• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Improved mental health quality in cardiac patients via collaborative care [MOSAIC trial]

byJai Madhok, MDandJames Jiang
April 16, 2014
in Cardiology, Chronic Disease, Psychiatry
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD 

1. Mental health-related quality of life (HRQoL) and overall QoL were better in patients who underwent telephone-based collaborative care intervention post discharge. 

2. Patients in the collaborative care arm were more likely to receive adequate treatment of their mental health disorder, and had improvement in their depression symptoms and general functioning at 24 weeks. 

Evidence Rating Level: 1 (Excellent) 

Study Rundown: Mental health issues including depression, anxiety, and panic disorder following acute cardiac conditions are associated with poor cardiovascular outcomes. Further, depression and anxiety are important determinants of, and negatively impact, HRQoL. The Management of Sadness and Anxiety in Cardiology (MOSAIC) trial employed a collaborative care (CC) intervention model that resulted in better mental health-related quality of life at 24 weeks following discharge. Further, these patients were more likely to have appropriate treatment of their psychiatric conditions at discharge. There were no differences in rates of depression response or anxiety response at 24 months.

The strengths of this study include an elegant design, well fleshed out exclusion/inclusion criteria (to include a substantial portion of patients admitted to cardiac units including patients post cardiac transplantation), and good follow-up rates in both treatment arms. Further, the low-intensity collaborative care intervention administered via a social worker as case manager points to a resource-efficient system to track patients and their mental health care after discharge. Weaknesses of this study include no significant differences in rates of depression and anxiety response, and no effects on medical outcomes like adherence or readmissions.

RELATED REPORTS

The Scan by 2 Minute Medicine®: Celebrity diagnoses spur screenings, athlete mental-health push, reality-TV heart lesson, and a sitcom PSA wave

Mental Health Chatbot Woebot Shown to Help with Postpartum Depression and Anxiety

The Scan by 2 Minute Medicine®: Climate-Driven Crises, Serena’s Mental Fitness Revolution, Superhuman Immunity, and Healthcare on Strike

Click to read the study in JAMA Internal Medicine

Relevant Reading: Essential Articles on Collaborative Care Models for the Treatment of Psychiatric Disorders in Medical Settings: A Publication by the Academy of Psychosomatic Medicine Research and Evidence-Based Practice Committee

In-Depth [randomized controlled trial]:  This study evaluated the effects of a 24-week low intensity telephone-based collaborative care (CC) intervention to identify and manage depression, generalized anxiety disorder (GAD) and panic disorder (PD) amongst patients hospitalized for cardiac illness, including acute coronary syndrome, heart failure, or arrhythmia. 183 patients admitted to cardiac units between 2010-2013 who had depression, GAD, or PD were randomized to either the CC intervention (n=92) or to enhanced usual care involving serial notification of primary medical providers (n=91). A social work case manager coordinated the assessment and relevant care for psychiatric conditions of the patients randomized to the CC arm. A combination of SSRIs, CBT, and/or other drugs was used in the CC group. Short Form-12 Mental Component Score (SF-12 MCS) was used to track mental health-related quality of life using intention-to-treat analysis.

The patients in the CC arm had significantly improved mean SF-12 MCS scores at 24 weeks, 11.21 points (from 34.21 to 45.42) as opposed to 5.53 points (from 36.30 to 41.83) in the usual care control group.  The estimated mean difference was 5.68 points (95%CI, 2.14-9.22, p = .002). The number of patients with adequate treatment by discharge was also higher in the CC group (p<0.001).  Additional mental health and functional outcomes as measured by PHQ-9 and DASI were also better in the CC arm.  The number of cardiac readmissions at 24 weeks did not vary between the 2 groups.

More from this author: Nonleg venous thromboses associated with PE, longer ICU stay, Peer victimization increases suicide ideation, attempts among children and adolescents, Novel screening test may benefit variant Creutzfeldt-Jakob Disease patients, H2 receptor antagonists associated with lower risk of bleeding and infections vs. PPIs,Community health workers improve outcomes in low socioeconomic status patients (IMPaCT)

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: mental health
Previous Post

¹⁸F-FDG PET brain imaging could predict recovery in vegetative patients

Next Post

Neonatal screening may be effective for salt wasting congenital adrenal hyperplasia

RelatedReports

The Scan by 2 Minute Medicine®:  Ultra-Trail du Mont-Blanc, Taylor Swift, NBA rookie Chet Holmgren and Magic Mushrooms!
The Scan by 2 Minute Medicine®

The Scan by 2 Minute Medicine®: Celebrity diagnoses spur screenings, athlete mental-health push, reality-TV heart lesson, and a sitcom PSA wave

July 2, 2025
Parents often unaware of adolescents’ suicidal thoughts
AI Roundup

Mental Health Chatbot Woebot Shown to Help with Postpartum Depression and Anxiety

May 13, 2025
The Scan by 2 Minute Medicine®:  Ultra-Trail du Mont-Blanc, Taylor Swift, NBA rookie Chet Holmgren and Magic Mushrooms!
Chronic Disease

The Scan by 2 Minute Medicine®: Climate-Driven Crises, Serena’s Mental Fitness Revolution, Superhuman Immunity, and Healthcare on Strike

May 7, 2025
2MM: AI Roundup- AI Cancer Test, Smarter Hospitals, Faster Drug Discovery, and Mental Health Tech [May 2nd, 2025]
AI Roundup

2MM: AI Roundup- AI Cancer Test, Smarter Hospitals, Faster Drug Discovery, and Mental Health Tech [May 2nd, 2025]

May 21, 2025
Next Post
ARMC5 mutation identified in patients with macronodular adrenal hyperplasia

Neonatal screening may be effective for salt wasting congenital adrenal hyperplasia

Weight loss may decrease urinary incontinence in male diabetics [Look AHEAD Study]

Broad decline in incidence rate of diabetes-related complications in US

New hepatitis C virus (HCV) treatment effective

High response rates observed with novel therapy for HCV infection

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • #VisualAbstract: Brain Activation Measured on Functional MRI Predicts Response to Certolizumab, a TNF Inhibitor, in Rheumatoid Arthritis
  • 2 Minute Medicine Rewind July 14, 2025
  • New obesity framework may reclassify over half of overweight individuals as people with obesity
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.