The Impact of Social Determinants of Health on the Identification and Outcomes of Depression in Primary Care

Bibliographic Data

ID8250532
AuthorsAlissa Mallow (0000-0002-7669-1632, Adelphi University, corresponding author), Ohshue Gatanaga, Ohshue S Gatanaga (0000-0002-6731-3998), Kristen Miller (0009-0006-1984-8310), Kristen A Miller (0000-0001-8567-3850, Johns Hopkins University), Melissa Farzam, Roni Berger (0000-0001-7757-2216, Adelphi University), Virna Little
Year2023
Volume7
Issue1
Pages56-65
Publication date2023-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueUrban Social Work (JOURNAL)
Journal identifiersISSN: 2474-8684 • E-ISSN: 2474-8692
PublisherSpringer Publishing Company (PUBLISHER • US)
DOI10.1891/usw-2022-0012
OpenAlexW4378980653
LanguageEN
References cited19

Social determinants of health (SDOH) may significantly impact treatment outcomes for depression in primary care. An analysis of patients in collaborative care was conducted to explore the association between SDOH and depression baseline scores and treatment outcomes as assessed by the Patient Health Questionnaire-9 (PHQ9). Although individuals’ baseline PHQ9 scores did not differ by SDOH flag, there was a direct effect of SDOH on PHQ9 reduction rates. SDOH did not significantly moderate the association between collaborative care treatment and depression outcomes. Individuals flagged with SDOH showed higher depression scores at the end of the treatment despite a higher clinical dosage. Routine screening for SDOH in collaborative care and primary care should be further explored

Anxiety · Collaborative Care · Depressive symptoms · Family medicine · Health care · Mental health · Patient Health Questionnaire · Political science · Primary care · Psychiatry · Public health · Social determinants of health · Clinical Psychology · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Nursing

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