Magazine article Clinical Psychiatry News

Program Helps Cardiac Patients with Anxiety, Depression

Magazine article Clinical Psychiatry News

Program Helps Cardiac Patients with Anxiety, Depression

Article excerpt


A low-intensity intervention aimed at managing cardiac patients who have concomitant depression or anxiety improved mental health-related quality of life when compared with usual care, according to a report published online.

The MOSAIC (Management of Sadness and Anxiety in Cardiology) clinical trial involved 183 patients hospitalized at a single urban academic medical center for acute coronary syndrome, heart failure, or arrhythmia during a 2-year period and who were found to have coexisting depression, generalized anxiety disorder, and / or panic disorder.

The mean age of the participants was 60.5 years, 90% were white, 61% were employed, 53% were women (JAMA Intern. Med. 2014 April 14 [doi:10.1001/jamainternmend. 2014.739]).

They were randomly assigned to receive either usual care or a telephone-based intervention in which a part-time social work care manager coordinated care among psychiatrists, inpatient medical providers, and outpatient medical providers; provided cognitive-behavioral therapy specific to the patient's condition; and monitored patient symptoms for the 6month duration of the intervention, said Dr. Jeff C. Huffman, director of cardiac psychiatry research program at Massachusetts General Hospital, and who is in the department of psychiatry at Harvard Medical School, Boston, and his associates.

Patients in the intervention group showed a significantly greater improvement than did those who received usual care in the primary outcome measure: mental health-related quality of life (QOL), as measured by the Medical Outcomes Study Short Form-12 Mental Component Score. They also were remarkably more likely to receive treatment deemed "adequate" for their psychiatric disorders (75% vs. …

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