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IT’S TIME TO STOP NEGLECTING THE MENTAL HEALTH OF CHRONICALLY ILL PATIENTS.

September 5, 2023


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0:00


When we talk about chronic illnesses, mental health normally isn’t part of the
conversation. But that doesn’t make the daily psychological struggle faced by
these individuals any less real. 6 in 10 Americans live with at least one
chronic illness. Untreated depression among this population leads to higher
rates of hospital readmission and increased overall medical costs. 

Taking this a step further, diabetes is 4.5 times more expensive to treat when
it’s comorbid with depression. The cost of treating both asthma and
cardiovascular disease rises by 50% when depression is present. And this problem
is steadily growing: over the last decade, the economic burden of depression has
increased by 37.9%.

Despite this, mental health care is rarely a standard part of treatment plans
for patients with chronic illnesses. This is largely in part to the lack of
measurable indicators of mental health diseases. In this series, we dive deeper
on the overlap between chronic illness and mental health and how enhancements in
technology can bridge the gaps to create more holistic care.



‍


UNRAVELING THE OVERLAP BETWEEN CHRONIC ILLNESS AND MENTAL HEALTH

Countless recent studies have shed light on the vital intersection between
mental and physical health — as well as the significant gaps in care. Just 2% of
Parkinson’s patients receive professional psychological support, despite over
half being diagnosed with depression (not to mention countless more who are
undiagnosed).

Similarly, up to 50% of autoimmune patients suffer from depression, and
depression occurrence is two to three times higher in people with diabetes than
the general population, with the majority of cases remaining undiagnosed.

With Sonar Strategies, Kintsugi conducted a study with 2,218 participants over
65 — a population that’s more likely to suffer from chronic illness — and
uncovered that nearly a third were depressed. This is nearly double the national
reported average depression rate. More than half were not receiving any mental
health support.

‍



The high prevalence of depression among people with chronic illnesses makes
sense. The road to diagnosis for many diseases is long and isolating, with some
patients waiting a decade or more without answers. During this time, many are
made to believe they’re simply imagining their “invisible” symptoms, such as
pain or fatigue — especially if they’re women. It’s perhaps not surprising that
depression is also twice as common in women than in men.

More often, mental illness is tied to loss of quality of life. Chronically ill
patients are often grappling with debilitating pain, disability, loss of
independence, increased financial burden and medical costs, and uncertainty
about the future. Many grieve the life they once had, and the future that’s been
taken away from them.

‍



Loneliness also becomes prevalent as people may lose the ability to participate
in social activities or lack contact with individuals who can relate to their
experiences. 

Whatever the source of mental illness, it’s clear that depression doesn’t just
correlate with these health conditions. It’s a symptom in and of itself. And the
relationship goes both ways: depression causes an increase in stress hormones
like cortisol and adrenaline, which can directly lead to worse disease outcomes.
Patients struggling with depression also have a harder time taking care of
themselves. Overall, they’re 76% more likely than their non-depressed
counterparts to not adhere to treatment plans.

So why is mental health care often not integrated into the management of chronic
illnesses?

‍


MORE HOLISTIC, PERSONALIZED CARE

When caring for patients with chronic illnesses, we need to consider not just
their physical symptoms, but their psychological symptoms too. Screening for and
treating mental illness should be a routine part of care plans, but
unfortunately, that’s not the case.

Furthermore, standard interventions for depression may not be suitable for
individuals with chronic illnesses. For example, antidepressants are not
compatible with certain medications, and patients with diabetes, epilepsy, heart
and kidney conditions, and more, may not be able to take them. 

Even mental health interventions that aren’t “invasive”, such as exercise or
healthy sleep habits, may be challenging for those dealing with chronic pain or
disability. A broader array of options needed, taking into account the unique
needs of these patients.

People with chronic illnesses are often accustomed to using devices to monitor
various health parameters, such as blood pressure in cardiovascular disease or
glucose levels in diabetes. These tools give patients objective insights into
what’s going on inside their bodies, which empowers them to determine whether or
not a particular intervention is working, and when adjustments need to be made
to a treatment plan.

What if we could do the same with our mental health? Enter Kintsugi Voice, an
AI-powered voice biomarker software that helps people monitor their mental
wellness just like they would   any other health parameter — simply by analyzing
short, real-time clips of their voice.

Often, mental health is ignored because we can’t keep track of it in a visible,
quantifiable way. Kintsugi Voice overcomes this by issuing a numerical score for
depression and anxiety severity based on less than a minute of free form speech.
Integrating this technology into health care consultations can help individuals
and their care teams recognize when behavioral health support is needed, and
develop care plans tailored to individuals’ specific needs. 

‍



‍

With voice biomarkers, patients and health care providers can track how well a
specific mental health intervention is working, and make objective decisions as
to whether to continue with or change the intervention. 

This gives care teams a fuller picture of patients’ health, and also helps
patients better recognize that if they’re not taking care of their mental
health, their physical health will suffer too.

‍


REIMAGINING CHRONIC DISEASE MANAGEMENT

At Kintsugi, we’re already working with a number of healthcare platforms to
transform behavioral health diagnosis and treatment for chronically ill
patients. 

As one example, we are integrating Kintsugi Voice into Aila Health virtual care
consultations. Aila Health provides evidence-based, virtual care for those with
autoimmune disorders. By embedding into the Aila Health platform, Kintsugi Voice
can help to identify signs of depression and anxiety in chronically ill
patients, ultimately providing more holistic care inclusive of both mental and
physical conditions. 

We are also partnering with  Beam Health. With patient consent, Kintsugi Voice
‘listens’ during telehealth calls to identify signs of depression in real-time.
Clinicians are provided with actionable insights on a patient’s mental wellness
— no matter what their medical specialty is or what disease the patient has.
This partnership will allow Kintsugi Voice to enable its voice biomarkers in any
clinical setting, giving providers ownership over their patients' experience.

Voice biomarkers are creating opportunities for a new paradigm in care that
looks at the patient’s full experience. It’s essential that we stop treating
mental and physical health as two separate areas. It’s all health. Patients who
are struggling need care that addresses all their symptoms, not just those that
can be seen.

‍


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References

1. vermani, et al. 2011.   2. Katon, 2011.

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