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New Study Reveals Mental Health Treatment Drastically Lowers Rehospitalization and Mortality in Heart Disease Patients
Research from the Journal of the American Heart Association has found that treating anxiety and depression in patients with heart failure and ischemic heart disease can significantly reduce their chances of rehospitalization, emergency department visits, and even mortality. Titled "Impact of Mental Health Treatment on Outcomes in Patients With Heart Failure and Ischemic Heart Disease," the study, authored by Cheryl N. Carmin, PhD, and colleagues, showcases the important interplay between mental health and cardiovascular outcomes.
The study focused on adults aged 21 to 64 years who had been hospitalized for heart disease, and it boasts a significant sample size of 1,563 patients over a three-year period. The findings are remarkable: those receiving combined psychotherapy and medical therapy were 75% less likely to be rehospitalized, 74% less likely to have an emergency department visit, and 66% less likely to die from any cause, compared to their counterparts who did not receive any mental health treatment.
For years, doctors have known that mental health has a significant impact on cardiovascular disease (CVD), but effective treatments reducing disease outcomes had not been adequately demonstrated. This study fills that void by suggesting that integrated mental health care can lead to better health outcomes and potentially lower health care costs through reduced hospital and emergency visits.
Patients sampled from Ohio's Medicaid program were divided into four groups based on their mental health treatment post-hospitalization: those who received both psychotherapy and antidepressants, those who received either treatment alone, and those who received no mental health treatment at all. The study carefully controlled for possible confounding factors, such as demographics, comorbidities, medications, and prior diagnoses of depression or substance use disorders.
The research indicates that cross-disciplinary health care programs encompassing both cardiovascular and mental health expertise may significantly improve patient outcomes. It also emphasizes the need for routine screening for anxiety and depression in cardiac patients and highlights the benefits of collaborative care approaches.
Understanding the mechanisms behind the studied benefits, which could involve reductions in inflammation and sympathetic nervous system activity, will be pivotal for further advances in effective treatment strategies that can reduce both the personal health impact of CVD and the financial burden associated with these conditions.
This landmark study not only reinforces the importance of mental health treatment in improving cardiovascular outcomes but also hints at the potential for substantial cost benefits—suggesting a strong cost-benefit ratio in favor of mental health interventions compared to the high cost of hospital and emergency services.
The full article detailing this study can be accessed through the Journal of the American Heart Association's website. For further information regarding the intersection of heart health and mental well-being, you can visit .
The research was made more insightful with the assistance of Buoy Health.
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References
Carmin, C. N., Ownby, R. L., Fontanella, C., Steelesmith, D., & Binkley, P. F. (2024). Impact of Mental Health Treatment on Outcomes in Patients With Heart Failure and Ischemic Heart Disease. Journal of the American Heart Association, 13, e031117. https://doi.org/10.1161/JAHA.123.031117