A Randomized Controlled Trial of Secondary Prevention of Anxiety and Distress in a German Sample of Patients With an Implantable Cardioverter Defibrillator

Crössmann, Alexander; Schulz, Stefan M.; Kühlkamp, Volker; Ritter, Oliver; Neuser, Hans; Schumacher, Burghard; Bauer, Wolfgang R.; Pauli, Paul

doi:10.1097/psy.0b013e3181d9bcec

Cited by 47 publications

(67 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Crössmann et al 70 tested a psychological intervention to reduce anxiety at 6 months after ICD implantation in a sample of German patients receiving the device for primary and secondary prevention. Patients were randomized to usual care of 6 monthly support telephone calls plus a booklet.…”

Section: Overview Of Specific Psychological and Educational Interventmentioning

confidence: 99%

“…162 The outcomes of the interventions were measured from 3 to 12 months after the intervention, with long-term benefits of psychosocial interventions noted in 5 studies at 12 months. 33,70,165,166,170 More than two thirds of the interventions tested were based on a cognitive behavioral therapy (CBT) framework. The length of CBT interventions ranged from 4 to 12 sessions, with the majority including 6 sessions.…”

Section: Psychological-educational Interventions After An Icdmentioning

confidence: 99%

See 1 more Smart Citation

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

et al. 2012

View full text Add to dashboard Cite

Abstract-Significant mortality benefits have been documented in recipients of implantable cardioverter defibrillators (ICDs); however, the psychosocial distress created by the underlying arrhythmia and its potential treatments in patients and family members may be underappreciated by clinical care teams. The disentanglement of cardiac disease and device-related concerns is difficult. The majority of ICD patients and families successfully adjust to the ICD, but optimal care pathways may require additional psychosocial attention to all ICD patients and particularly those experiencing psychosocial distress. This state-of-the-science report was developed on the basis of an analysis and critique of existing science to (1) describe the psychological and quality-of-life outcomes after receipt of an ICD and describe related factors, such as patient characteristics; (2) describe the concerns and educational/informational needs of ICD patients and their family members; (3) outline the evidence that supports interventions for improving educational and psychological outcomes for ICD patients; (4) provide recommendations for clinical approaches for improving patient outcomes; and (5) identify priorities for future research in this area. The ultimate goal of this statement is to improve the precision of identification and care of psychosocial distress in ICD patients to maximize the derived benefit of the ICD. (Circulation. 2012;126:2146-2172.)Key Words: AHA Scientific Statements Ⅲ anxiety Ⅲ depression Ⅲ implantable cardioverter defibrillator Ⅲ patient education Ⅲ patient outcomes assessment Ⅲ psychological responses Ⅲ quality of life F or patients who receive an implantable cardioverter defibrillator (ICD) for primary or secondary prevention of life-threatening ventricular arrhythmias, the initial experiences related to care for cardiac arrhythmias and ICD therapy are often dramatic. This is especially true if the index event is a sudden cardiac arrest (SCA). Additionally, many patientsThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on July 26, 2012. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Dunbar SB, Dougherty CM, Sears SF, Carroll DL, Goldstein NE, Mark DB, McDaniel G, Pressler SJ, Schron E, Wang P, Zeigler VL; on behalf of the American Heart As...

show abstract

Section: Overview Of Specific Psychological and Educational Interventmentioning

confidence: 99%

Section: Psychological-educational Interventions After An Icdmentioning

confidence: 99%

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

et al. 2012

View full text Add to dashboard Cite

show abstract

“…These major benefits probably derive from a combination of factors, including exercise training, and active educational and counselling sessions giving guidance on general health matters, secondary prevention, lifestyle change and psychosocial support. There may be a differential benefit for older and younger age groups ( Crossmann et al, 2010 ) but this was not examined in the present study.…”

Section: Effects On Quality Of Life Measuresmentioning

confidence: 64%

Cardiac Rehabilitation for Patients with an Implantable Cardioverter Defibrillator

Denniss¹,

Zecchin²

2011

Cardiac Defibrillation - Mechanisms, Challenges and Implications

View full text Add to dashboard Cite

“…Whether age has a meaning for how patients react to the life with an ICD has been the focus for many studies [17,19,22,43,44] , none of these studies reports a difference according to the experience of psychological distress right after the implantation of the ICD. In those studies that found a difference according to age, this difference was observed a while after the implantation.…”

Section: Icd Indicationmentioning

confidence: 99%

“…Living with an ICD can lead to anxiety, depression, fear and avoidance of situations, places and objects that patients associate with ICD shock. This has often led to social isolation, avoidance of physical activity, including sexual activity and mood disturbances [16][17][18][19][20][21] . Some patients are at risk of poor psychological adaptation attributable to their personality profile [22] .…”

Section: Living With An Icdmentioning

confidence: 99%

Intensity of primary emotions in patients after implantation of an implantable cardioverter defibrillator

Støier

Pedersen²,

Berg

2013

JNEP

View full text Add to dashboard Cite

Background: Experienced emotions can affect the outcome of, and adherence to a cardiac rehabilitation program, and patients coping with an illness. With more awareness of the expressed emotions, health professionals might be better able to understand the reactions of patients and to improve the support needed for coping. Living with an Implantable Cardioverter Defibrillator can lead to anxiety and depression. Focus on the intensity of the primary emotions might be a potential to prevent development of these psychological states.Objectives: The aim of this paper are 1) to describe the intensity of primary emotions in patients after implantation of an Implantable Cardioverter Defibrillator and 2) to compare them with both the intensity of primary emotions in patients with a recent Myocardial Infarction and with a healthy population. Method:The intensity of primary emotions in patients receiving an Implantable Cardioverter Defibrillator was measured by a survey using the Emotions and Health Scale. The survey was carried out as part of a randomized clinical trial the COPE-ICD trial (ID: NCT00569478) and is regarded as post-hoc explorative analysis. All data were collected from October 2007-November 2009. A total number of 154 patients were needed in the trial. The data collected were compared with secondary data from patients who had recently suffered a Myocardial Infarction and from a healthy population. SPSS version 18.0 was used to analyze the data using t-test, chisquare and F-test. Results:One hundred and ninety-six patients were invited to fill in the questionnaire. It was completed by 182, a response rate of 93 %. Patients with a newly implanted Implantable Cardioverter Defibrillator experienced an increased intensity of joy, sadness, disgust, anticipation, anger, fear and surprise. No difference was found regarding the intensity of the primary emotions when the group of patients was divided according to occupation or age. A significant increase in the negative emotions sadness, disgust, anger and surprise was observed in women and in patients who receive the Implantable Cardioverter Defibrillator as a secondary prevention. The combination of increased senses of fear and surprise is unique to patients receiving an Implantable Cardioverter Defibrillator. The intensity of the primary emotions in patients with a newly implanted Cardioverter Defibrillator was comparable to the intensity in patients with a myocardial infarction, but the experience of anticipation and fear was markedly increased in patients with an Implantable Cardioverter Defibrillator. Conclusion:Women and patients who receive an Implantable Cardioverter Defibrillator as secondary prevention experience a significant increase in the negative emotions sadness, disgust, anger and surprise.

show abstract

A Randomized Controlled Trial of Secondary Prevention of Anxiety and Distress in a German Sample of Patients With an Implantable Cardioverter Defibrillator

Cited by 47 publications

References 45 publications

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

Cardiac Rehabilitation for Patients with an Implantable Cardioverter Defibrillator

Intensity of primary emotions in patients after implantation of an implantable cardioverter defibrillator

Contact Info

Product

Resources

About