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