Six-Month Outcomes for Collaborative Care Management of Depression Among Smoking and Nonsmoking Patients:

Health Services Research & Managerial Epidemiology

Daniel R.Witt¹ 

关键词: primary care;    addiction;    depression;    smoking;    collaborative care management;   

DOI  :  10.1177/2333392817721648

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Collaborative care management (CCM) is an evidence-based model that contributes to better outcomes for depression treatment in the primary care setting. Tobacco use increases overall economic costs, morbidity, and mortality and has been shown to impact behavioral health outcomes. Our study aims to observe clinical outcomes for depression treatment for patients with comorbid tobacco use and depression within the CCM model.Methods:A retrospective chart review study of 2826 adult patients with depression enrolled in CCM was performed to determine the association between regular tobacco use and depression outcomes. Baseline intake data consisting of clinical and demographic variables along with 6-month follow-up of Patient Health Questionnaire-9 (PHQ-9) scores for smokers (n = 727, 25.7%) and nonsmokers (n = 2099, 74.3%) were obtained. Depression remission was defined as a PHQ-9 score <5 and persistent depressive symptoms (PDS) as a PHQ-9 score ≥10 at 6 months.Results:Using an intention-to-treat an...

【 授权许可】

CC BY