Avoidance behavior associated with depressive symptoms in patients with implantable cardioverter defibrillators

Abstract

Objective: Many patients with implantable cardioverter defibrillators experience depressive symptoms. In addition, avoidance behavior is a common problem among patients with implantable cardioverter defibrillators. We examined the association between avoidance behaviors and depressive symptoms in patients with implantable cardioverter defibrillators. Method: We conducted a single-center, cross-sectional study with self-completed questionnaires between May 2010 and March 2011. We measured avoidance behaviors (avoidance of places, avoidance of objects, and avoidance of situations) and depressive symptoms (using the Beck Depression Inventory, Version II) in 119 participants. An avoidance behaviors instrument was developed for this study and we confirmed its internal consistency reliability. Results: Ninety-two (77.3%) patients were aged older than 50 years, and 86 (72.3%) were men. Fifty-one (42.9%) patients reported “avoidance of places”, 34 (28.6%) reported “avoidance of objects”, and 63 (52.9%) reported “avoidance of activity”. Avoidance behavior was associated with increased odds for the presence of depressive symptoms (OR 1.31; 95% CI 1.06–1.62). Conclusions: This was the first study to identify the relationship between avoidance behavior and depressive symptoms among patients with implantable cardioverter defibrillators; however, there are a few methodological limitations.

Validity evidence of the Behavioral Activation for Depression Scale-Short Form among depressed smokers

“…This is an important finding that confirms the strong association between high activation levels and high positive reinforcement obtained from pleasant activities ( Collado et al, 2016 , Gawrysiak et al, 2009 ). These findings also support previous validation studies and are in line with research indicating that depressed individuals present Avoidance patterns while being involved in barely pleasant activities ( Ichikura et al, 2017 , Nasrin et al, 2017 , Wu et al, 2017 ). The fact that FTND scores were positively associated with depression and negatively with EROS, aligns with existing research stressing the role of tobacco cigarettes as a coping strategy for relieving emotional discomfort ( Leventhal & Zvolensky, 2015 ).…”

Relationship between Emotional Intelligence and Violence Exerted, Received, and Perceived in Teen Dating Relationships

“…As indicated in previous studies, the results obtained confirm that violence in teenage dating relationships does occur, especially physical and psychological violence, which is occasionally exercised and received [ 7 , 9 , 11 , 12 , 13 ]. However, the data obtained show that adolescents have only slightly used or been subjected to the behaviors asked about in the questionnaire.…”

“…In fact, in developing countries, 1 in every 4 women and 1 in every 5 men say that they have suffered and used violence and physical abuse in an intimate relationship [ 10 , 11 ]. Similarly, the World Health Organization Report (WHO) confirms that victims of partner violence are more prevalent in adolescents aged between 15 and 19 and young adults aged between 20 and 24 (29.4% and 31.6%, respectively) than in women aged between 55 and 59 [ 7 , 12 ].…”

Calidad de vida relacionada con la salud, la ansiedad y depresión en personas con cardiodesfibrilador

“…En las variables sociodemográficas de este estudio se resalta la predominancia del género masculino de la muestra (81,2%), información similar a la de una investigación en paises de América del Norte, Europa y Asia con el 79% (15) . Hallazgos similares se observaron en estudios llevados a cabo en China (8) , Japón (16) , Irán (17) , Israel (18) , México (3) , Brasil (19) , Estados Unidos (20,21) , Australia (21) , España (22,23) , Alemania (24,25) , Países Bajos (26,27) , Dinamarca (28)(29)(30) y Suecia (31)(32)(33) . No obstante, en otras publicaciones, poco más del 60% de los participantes correspondían al género masculino (34)(35)(36) , mientras que en otras eran cerca del 68,4% de población masculina (17) .…”