Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

ISR's Scott Page says diverse teams produce optimal results

Bound, Geronimus, et al. find estimates of decreasing longevity among low-SES whites sensitive to measures and interpretations

Thompson casts doubt on the rehabilitative intentions of prison labor

More News

Highlights

Seefeldt discusses her book Abandoned Families, Wed, March 29, 4 PM, Annenberg Auditorium

U-M participants at PAA Annual Meeting, April 27-29

Heather Ann Thompson wins Bancroft Prize for History for 'Blood in the Water'

Michigan ranks in USN&WR top-10 grad schools for sociology, public health, labor economics, social policy, social psychology

More Highlights

Next Brown Bag

Mon, April 10, 2017, noon:
Elizabeth Bruch

Improving psychologic adjustment to chronic illness in cardiac patients - The role of depression and anxiety

Archived Abstract of Former PSC Researcher

McLaughlin, T.J., O. Aupont, Kara Zivin, P. Stone, M.G. Mullan, J. Colagiovanni, E. Polishuk, M. Johnstone, and S.E. Locke. 2005. "Improving psychologic adjustment to chronic illness in cardiac patients - The role of depression and anxiety." Journal of General Internal Medicine, 20(12): 1084-1090.

BACKGROUND: Poor mood adjustment to chronic medical illness is often accompanied by decrements in function. OBJECTIVE: To evaluate the effectiveness of a telephone-based intervention for psychologic distress and functional impairment in cardiac illness. DESIGN: Randomized, controlled trial. METHODS: We recruited survivors of acute coronary syndromes using the Hospital and Anxiety Depression Scale (HADS) with scores indicative of mood disturbances at 1-month postdischarge. Recruited patients were randomized to experimental or control status. Intervention patients received 6 30-minute telephone counseling sessions to identify and address illness-related fears and concerns. Control patients received usual care. Patients' responses to the HADS and the Workplace Social Adjustment Scale (WSAS) were collected at baseline, 2, 3, and 6 months using interactive voice recognition technology. At baseline, the PRIME-MD was used to establish diagnosis of depression. We used mixed effects regression to study changes in outcomes. RESULTS: We enrolled 100 patients. Mean age was 60; 67% of the patients were male. Findings confirmed that the intervention group had a 27% improvement in depression symptoms (P=.05), 27% in anxiety (P=.02), and a 38% improvement in home limitations (P=.04) compared with controls. Symptom improvement tracked those for WSAS measures of home function (P=.04) but not workplace function. CONCLUSIONS: The intervention had a moderate effect on patient's emotional and functional outcomes that were observed during a critical period in patients' lives. Patient convenience, ease of delivery, and the effectiveness of the intervention suggest that the counseling can help patients adjust to chronic illness.

DOI:10.1111/j.1525-1497.2005.00256.x (Full Text)

PMCID: PMC1490273. (Pub Med Central)

Country of focus: United States of America.

Browse | Search : All Pubs | Next