Emotions and Health

Berg, Selina Kikkenborg; Støier, Louise; Moons, Philip; Zwisler, Ann-Dorthe; Winkel, Per; Pedersen, Preben Ulrich

doi:10.1097/jcn.0000000000000132

Cited by 12 publications

(13 citation statements)

References 29 publications

(42 reference statements)

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“… 20 Medical conditions such as severe depression and anxiety disorder can be diagnosed and treated. 6 Despite the acceptance of feelings as a significant part of the human condition, scientific knowledge of the effect of the clients’ emotions on their ability to cope is limited. 21 Cardiac disease, including complications, will inevitably lead to a fundamental emotional reaction.…”

Section: Nursing Focusmentioning

confidence: 99%

“… 21 Cardiac disease, including complications, will inevitably lead to a fundamental emotional reaction. 6 A defense mechanism is typically the primary emotional reaction linked to a healthy survival strategy. 6 Although the reaction demonstrates the patient’s desire to develop healthy coping strategies, 21 it is clear that emotion affects the ways in which the patient copes with illness.…”

Section: Nursing Focusmentioning

confidence: 99%

“… 5 The ICD is designed to detect and treat these malignant ventricular dysrhythmias through antitachycardia pacing or shock therapy restoring a sinus rhythm. 6 Survival rates have improved over the past 20 years with ICD therapy, 7 noting a 30%–50% decrease in mortality. 6 , 8 …”

Section: Introductionmentioning

confidence: 99%

“… 6 Survival rates have improved over the past 20 years with ICD therapy, 7 noting a 30%–50% decrease in mortality. 6 , 8 …”

Section: Introductionmentioning

confidence: 99%

“… 16 Although ICDs improve survival rates, 7 the severity of disease, comorbidities, underlying cardiac disease, life-threatening dysrhythmia, frequent ICD shocks or electrical storms, poor social support, younger age at implantation, gender, and/or a poor understanding of the therapy may increase anxiety, depression, and posttraumatic stress symptoms. 6 , 9 , 17 The incidence of PTSD in ICD recipients is approximately 20% with Type D personality, with comorbidities, and frequent shock therapy. 9 According to Shiga et al 9 , ICD patients with Type D personality, known as a highly reactive stress disorder, may have an increased risk for developing anxiety.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Roberts¹,

Wofford

Hoy

et al. 2016

Clin Med Insights Cardiol

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INTRODUCTIONImplantable cardioverter defibrillator (ICD) recipients who suffer from posttraumatic stress disorder (PTSD) are known to be associated with significant cardiac-specific mortality. Clinical observations suggest that PTSD is frequently undetected in ICD recipients followed up at electrophysiology (EP) outpatient clinics. Early recognition of PTSD is important to reduce the risk of serious manifestations on patient outcomes.METHODSAll ICD recipients aged 19 years or older at the Washington University School of Medicine (WASHU) EP clinic, a large urban EP clinic, were invited to participate in the project. An informed consent letter with an attached primary care: posttraumatic stress disorder (PC: PTSD) survey was offered to the participants who met the inclusion criteria. Those who completed the survey were included in the project. Individuals with positive survey result were offered a referral to mental health services. Comparisons between PTSD and non-PTSD patients were done using a two-sample t-test for continuous variables. Using Fisher’s exact test, PTSD prevalence was compared to the study by Ladwig et al in which prevalence was determined as the proportion of patients with positive findings of PTSD (n = 38/147). All analyses were conducted using SAS v9.4. The proportion of patients having PTSD was determined and an exact 95% confidence interval was evaluated based on the binomial distribution.RESULTSUsing a convenience sample, 50 ICD recipients (33 males and 17 females) were enrolled. The project had a 30-day outcome period. Nine (18%) of the 50 participants had positive PC: PTSD findings and all these nine participants were referred to a mental health specialist. The current project demonstrated an 18% (9/50) PTSD prevalence rate when compared to a 26% (38/147) prevalence rate in the study by Ladwig et al (P = 0.34). Although this project did not demonstrate 20% PTSD prevalence rate, as hypothesized, the 18% PTSD prevalence rate is consistent with previous research.CONCLUSIONThe prevalence of PTSD noted in the current project is consistent with previous research and validates underrecognition of PTSD in ICD patients. Offering a referral to all ICD recipients at EP clinic visits with a positive PC: PTSD screening to a mental health specialist is an important step in reducing the risk of serious manifestations on patient outcomes.

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Section: Nursing Focusmentioning

confidence: 99%

Section: Nursing Focusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 6 Survival rates have improved over the past 20 years with ICD therapy, 7 noting a 30%–50% decrease in mortality. 6 , 8 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Roberts¹,

Wofford

Hoy

et al. 2016

Clin Med Insights Cardiol

View full text Add to dashboard Cite

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Determination of Hopelessness and Quality of Life in Patients with Heart Disease: An Example from Eastern Turkey

et al. 2017

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This descriptive study was undertaken in order to determine hopelessness and quality of life among the patients with heart disease. No sampling was made, and 200 patients who were voluntary and were able to communicate were included in the study. The data of the study were collected using a personal information form that involved questions about patients' descriptive information and their diseases, Beck Hopelessness Scale and SF-36 Quality of Life Scale with a face-to-face interview technique. For the analyses of the data, percentages, means, t test, Kruskal-Wallis and Pearson's correlation analyses were used. It was identified 54% of them was male patients. It was seen that there were significant between income status and general health perceptions, hopelessness; and between health perceptions and vitality, general health perceptions, global quality of life, hopelessness (p < .05). It was also explored that there was a negative correlation between hopelessness levels of the cardiac patients and functioning status, general health perceptions and global quality of life. It was determined that the desperation levels of the patients were above the middle level, and the quality of life was low.

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Device Adjustment and Recovery in Patients With Heart Failure Undergoing a Cardiac Resynchronization Therapy Implantation

2021

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Background: Little is known about risk factors for poor adjustment to the device after cardiac resynchronization therapy (CRT) implantation in patients with heart failure. Purpose: The aim of this study was to explore device adjustment and the postoperative recovery of patients with heart failure undergoing elective CRT device implantation. Methods: In this prospective multicenter longitudinal study, data were collected before implantation and after 2 weeks, 6 months, and 1 year, using validated self-reported instruments and investigator-designed, CRT-specific questions. Results: A total of 133 patients, 79% male, with a mean age of 70 ± 10 years, were included. Patients adjusted to the device over time (P < .001), but 20% of patients had difficulties after 2 weeks, and 11% had difficulties at the 1-year follow-up. Fatigue was the most common health problem before surgery (87%), which was reduced to 65% after 1 year, P < .001. Patients' recovery improved over time (P < .001). Device-specific problems with hiccups (7% vs 14%), pulsation around the device (29% vs 24%), tachycardia (28% vs 29%), appearance of the scar (21% vs 17%), and the device bulging out (65% vs 61%) remained unchanged over time, whereas stiffness in the shoulder (64% vs 28%, P < .001) and wound healing (9% vs 2%, P < .05) improved. Conclusions: Most patients with heart failure recover and adjust early after their CRT implantation and improve even more during follow-up. However, recovery and adjustment are problematic for some patients, and many experience bodily discomforts because of the device. Early screening for poor adjustment and psychological distress can lead to appropriate interventions and timely referrals. This is important in the era of remote monitoring with less face-to-face contact.

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Emotions and Health

Cited by 12 publications

References 29 publications

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Determination of Hopelessness and Quality of Life in Patients with Heart Disease: An Example from Eastern Turkey

Device Adjustment and Recovery in Patients With Heart Failure Undergoing a Cardiac Resynchronization Therapy Implantation

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