Treating Anxiety in the Presence of Medical Comorbidity: Calmly Moving Forward
Open accessAbstract
Patients with chronic medical conditions (CMCs) and a comorbid anxiety or mood disorder tend to report more symptoms and experience poorer treatment outcomes compared with those without mental health comorbidity. Although the benefits to be derived from treating depression in patients with CMCs have begun to be quantified, particularly among those with cardiovascular disease, our understanding of the benefits of treating anxiety in patients with CMCs is far less developed. Improving care for patients with CMCs is one of the major challenges facing medicine today because patients with multiple chronic diseases account for most health care costs. Emerging evidence indicates that integrated or "blended" collaborative care strategies that treat both the psychiatric and physical conditions together tend to produce greater improvements in mood symptoms and control of CMCs compared with programs that target the psychiatric condition alone. We review a new report, published in this issue of Psychosomatic Medicine, from the National Institutes of Mental Health-funded multisite Coordinated Anxiety Learning and Management trial, that shines new attention on anxiety disorders and medical comorbidity. We place their findings in context with these new blended care models that are potentially more powerful, scalable, cost-effective, and readily delivered through existing CMC programs.
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In patients with chronic medical conditions, behavioural health issues are even more common and costly.
“In the subset of patients with chronic medical conditions, behavioural health issues are even more common and costly.6–8”
From A study protocol for a non-randomised comparison trial evaluating the feasibility and effectiveness of a mobile cognitive-behavioural programme with integrated coaching for anxious adults in primary care (2018) · cites this paper as [8]
In “Treating Anxiety in the Presence of Medical Comorbidity: Calmly Moving Forward” (page unavailable), the paper reports higher anxiety symptoms and disability among anxious patients with more chronic conditions. It also says patients with multiple chronic diseases account for most health care costs. It does not establish that behavioural health issues are more prevalent among patients with chronic conditions or that those issues themselves are more costly. (LLM, conf=0.78)
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- Authors
- Rollman, B. L., & Huffman, J. C.
- Affiliations
- University of Pittsburgh (US)
- Harvard University (US)
- Corresponding author
- Rollman, Bruce L.
- Venue
- Psychosomatic Medicine
- Published
- 2013-10
- Volume
- 75
- Issue
- 8
- Pages
- 710-712
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC3929342
- OpenAlex
- W2030331887
- Cited by
- 12
- References
- 16
- Citations by year
- 2024: 1 · 2023: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 4 · 2015: 3
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL113272, R01HL114016)
- National Institute of Mental Health (R01MH093501)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- anxiety disorders, chronic disease, comorbidities, blended care, collaborative care, integrated care, cardiovascular disease, mood disorders, treatment outcomes, cost-effectiveness
- MeSH terms
- Anxiety Disorders, Asthma, Female, Gastrointestinal Diseases, Humans, Male, Migraine Disorders, Primary Health Care
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