Psychiatric Morbidity Following Implantation of the Automatic Implantable Cardioverter Defibrillator

Morris, Philip; Badger, James M.; Chmielewski, Chester; Berger, Eric; Goldberg, Richard J.

doi:10.1016/s0033-3182(91)72112-9

Cited by 81 publications

(40 citation statements)

References 14 publications

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“…17 Other authors have reported a smaller incidence of panic disorders and agoraphobia (range 5-15%) in patients with ICD. 8,9,14 However, the patient population in these studies was smaller and the follow-up shorter compared with our study. Furthermore, the reported number of shocks was lower (between 33 and 50%) of patients.…”

Section: Incidence Of Anxiety Disorderscontrasting

confidence: 58%

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Panic disorders and agoraphobia: Side effects of treatment with an implantable cardioverter/defibrillator

Godemann

Butter

Lampe

et al. 2004

Clinical Cardiology

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SummaryBackground: Implantable cardioverter/defibrillator (ICD) treatment has reduced the mortality of patients with a high risk of sudden cardiac death. However, ICD discharges may cause anxiety with respect to new discharges and lead to preventive, for example, phobic, behavior. This study evaluated the frequency of panic disorders and agoraphobia in patients with ICD and assessed the risk factors in their development.Hypothesis: Treatment with ICD represents a risk factor in the development of anxiety disorders.Methods: Ninety patients with ICD were examined using a standardized lifetime Diagnostic Interview of Psychiatric Syndromes (DIPS). This interview makes it possible to estimate the incidence of panic disorders and agoraphobia. The impact of the severity of the underlying cardiac disease, the number of ICD discharges, and the subjective appraisal of the shock experience on the development of panic disorders and agoraphobia was assessed.Results: Fifteen patients (16.7%) developed anxiety disorders after ICD implantation. The incidence was 21% in patients with and 6.9% in patients without ICD discharge. In patients with two or more ICD discharges annually, the incidence of panic disorders and agoraphobia was higher than

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Section: Incidence Of Anxiety Disorderscontrasting

confidence: 58%

“…7 Since the 1980s, there have been reports of patients with ICD suffering from symptoms of depression and anxiety. 8,9 Some authors 7,10 found a correlation between the number of shocks and anxiety, but others did not. 8,11,12 The latter interpret anxiety symptoms as a consequence of cognitions, especially the fear of dying.…”

Section: Introductionmentioning

confidence: 99%

Panic disorders and agoraphobia: Side effects of treatment with an implantable cardioverter/defibrillator

Godemann

Butter

Lampe

et al. 2004

Clinical Cardiology

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“…An early investigation suggested that SCA contributed to marital strain and reduced sexual frequency between couples, with spouses of ICD patients noting increased anxiety, anger, irritability, and dependency in their mates after SCA. 107 Both spouses and patients desired more information from healthcare professionals on the details of the cardiac arrest at the time that it occurred. 108 Longitudinal investigation after SCA and ICD implantation found that family members experienced the greatest anxiety, depression, and stress at the time of hospitalization, with reactions decreasing throughout the first year.…”

Section: Family Member and Intimate Partnermentioning

confidence: 99%

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

et al. 2012

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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...

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“…It is well known that AICD patients suffer from psychiatric distress [28,29,30] . Craney et al [28] examined adjustment problems in relation to coping styles and found that AICD patients with a less emotional coping style were able to function better on both the physical and emotional levels.…”

Section: Empirical Evidence For the New Concept: A Study Of Cardiologmentioning

confidence: 99%

Adjustment Disorders as Stress Response Syndromes: A New Diagnostic Concept and Its Exploration in a Medical Sample

Maercker

Einsle

Köllner³

2007

Psychopathology

174

134

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Objective: Adjustment disorders (AD) are an ill-defined category in the present diagnostic nomenclature. We propose a new diagnostic model that describes AD as particular forms of stress response syndrome, in which intrusions, avoidance of reminders and failure to adapt are the central processes and symptoms. In line with the existing classification, the description of AD subtypes is included. Backgrounds on existing psychopathological models of stress response disorders are outlined. Methods: Data from a clinical sample of patients with an automatic implantable cardioverter defibrillator (n = 160, mean age 63 years, 90% males) are investigated. Results: The items tapping the individual symptoms meet psychometric requirements for diagnostic applications. The diagnostic algorithm chosen indicates a 17% prevalence of AD in the sample. The subtype most commonly diagnosed is AD with mixed emotional features (41%). In a subsample, diagnostic sensitivity was 0.58 and specificity 0.81 in relation to traditional AD cases diagnosed by the Structured Clinical Interview for DSM-IV. By applying the most strongly conservative exclusion rule analogous to the Structured Clinical Interview for DSM-IV, the AD prevalence was reduced to 9%. Conclusion: The new AD concept is theory driven and shows methodological soundness. Its application to further samples is recommended.

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Psychiatric Morbidity Following Implantation of the Automatic Implantable Cardioverter Defibrillator

Cited by 81 publications

References 14 publications

Panic disorders and agoraphobia: Side effects of treatment with an implantable cardioverter/defibrillator

Panic disorders and agoraphobia: Side effects of treatment with an implantable cardioverter/defibrillator

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

Adjustment Disorders as Stress Response Syndromes: A New Diagnostic Concept and Its Exploration in a Medical Sample

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