Abstract
Objective: The primary aim of this study was to determine whether enrolment in collaborative care management (CCM) for treatment of major depression would have a significant impact on 6-month changes in weight compared with patients treated by their primary care provider with usual care. The secondary aim was to determine whether clinical remission would also affect 6-month weight changes. Design: A retrospective chart review study included 1550 patients who had been diagnosed with major depression or dysthymia and who had a Patient Health Questionnaire (PHQ-9) score of > 10 with follow-up data (PHQ-9 score and weight) at 6 months. Subjects: The study sample consisted of adult patients (aged > 18 years) from primary care practices, representing all body mass index (BMI) categories. The exclusion criteria were a diagnosis of bipolar disorder, recent obstetric delivery or recent gastric bypass procedure. Measurements: Weight was measured at index and 6 months, with BMI calculated from electronic medical record data. Patient assessment data (including PHQ-9 score and clinical diagnosis) and demographic variables (age, gender, marital status and clinical location) were also collected. Results: With regression modelling, neither enrolment in CCM(P = 0.306) nor clinical remission (P = 0.828) was associated with a significant weight gain. Conclusion: After 6 months, enrolment in CCM had no significant impact on weight gain or weight loss among patients treated for depression, nor was improvement to clinical remission a factor in the patient's weight after 6 months. Incorporating a weight loss management intervention within the model may be warranted if concomitant weight reduction is desired.
Original language | English (US) |
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Pages (from-to) | 15-21 |
Number of pages | 7 |
Journal | Mental Health in Family Medicine |
Volume | 10 |
Issue number | 1 |
State | Published - Aug 2012 |
Keywords
- Collaborative care management
- Depression
- Obesity
- Primary care
ASJC Scopus subject areas
- Clinical Psychology
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health