Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs)

McCrae, Christina S.; Roth, Alicia J.; Ford, Jessica; Crew, Earl Charles; Conti, Jamie B.; Berry, Richard B.; Sears, Samuel F.

doi:10.1080/15402002.2014.941064

Cited by 9 publications

(4 citation statements)

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“… 5 , 6 In turn, this may lead to impaired QoL, adverse cardiovascular outcomes and perhaps sleep disturbances. 7 – 9 Particularly, patients with a Type D (distressed) personality (combination of high negative affectivity and high social inhibition) are prone to experience adverse health outcomes post-implantation. 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

“…A Danish study found clinically significant sleep problems in up to 67% of patients. 12 One American study found that patients with ICD and co-morbid sleep problems reported increased fatigue, decreased mood and poorer device acceptance, 8 while a small study using actigraphy that measures sleep efficiency by means of sleep/wake cycles found that ICD patients had better sleep efficiency than cardiac patients without an ICD. 13 This is somewhat in line with a recent meta-analysis revealing that sleep disordered breathing is associated with an increased incidence of appropriate ICD therapy only in patients with heart failure and reduced ejection fraction.…”

Section: Introductionmentioning

confidence: 99%

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Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

Habibović

Mudde

Pedersen

et al. 2017

European Journal of Cardiovascular Nursing

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Background:Sleep disturbances are highly prevalent in patients with cardiac diseases and associated with poor health outcomes. However, little is known about sleep disturbance in patients with an implantable cardioverter defibrillator.Aims:We examined the prevalence and predictors of sleep disturbance and the impact on perceived health status in a Dutch cohort of implantable cardioverter defibrillator patients.Methods:Patients (n=195) enrolled in the Web-based distress program for implantable cardioverter defibrillator patients (WEBCARE) trial completed questionnaires at the time of implantable cardioverter defibrillator implantation, three, six and 12 months afterwards. Sleep disturbance was assessed with the corresponding item #3 of the Patient Health Questionnaire 9.Results:At baseline, 67% (n=130) reported sleep disturbance (cut off ≥1). One year later, the prevalence was 57% (n=112). Younger age (odds ratio=0.96, 95% confidence interval 0.92–0.99; p=0.012) and high negative affectivity/low social inhibition (odds ratio=4.47, 95% confidence interval 1.52–13.17; p=0.007) were associated with sleep disturbance at 12 months in adjusted analyses. Sleep disturbance was not associated with health status at 12 months. Charlson Comorbidity Index, anxiety, Type D personality and high negative affectivity/low social inhibition were associated with impaired health status at follow-up.Conclusions:Sleep disturbance was highly prevalent in patients with an implantable cardioverter defibrillator. Younger age and high negative affectivity predicted sleep disturbance 12 months post-implantation independent of other demographic, clinical, intervention and psychological covariates. Sleep disturbance was not associated with impaired health status at the 12-month follow-up.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

Habibović

Mudde

Pedersen

et al. 2017

European Journal of Cardiovascular Nursing

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“…For patients who have had an ICD implanted-who should be referred for CR-there is as additional overlay of need. They have higher levels of health-compromising anxiety and depression, low levels of social support (Pedersen et al, 2009c), and high levels of sleep disorders (McCrae et al, 2016), with partners being highly affected by the patients' condition.…”

Section: Recommendationsmentioning

confidence: 99%

ICD surgery: highlighting the psychological consequences

Jackson

Murphy

2017

British Journal of Cardiac Nursing

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C oronary heart disease (CHD) is the most common clinical condition associated with sudden cardiac death (SCD), with approximately 80% of such deaths linked to CHD (Chugh et al, 2008). CHD can lead to ventricular tachycardia (VT) (an abnormally fast heart rhythm originating in one of the ventricles), and ventricular fibrillation (VF) (an uncoordinated and erratic contraction of the heart muscle of the ventricles)-both of these can cause SCD. Patients with cardiomyopathies account for a further 10-15% of cases of SCD; there is significant overlap between this group and patients with CHD. The remaining 5-10% of SCDs are associated with other disorders, which are either structurally abnormal congenital cardiac conditions or structurally normal, but electrically abnormal, heart conditions (Chugh et al, 2008). In more than 30% of SCDs, however, patients have no previous diagnosis of heart disease (Myerburg and Junttila, 2012). Primary and secondary prevention of SCD An implantable cardioverter defibrillator (ICD) can terminate episodes of ventricular tachycardia or fibrillation, so reduce the risk of sudden death in patients with a range of cardiac conditions.

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“…[ 4 ] However, the implantation of ICDs is associated with a reduced quality of life[ 5 ] and the development of mood disorders. [ 6 ] Therefore, patients living with ICD experience a high rate of insomnia,[ 7 ] depression and anxiety,[ 8 ] and stress. [ 9 ] Furthermore, patients after ICD placement may show fear,[ 10 ] feelings of loneliness and lack of support,[ 11 ] self-restrictions on physical activity,[ 12 ]feeling of an involuntary job move,[ 13 ] worries about their future,[ 14 ] communication restrictions,[ 15 ] and the unpleasant feeling when the shock is discharged.…”

Section: Introductionmentioning

confidence: 99%

Adaptation status and related factors in patients living with implantable cardioverter defibrillators

Oshvandi

Razavi

Khatiban

et al. 2022

Journal of Family Medicine and Primary Care

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Introduction: An implantable cardioverter-defibrillator (ICD) is the only approach to treat patients with life-threatening ventricular arrhythmias. Adaptation and acceptance of ICD play an important role in the optimal treatment of the patients. The aim of this study was to determine adaptation status and related factors in patients living with ICDs. Methods and Materials: In this descriptive–analytical study, 148 patients referred to Kowsar Hospital in Shiraz and Farshchian Hospital in Hamedan city between July 2020 and September 2021 were included in the study. Patients’ adjustment status was measured based on the mode of the Roy nursing model and using the Baecke physical activity questionnaire, Pittsburgh sleep quality, mini nutritional assessment (MNA) nutrition questionnaire, constipation scoring questionnaire, self-concept scale, and multidimensional scale of perceived social support (MSPSS). Results: Patients had low physical activity and poor sleep quality. Negative self-concept in relation to the disease and adherence to physicians’ recommendations was observed among patients. In addition, patients did not have optimal interpersonal communication. Multivariate regression findings showed that the number of years of device implantation and the number of shock discharges are effective factors in the incidence of insomnia and the negative self-concept of patients. Conclusion: Patients living with ICD did not adjust to the new conditions after placement of the device. Low level of physical activity and sleep disturbance and also negative self-concept about the disease and adherence to treatment was observed among the patients. Shock discharges and duration of the device implantation were associated with impaired self-concept and insomnia in the patients.

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Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs)

Cited by 9 publications

References 60 publications

Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

ICD surgery: highlighting the psychological consequences

Adaptation status and related factors in patients living with implantable cardioverter defibrillators

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