用逻辑回归模型来评估家庭结构对项目毕业和青少年患者健康问卷 9-修订版（PHQ-9M）单项得分的影响：青少年被分为两组：父母均在家中组（n = 179）和父母不在家中组（n = 161）。双亲同住组的毕业率（38.0% vs 23.6%，P = .005）和 PHQ-9M 单项得分率（P = .002）均高于双亲不在一起组：讨论：与双亲同住的青少年在以抑郁症为重点的合作护理项目中取得成功的比例更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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