Cognitive‐behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: A pilot study

Frizelle, Dorothy; Lewin, Robert; Kaye, G.; Hargreaves, Carol Anne; Hasney, K.; Beaumont, N.; Moniz-Cook, Esmé

doi:10.1348/1359107041557039

Cited by 91 publications

(126 citation statements)

References 12 publications

(13 reference statements)

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“…There was no significant effect on the number of ICD shocks that were received. Frizelle et al, 163 using an intervention and wait-list control group design, tested the effects of 6 weekly 2-hour CBT sessions in 21 secondary prevention patients. Subjects crossed over to the other group after 6 weeks, and outcomes were compared at 12 weeks.…”

Section: Overview Of Specific Psychological and Educational Interventmentioning

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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Section: Overview Of Specific Psychological and Educational Interventmentioning

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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“…Finally, exercise training as part of a comprehensive cardiac rehabilitation program has reduced anxiety and depression and improved quality of life in ICD patients. 16,17 However, these studies enrolled older adults (mean age, late 50s), and the largest one specifically excluded patients with genetic arrhythmias, 13 so it remains to be seen whether similar interventions will be equally feasible and successful at reducing anxiety and improving quality of life in ICD patients with ARVC and other inherited cardiac diseases.…”

Section: Article See P 18mentioning

confidence: 99%

Anxiety in Patients With Arrhythmogenic Right Ventricular Cardiomyopathy and Implantable Cardioverter Defibrillators

Day

2012

Circ Cardiovasc Genet

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“…Kohn et al 11 demonstrated cognitive-behavioral therapy (CBT) which included psychoeducation, stress management, and the examination of distorted thoughts about ICD-specific concerns; it was associated with significantly less depression, anxiety, and adjustment difficulties compared with controls at 9-month followup. More recently, Frizelle et al 12 demonstrated the effectiveness of a CBT intervention in reducing anxiety and depressive symptoms and improving quality of life in patients with ICD in the cardiac rehabilitation setting over a period of 6 weeks. Collectively, these results suggest that psychosocial interventions, especially those including a cognitive or cognitive-behavioral approach, may alleviate negative emotions and improve well-being in patients with ICDs.…”

Section: Patient Factors In Cardiac Researchmentioning

confidence: 99%

Examination of Research Trends on Patient Factors in Patients with Implantable Cardioverter Defibrillators

Stutts

Cross

Conti

et al. 2007

Clinical Cardiology

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SummaryBackground: The implantable cardioverter defibrillator (ICD) is the most effective treatment available for terminating potentially life-threatening ventricular tachycardia and ventricular fibrillation and reducing the risk of mortality. Despite its established health benefits, ICD therapy is accompanied by a unique array of patient and psychological factors meriting ample research attention. The purpose of this paper is to examine research trends and results regarding patient factors in cardiac and ICD research and to discuss key areas for future research.Hypothesis: An increase in articles associated with patient factors in cardiac and ICD research will be shown over time.Methods: The Medical Subject Heading (MeSH) system in PubMed was used to index articles under a range of psychosocial headings for both cardiovascular disease and ICDs to quantify the frequency of articles published across time, the journals most frequently utilized, the most productive institutions, and the most common areas of inquiry.Results: A significant positive relationship was revealed between patient factors in cardiac research (r = 0.96, p < 0.01)

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Cognitive‐behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: A pilot study

Abstract: A comprehensive 12-week CR programme that incorporated both psychological and exercise-based components significantly reduced anxiety and depression and improved quality of life of ICD patients. It is not clear if these benefits are sustained.

Cited by 91 publications

References 12 publications

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

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

Anxiety in Patients With Arrhythmogenic Right Ventricular Cardiomyopathy and Implantable Cardioverter Defibrillators

Examination of Research Trends on Patient Factors in Patients with Implantable Cardioverter Defibrillators

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