Effectiveness of a depression disease management program in improving depression and work function-a pilot study

Kara Zivin, Kevin Kerber, Julie Kuebler, Qingmei Jiang, Heather Walters, Michael Klinkman, Melvin McInnis, Marcia Valenstein

Research output: Contribution to journalArticle

Abstract

Objective: We examined whether there were differences in depression and work function outcomes among primary care and specialty mental health patients treated by the Michigan Depression Outreach and Collaborative Care (M-DOCC), a depression care management program, developed by the University of Michigan Depression Center. In addition, we examined the relationship between depressive symptoms and workplace functioning among M-DOCC enrollees over time. Method: We used mixed model and logistic regression analyses. Results: Despite baseline differences in patient characteristics between primary care and specialty care patients, the location of treatment setting was not a significant predictor of depression or work function outcomes over time among patients enrolled in a depression care management program. Patients in both treatment settings showed significant decreases in depressive and functional impairment over time, with improvements in these symptoms occurring concurrently. Patients with greater case severity were less likely to demonstrate depression and work function improvements over time, and more severe side effects were associated with fewer depression symptom improvements over time. Conclusions: Both depression and work function outcomes improved over time among patients enrolled in a depression care management program, and this improvement did not differ based on whether a patient was treated in a primary or specialty care setting.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalInternational Journal of Psychiatry in Medicine
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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Disease Management
Depression
Primary Health Care
Mentally Ill Persons
Workplace
Patient Care
Mental Health
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Effectiveness of a depression disease management program in improving depression and work function-a pilot study. / Zivin, Kara; Kerber, Kevin; Kuebler, Julie; Jiang, Qingmei; Walters, Heather; Klinkman, Michael; McInnis, Melvin; Valenstein, Marcia.

In: International Journal of Psychiatry in Medicine, Vol. 39, No. 1, 01.01.2009, p. 1-13.

Research output: Contribution to journalArticle

Zivin, K, Kerber, K, Kuebler, J, Jiang, Q, Walters, H, Klinkman, M, McInnis, M & Valenstein, M 2009, 'Effectiveness of a depression disease management program in improving depression and work function-a pilot study', International Journal of Psychiatry in Medicine, vol. 39, no. 1, pp. 1-13. https://doi.org/10.2190/PM.39.1.a
Zivin, Kara ; Kerber, Kevin ; Kuebler, Julie ; Jiang, Qingmei ; Walters, Heather ; Klinkman, Michael ; McInnis, Melvin ; Valenstein, Marcia. / Effectiveness of a depression disease management program in improving depression and work function-a pilot study. In: International Journal of Psychiatry in Medicine. 2009 ; Vol. 39, No. 1. pp. 1-13.
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