Gender Differences in Anxiety and Concerns about the Cardioverter Defibrillator

Spindler, Helle; Johansen, Jens Brock; Andersen, Karen V; Mortensen, Peter Thomas; Pedersen, Susanne S.

doi:10.1111/j.1540-8159.2009.02334.x

Cited by 58 publications

(90 citation statements)

References 42 publications

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“…Female gender is considered to be an independent risk factor for development of anxiety after implantation of an ICD [39] . It has been found that women do have an increased risk of developing anxiety and depression [19,40] , but the opposite result has also been reported [41] , and in another study only the development of anxiety was related to female gender [42] . More research is needed to explore the meaning of gender in relation to the development of anxiety and depression after implantation of an ICD.…”

Section: Differences In the Primary Emotions In Patients After Icd Immentioning

confidence: 87%

“…Patients with an ejection-fraction ≥ 35 reported a higher intensity of fear then patients with ejection-fraction < 35. Decreased ejection-fraction has been reported to lead to anxiety, depression and concern [42] , but again the opposite result has also been reported [25] . Fear can be misinterpreted by health professionals as anxiety [1] .…”

Section: Ejection-fractionmentioning

confidence: 94%

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

Støier

Pedersen²,

Berg

2013

JNEP

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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.

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Section: Differences In the Primary Emotions In Patients After Icd Immentioning

confidence: 87%

Section: Ejection-fractionmentioning

confidence: 94%

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

Støier

Pedersen²,

Berg

2013

JNEP

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“…Natomiast w badaniu Spindler i wsp. [47] w grupie 535 pacjentów, w tym -81,9% mężczyzn, wykazano częstsze występowanie zaburzeń lękowych wśród kobiet. Kobiety prezentowały więcej obaw dotyczących ICD, gorzej oceniały jakość życia w zakresie 3 z 8 wskaźników jakości życia kwestionariusza SF-36 (funkcjonowanie fizyczne, funkcjonowania społeczne i zdrowie psychiczne).…”

Section: Ocena Pacjentów Z Icd Zależnie Od Płciunclassified

“…Kobiety prezentowały więcej obaw dotyczących ICD, gorzej oceniały jakość życia w zakresie 3 z 8 wskaźników jakości życia kwestionariusza SF-36 (funkcjonowanie fizyczne, funkcjonowania społeczne i zdrowie psychiczne). Nie odnotowano różnic płci w zakresie występowania zaburzeń depresyjnych [47]. W obserwacji Starrenburg i wsp.…”

Section: Ocena Pacjentów Z Icd Zależnie Od Płciunclassified

Wpływ kardiowertera-defibrylatora na jakość życia — przegląd badań

et al. 2016

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“…40 In contrast, in a systematic review of research focused on the effects of sex on disparities in psychological distress and QOL among patients with an ICD, researchers have found that sex did not significantly affect patient-reported outcomes in 26 of the 32 (80%) studies examined, leading to a conclusion that: there is insufficient evidence to conclude that sex per se is a major autonomous predictor for disparities (p. 798), and calls for caution about the clinical implications of the findings, further research sufficiently powered to reach more definitive conclusions. 41 In our study, sex differences in trajectories may, to some extent, be associated with other patient characteristics that varied by sex.…”

Section: Sex Differencesmentioning

confidence: 99%

Sex Is Associated With Differences in Individual Trajectories of Change in Social Health After Implantable Cardioverter-Defibrillator

Lauck

Sawatzky

Johnson

et al. 2015

Circ: Cardiovascular Quality and Outcomes

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Background-Social health is a dimension of quality of life, and refers to people's involvement in, and satisfaction with social roles, responsibilities, and activities. The implantable cardioverter-defibrillator is associated with changes in overall quality of life, but little is known about sex differences in individual trajectories of change in social health. Methods and Results-We prospectively measured changes in 3 subscales of the SF-36v2 generic health questionnaire (role physical, role emotional, and social functioning), 2 Patient-Reported Outcomes Measurement Information System short forms (satisfaction with participation in social roles and satisfaction with participation in discretionary social activities), and the Florida Patient Acceptance Survey before and at 1, 2, and 6 months after implantation. Individual growth models of temporal change were estimated. The scores of the 6 indicators improved with time. The unconditional model demonstrated significant (fixed effects: P<0.05; covariance parameters: P<0.10) residual variability in the individual trajectories. In the conditional model, men and women differed significantly in their rates of change in the scores of 3 of the 6 measures. Although men's mean scores exceeded women's mean scores on all indicators at baseline (range of relative mean difference: 11.0% to 17.8%), the rate of women's change resulted in a reversal in relative standing at 6 months after implantation, with the mean scores of women exceeding the men's by 4.5% to 5.6%. Conclusions-Men

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Gender Differences in Anxiety and Concerns about the Cardioverter Defibrillator

Cited by 58 publications

References 42 publications

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

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

Wpływ kardiowertera-defibrylatora na jakość życia — przegląd badań

Sex Is Associated With Differences in Individual Trajectories of Change in Social Health After Implantable Cardioverter-Defibrillator

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