A greater understanding of factors that are associated with successful outcomes among patients receiving collaborative depression care services is needed. This study sought to examine the unique associations between 3 indices of social ties and changes in depressive symptoms among veterans receiving collaborative depression care management. Data on sociodemographics, behavioral health indices, perceived general health, perceived social support, frequency of negative social exchanges, and degree of social contact were extracted from the electronic health records of 868 veterans meeting criteria for at least moderate depressive symptom severity and enrolled in a Primary Care-Mental Health Integration (PCMHI) program. Veterans were on average 51.3 (SD = 15.9) years old and primarily male. Higher depressive symptoms at baseline were significantly correlated with less perceived social support, less frequent contact with family and friends, and greater frequency of negative social exchanges. Adjusted regression analyses revealed that only social contact was significantly related to changes in depressive symptoms over the course of care management, once controlling for covariates. The results highlight the value of taking multiple indices of social ties into account when providing depression care management services. Routinely assessing patients' level of social contact can potentially help tailor and inform intervention efforts aimed at reducing depressive symptoms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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参加协作抑郁症护理管理计划的退伍军人的社会关系与抑郁症状变化之间的关联。

需要更深入地了解与接受协作抑郁症护理服务的患者的成功结果相关的因素。本研究旨在检查接受协作抑郁症护理管理的退伍军人中 3 个社会关系指数与抑郁症状变化之间的独特关联。从符合至少中度抑郁症状严重程度标准的 868 名退伍军人的电子健康记录中提取了有关社会人口学、行为健康指数、感知的一般健康、感知的社会支持、消极社会交流的频率和社会接触程度的数据，并参加了一项研究。初级保健-心理健康整合 (PCMHI) 计划。退伍军人平均年龄为 51.3 (SD = 15.9) 岁，主要是男性。基线时较高的抑郁症状与较少的社会支持、较少与家人和朋友的联系以及较高的负面社会交流频率显着相关。调整后的回归分析显示，一旦控制了协变量，只有社会接触与护理管理过程中抑郁症状的变化显着相关。结果突出了在提供抑郁症护理管理服务时考虑多种社会关系指数的价值。定期评估患者的社会接触水平可能有助于定制和告知旨在减少抑郁症状的干预措施。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。以及更频繁的负面社会交流。调整后的回归分析显示，一旦控制了协变量，只有社会接触与护理管理过程中抑郁症状的变化显着相关。结果突出了在提供抑郁症护理管理服务时考虑多种社会关系指数的价值。定期评估患者的社会接触水平可能有助于定制和告知旨在减少抑郁症状的干预措施。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。以及更频繁的负面社会交流。调整后的回归分析显示，一旦控制了协变量，只有社会接触与护理管理过程中抑郁症状的变化显着相关。结果突出了在提供抑郁症护理管理服务时考虑多种社会关系指数的价值。定期评估患者的社会接触水平可能有助于定制和告知旨在减少抑郁症状的干预措施。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。结果突出了在提供抑郁症护理管理服务时考虑多种社会关系指数的价值。定期评估患者的社会接触水平可能有助于定制和告知旨在减少抑郁症状的干预措施。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。结果突出了在提供抑郁症护理管理服务时考虑多种社会关系指数的价值。定期评估患者的社会接触水平可能有助于定制和告知旨在减少抑郁症状的干预措施。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。