Concerns about the implantable cardioverter defibrillator: A determinant of anxiety and depressive symptoms independent of experienced shocks

Pedersen, Susanne S.; Domburg, Ron T. van; Theuns, Dominic; Jordaens, Luc; Erdman, Ruud A.M.

doi:10.1016/j.ahj.2004.06.031

Cited by 139 publications

(146 citation statements)

References 21 publications

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“…Their study [36] also suggests that HADS scores increase with age, although we did not find that association in our sample. Mean depression scores are consistent with previous work involving AF patients with patient-activated atrial defibrillators [37] and post-MI patients [19,38,39] but were somewhat lower than scores reported by patients with implantable defibrillators [40]. This latter finding is perhaps not surprising as AF patients without implanted defibrillators are not faced with the stressful experience of unpredictable defibrillator shocks.…”

Section: Discussionsupporting

confidence: 86%

Gender differences and quality of life in atrial fibrillation: The mediating role of depression

Ong

Irvine

Nolan

et al. 2006

Journal of Psychosomatic Research

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Objective: This study investigated gender differences, depression, and health-related quality of life (QoL) in a crosssectional sample of patients with atrial fibrillation (AF). Methods: This cross-sectional study involved a convenience sample of AF patients from two tertiary-care clinics in Toronto, Canada. Ninety-three AF patients completed psychometrically validated measures of generic QoL and depression. Mediation analyses evaluated the relationship between gender and QoL using depression as mediating variable. Results: Relative to male patients, female patients reported lower physical, but not mental, QoL. Gender was associated with both depression and physical QoL, while depression was correlated with poorer physical QoL. Path analyses demonstrated that depression significantly mediated the relationship between gender and physical QoL. Conclusion: Among AF patients, female patients report lower physical QoL relative to male patients, and this relationship may be mediated by self-reported symptoms of depression. Albeit correlational, the findings underscore the need to develop a better understanding of the role of depression in physical QoL, especially when considering the burden of AF in women. D

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Section: Discussionsupporting

confidence: 86%

Gender differences and quality of life in atrial fibrillation: The mediating role of depression

Ong

Irvine

Nolan

et al. 2006

Journal of Psychosomatic Research

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“…While this paradigm is targeted specifically to the patient, recent research highlights that family members may also be affected by the ICD and may need encouragement and coping techniques as well. 40 …”

Section: Treatment: the Abc Modelmentioning

confidence: 99%

Managing Congestive Heart Failure Patient Factors in the Device Era

Sears

Stutts

Aranda

et al. 2006

Congestive Heart Failure

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Device‐based care such as implantable cardioverter‐defibrillators and cardiac resynchronization therapy extends congestive heart failure (CHF) care into a new era. The purpose of this paper is 2‐fold: (1) to review the development of device‐based CHF management and the implications from a medical and patient management perspective, and (2) to provide assessment and treatment approaches on how to clinically manage patient outcomes optimally. Quality of life, depression, and anxiety are targeted as concerns for patients with CHF and cardiac resynchronization therapy/implantable cardioverter‐defibrillators. Brief clinic‐based interview questions and formal assessment tools are reviewed. Furthermore, a cognitive‐behavioral paradigm using the “Appropriate Education, Behavioral Support, and Cognitive Coping” (ABC) model is proposed to aid health care professionals in addressing patients' device‐specific concerns. Available research suggests the need for future studies assessing the efficacy of cognitive‐behavioral treatments in patients with CHF and cardiac resynchronization therapy/implantable cardioverter‐defibrillators.

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“…Pedersen i wsp. [37] dowiedli u 182 pacjentów, że wyrażany przez chorego wysoki poziom obaw związanych z ICD był niezależnym (silniejszym niż interwencje ICD) czynnikiem ryzyka wystąpienia zaburzeń lękowych i depresyjnych. Do interesujących wniosków doszli również autorzy wieloośrodkowego, prospektywnego badania TOVA (Triggers of Ventricular Arrythmias), które objęło 645 chorych z ICD.…”

Section: Badanie Cidsunclassified