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An Innovative or Disconcerting Approach to the Psychosocial Care of Your Patient With a Cardiac Condition

An Innovative or Disconcerting Approach to the Psychosocial Care of Your Patient With a Cardiac... Research Original Investigation The MOSAIC Randomized Controlled Trial Invited Commentary An Innovative or Disconcerting Approach to the Psychosocial Care of Your Patient With a Cardiac Condition Are You a Lumper or a Splitter? Karina W. Davidson, PhD; Ian M. Kronish, MD, MPH; Jonathan A. Shaffer, PhD “Lumpers” and “splitters” were terms originally used to de- improve mental and physical health across 6 months of treat- scribe scientists who applied centripetal or centrifugal forces, ment compared with usual care. They found statistically and respectively, to the evolving species taxonomy and other no- clinically significant improvements in mental health–related sology debates in the 1800s. quality of life—the trial’s primary outcome. Patients who re- The first use of these 2 terms ceived the treatment also experienced significant improve- is attributed to Charles Dar- ments in depressive symptoms, physical health–related qual- Related article page 927 win: “Those who make many ity of life, self-reported medication adherence, and functional species are the ‘splitters,’ and those who make few are the capacity; improvements in anxiety symptoms or cardiac re- 1(p463) ‘lumpers.’” Indeed, evidence from cognitive science sug- admissions were not observed. Strengths of this trial include gests that we have individual differences in the way http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

An Innovative or Disconcerting Approach to the Psychosocial Care of Your Patient With a Cardiac Condition

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2014.86
pmid
24733142
Publisher site
See Article on Publisher Site

Abstract

Research Original Investigation The MOSAIC Randomized Controlled Trial Invited Commentary An Innovative or Disconcerting Approach to the Psychosocial Care of Your Patient With a Cardiac Condition Are You a Lumper or a Splitter? Karina W. Davidson, PhD; Ian M. Kronish, MD, MPH; Jonathan A. Shaffer, PhD “Lumpers” and “splitters” were terms originally used to de- improve mental and physical health across 6 months of treat- scribe scientists who applied centripetal or centrifugal forces, ment compared with usual care. They found statistically and respectively, to the evolving species taxonomy and other no- clinically significant improvements in mental health–related sology debates in the 1800s. quality of life—the trial’s primary outcome. Patients who re- The first use of these 2 terms ceived the treatment also experienced significant improve- is attributed to Charles Dar- ments in depressive symptoms, physical health–related qual- Related article page 927 win: “Those who make many ity of life, self-reported medication adherence, and functional species are the ‘splitters,’ and those who make few are the capacity; improvements in anxiety symptoms or cardiac re- 1(p463) ‘lumpers.’” Indeed, evidence from cognitive science sug- admissions were not observed. Strengths of this trial include gests that we have individual differences in the way

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 1, 2014

References