Depression & Primary Care Psychiatry

Depression and primary care psychiatry

 

Current Studies

Telemonitoring Enhanced Support for Depression Self-Management

James E. Aikens, Ph.D., Principal Investigator

Funded by The National Institutes of Health

The goal of this study is to develop a telephone-based system called CarePartners to improve depression outcomes by training a family member or close friend to support the depressed person from long distance. This project will determine whether CarePartners is more effective than usual care at improving the patient’s depression symptoms and other key outcomes.

Maternal Mental and Physical Health Outcomes after Stillbirth and Infant Death

Katherine J. Gold, M.D., M.S.W., M.S., Principal Investigator

Funded by The National Institutes of Health, The National Institute of Mental Health

Little is known about the long-term impact of perinatal loss on surviving mothers, its effect on subsequent prenatal health behaviors and its impact on outcomes of their subsequent pregnancies. Findings may potentially help to identify populations of women at highest risk for mental illness after such a loss, measure the impact of hospital care on maternal psychiatric morbidity, quantify the economic costs of maternal health care in the years following such a loss, and improve fetal outcomes in subsequent pregnancies.

Enhancing the Sustainability of Depression Disease Management Support for Primary Care

Michael S. Klinkman, M.D., M.S., Principal Investigator
Ananda Sen, Ph.D., Co-Investigator

Funded by The Ethel and James Flinn Foundation (212)

Designing a more efficient self-management component for M-DOCC. During the first six months of the project, we will create a series of self-management modules that can be delivered in paper or Web-based format, each linked to a self-assessment instrument, and integrate this into the M-DOCC case management software. During Year 2, we will evaluate the success of this new module by tracking the proportion of new enrollees who complete each module, identify a goal, make progress, or reach a goal, as well as the length of time enrollees remain active in the program. We will also conduct qualitative interviews of enrollees to assess its perceived value.

Health Check-Up for Expectant Moms: Computer Intervention for HIV/STI Risk and Drug Use During Pregnancy

Golfo Tzilos, Ph.D., Principal Investigator

Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

HIV and other sexually transmitted infections (STIs) risk and alcohol/drug use during pregnancy are interconnected problems - both are associated with numerous negative consequences for the woman and the developing fetus. Yet, virtually no interventions have been developed or tested to target both of these serious health concerns during pregnancy. This study will:

  • Design and develop Health Check-up for Expectant Moms (HCEM), a computer-delivered brief intervention that targets both the risk for HIV/STIs and alcohol/drug use among low-income pregnant women

  • Determine the effect of HCEM in two-group, RCT

  • Inform the development of integrated HIV/STI and substance use interventions that are cost-effective, high-reaching, and widely disseminable within prenatal care.

Recent Publications

  1. Schantz K, Reighard C, Aikens JE, et al. Screening for depression in Andean Latin America: Factor structure and reliability of the CES-D short form and the PHQ-8 among Bolivian public hospital patients. The International Journal of Psychiatry in Medicine. 2017;52(4-6):315-327. doi:10.1177/0091217417738934.
  2. Janney CA, Brzoznowski KF, Richardson CR, et al. Moving Towards Wellness: Physical activity practices, perspectives, and preferences of users of outpatient mental health service. General Hospital Psychiatry. 2017;49:63-66. doi:10.1016/j.genhosppsych.2017.07.004.
  3. Gold KJ, Shih ER, Goldman EB, Schwenk TL. Do US Medical Licensing Applications
    Treat Mental and Physical Illness Equivalently? Fam Med. 2017 Jun;49(6):464-467. PMID: 28633174
  4. Hagerty BM, Reg A. Williams RA, Aikens J et al. Assessing Cognitive Representations of Antidepressants: Development and Validation of the Attitudes Toward Medication–Depression Inventory. Western Journal of Nursing Research. Available online 30 April 2017. doi: 10.1177/0193945917705136
  5. Janney CA, , Robin M. Masheb RM, Lesley D. Lutes LD, Robert G. Holleman RG, Kim HM, Gillon LR, Damschroder LJ, Richardson CR. Mental health and behavioral weight loss: 24-month outcomes in Veterans. Journal of Affective Disorders. Available online 11 March 2017. doi: 10.1016/j.jad.2017.03.003
  6. Gold KJ, Andrew LB, Goldman EB, Schwenk TL. "I would never want to have a mental health diagnosis on my record": A survey of female physicians on mental health diagnosis, treatment, and reporting. Gen Hosp Psychiatry. 2016;43:51-57. PMID: 27796258
  7. Janevic MR, Aruquipa yujra AC, Marinec N, Aguilar J, Aikens JE, Tarrazona R, Piette JD. Feasibility of an interactive voice response system for monitoring depressive symptoms in a lower-middle income Latin American country. Int J Ment Health Syst. 2016;10:59. DOI: 10.1186/s13033-016-0093-3

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See More

  1. Gold KJ, Normandin MM, Boggs ME. Are participants in face-to-face and internet support groups the same? Comparison of demographics and depression levels among women bereaved by stillbirth. Arch Womens Ment Health. 2016 Aug 25. DOI: 10.1007/s00737-016-0657-x
  2. Hryniuk W, Jenkins I, Djuric Z. Psychiatric Disorders Impeding Weight Loss in Obese Breast Cancer Survivors. J Clin Oncol. 2016;34(10):1152-3. DOI: 10.1200/JCO.2015.65.5639
  3. Heazell AE, Siassakos D, Blencowe H, Burden C, Bhutta ZA, Cacciatore J, Dang N, Das J, Flenady V, Gold KJ, et al. Stillbirths: economic and psychosocial consequences. Lancet. 2016;387(10018):604-16. PMID: 26794073
  4. Janney CA, Ganguli R, Tang G, Cauley JA, Holleman RG, Richardson CR, Kriska AM. Physical activity and sedentary behavior measured objectively and subjectively in overweight and obese adults with schizophrenia or schizoaffective disorders. J Clin Psychiatry. 2015;76(10):e1277-84. DOI: 10.4088/JCP.14m09330

Collaborative Partners & External Affiliates

University of Michigan Depression Center 
                                     

Depression and Primary Care Psychiatry: 

In the News

logo for Scientific American

August 15, 2017:  Research Mentions: Dr. Katherine Gold's research in Scientific American

A piece in Scientific American tackles the issue of physician suicide, with guidance from Dr. Gold's research on physician mental health.


August 9, 2017:  Addiction and women's health researcher recognized at APA with early career award

Golfo Tzilos Wernette, Ph.D., was recognized in Washington D.C., at the American Psychology Association Convention this month, for her work identifying “Psychosocial Correlates of Marijuana Use Among Pregnant and Non-Pregnant Adolescent Girls."


 Katherine (Katy) J. Gold, M.D., M.S.W., M.S.

June 16, 2017:  New Research: State Medical Licensing Boards’ Practices May Hurt Physician Mental Health

Building on her work on mental health stigma in the medical profession, Dr. Katherine Gold has published a new study on state medical licensing boards' evaluation of mental health among physicians. 


image of award ribbon with text New Research Awards

 April 17, 2017: Recent Grants Awarded in 2017

Recent NIH awards will support family medicine faculty as they lead two exciting new ventures: Training 100 oncology professionals in integrative medicine and developing a web-based contraceptive decision aid for women with chronic conditions and their health care providers


Katherine (Katy) J. Gold, M.D., M.S.W., M.S.

January 9, 2017: Dr. Katherine Gold's research featured in Washington Post

A moving editorial by Stanford resident Dr. Nathaniel P. Morris leads with Dr. Gold's recent study on mental health disclosure among female physicians.


Depressed/Stressed Physician

September 23, 2016: New Study: Stigma and Sanctions Prevent Doctors From Revealing Mental Health Concerns

A study led by Katherine J. Gold, M.D., M.S.W., M.S., assistant professor finds that physicians need better support and state licensing standards surrounding mental health.
Featured in: Futurity || MHealth Lab || U.S. News || Philly.com


 

Principal Investigators