Mental health assessment and care coordination by a social worker eased anxiety and depression after
hospitalization for heart disease, the MOSAIC trial showed.
Mental health-related quality of life improvements were twice those achieved with usual care in patients with depression, anxiety, or panic after a hospitalization for acute coronary syndrome, heart failure, or arrhythmia (11.21 versus 5.68 points on the SF-12 Mental Component Score at 24 weeks, P=0.002).
Overall health-related quality of life improved as well with the low-intensity collaborative care intervention (P=0.03 versus usual care), Jeff Huffman, MD, of Massachusetts General Hospital in Boston, and colleagues found.
"Given the relatively low-burden and low-resource nature of this intervention -- with telephone delivery of all post-discharge interventions and use of a single social worker as the care manager for three psychiatric illnesses -- such a program may be easily implemented and effective in real-world settings," the group concluded online in JAMA Internal Medicine.
An accompanying editorial called the effect size large and agreed on ease of dissemination, although the trial's approach "lumping" together anxiety and depression and different cardiac disease states was unusual, Karina W. Davidson, PhD, of Columbia University's Center for Behavioral Cardiovascular Health in New York City, and colleagues noted.
Cardiac Patients' Mental Distress Eased With Care Coordination
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