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 July 24, 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 July 24, 2014).

Share This




More Health & Medicine News

Thursday, July 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
China's Ageing Millions Look Forward to Bleak Future

China's Ageing Millions Look Forward to Bleak Future

AFP (July 24, 2014) China's elderly population is expanding so quickly that children struggle to look after them, pushing them to do something unexpected in Chinese society- move their parents into a nursing home. Duration: 02:07 Video provided by AFP
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