家庭结构对协作式护理项目中青少年抑郁结果的影响。
Impact of Family Structure on Adolescent Depression Outcomes in a Collaborative Care Program.
机构信息
Mayo Clinic, Rochester, MN, USA.
University of Minnesota, Minneapolis, MN, USA.
出版信息
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241291790. doi: 10.1177/21501319241291790.
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%, = .005) and achieving single PHQ-9M scores <5 (64.1% vs 46.2%, = .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.
简介/目的：我们旨在探讨家庭结构对参加以抑郁为重点的、基于初级保健的协作护理计划的青少年抑郁项目结果的影响。
方法
这是一项对中西部学术中心的初级保健患者进行的回顾性研究，数据通过病历回顾获得。我们使用逻辑回归模型来评估家庭结构对项目毕业率以及在任何时间参加计划时实现单一青少年患者健康问卷 9 项修订版（PHQ-9M）评分<5 的影响。
结果
青少年分为两组，父母都在家（n=179）和父母不住在一起（n=161）。父母都在家的组的毕业率（38.0%比 23.6%，=0.005）和达到单一 PHQ-9M 评分<5 的比例（64.1%比 46.2%，=0.002）均高于父母不住在一起的组。
讨论
与父母同住的青少年在以抑郁为重点的协作护理计划中取得更好的结果。
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