Why the study?
Does enhanced depression care reduce anxiety symptoms in acute coronary syndrome patients?
Does enhanced depression care reduce anxiety symptoms in acute coronary syndrome patients?
Enhanced depression care reduced anxiety symptoms in post-ACS patients; extends collateral benefits of stepped depression treatment to comorbid anxiety.
Similar to depression, anxiety is common after acute coronary syndromes (ACS), and is an independent predictor of worse outcomes [1,2,3]. Yet, post-ACS psychological interventions have focused on treating depression. We previously reported that an enhanced depression care intervention involving patient preference for problem-solving therapy (PST), antidepressant medications, or both followed by stepped care according to treatment response was effective at reducing depressive symptoms after ACS with an effect size of 0.59 SD [4]. We report here the independent effect of this intervention on anxiety.
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Kronish et al. (2012) studied this question.
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