Featured Research

from universities, journals, and other organizations

Collaborative care model manages depression, anxiety in patients with heart disease

Date:
April 14, 2014
Source:
The JAMA Network Journals
Summary:
A telephone-based collaborative care model helped manage depression and anxiety, and improved health-related quality of life in patients with heart disease. Depression following acute cardiac conditions is common and generalized anxiety and panic disorders occur at higher rates in patients with heart conditions.

A telephone-based collaborative care model helped manage depression and anxiety, and improved health-related quality of life in patients with heart disease.

Depression following acute cardiac conditions is common and generalized anxiety and panic disorders occur at higher rates in patients with heart conditions. Depression and anxiety are determinants of health-related quality of life (HRQoL). Collaborative care (CC) models use nonphysician care managers to coordinate treatment recommendations between mental health professionals and primary care physicians. There has been limited use of CC interventions among patients hospitalized for cardiac conditions.

The Management of Sadness and Anxiety in Cardiology (MOSAIC) study was designed to evaluate a 24-week, telephone-based CC intervention for depression, panic disorder (PD) and generalized anxiety disorder (GAD) among patients hospitalized for cardiac illnesses compared with a control group of patients who received enhanced usual care. The study included 183 patients (average age 60.5 years, 53 percent women), of whom 92 received the intervention and 91 were in the control group. The intervention used a social work care manager (CM) to coordinate assessments and care of psychiatric conditions and to provide patient support. With enhanced usual care, the CM notified medical providers of a patient's psychiatric diagnosis.Patients in the intervention had greater average improvement in HRQoL based on mental health scores at 24 weeks compared with patients in the control group. Patients in the intervention also reported better symptom improvement and general functioning, as well as higher rates of treatment for a mental health disorder.

"Adequately powered and randomized trials remain necessary to determine whether refinements to this model (such as adding slightly more postdischarge contact or using a blended care model) can lead to even greater improvements in mental health and function. Given the relatively low-burden and low-resource nature of this intervention -- with telephone delivery of all postdischarge interventions and use of a single social worker as the CM [care manager] for three psychiatric illnesses -- such a program may be easily implemented and effective in real-world settings," researchers noted.


Story Source:

The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jeff C. Huffman, Carol A. Mastromauro, Scott R. Beach, Christopher M. Celano, Christina M. DuBois, Brian C. Healy, Laura Suarez, Bruce L. Rollman, James L. Januzzi. Collaborative Care for Depression and Anxiety Disorders in Patients With Recent Cardiac Events. JAMA Internal Medicine, 2014; DOI: 10.1001/jamainternmed.2014.739

Cite This Page:

The JAMA Network Journals. "Collaborative care model manages depression, anxiety in patients with heart disease." ScienceDaily. ScienceDaily, 14 April 2014. <www.sciencedaily.com/releases/2014/04/140414172236.htm>.
The JAMA Network Journals. (2014, April 14). Collaborative care model manages depression, anxiety in patients with heart disease. ScienceDaily. Retrieved August 27, 2014 from www.sciencedaily.com/releases/2014/04/140414172236.htm
The JAMA Network Journals. "Collaborative care model manages depression, anxiety in patients with heart disease." ScienceDaily. www.sciencedaily.com/releases/2014/04/140414172236.htm (accessed August 27, 2014).

Share This




More Health & Medicine News

Wednesday, August 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Predicting Heart Transplant Rejection With a Blood Test

Predicting Heart Transplant Rejection With a Blood Test

Ivanhoe (Aug. 27, 2014) Now a new approach to rejection of donor organs could change the way doctors predict transplant rejection…without expensive, invasive procedures. Video provided by Ivanhoe
Powered by NewsLook.com
Better Braces That Vibrate

Better Braces That Vibrate

Ivanhoe (Aug. 27, 2014) The length of time you have to keep your braces on could be cut in half thanks to a new device that speeds up the process. Video provided by Ivanhoe
Powered by NewsLook.com
Smartphone App Tracks Your Heart Rate

Smartphone App Tracks Your Heart Rate

Ivanhoe (Aug. 27, 2014) A new app that can track your heart rate 24/7 is available for download in your app store and its convenience could save your life. Video provided by Ivanhoe
Powered by NewsLook.com
Stroke in Young Adults

Stroke in Young Adults

Ivanhoe (Aug. 27, 2014) A stroke can happen at any time and affect anyone regardless of age. This mother chose to give her son independence and continue to live a normal life after he had a stroke at 18 years old. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins