Gender Disparities in Quality of Life and Psychological Disturbance in Patients With Implantable Cardioverter-Defibrillators

Rahmawati, Anita; Chishaki, Akiko; Sawatari, Hiroyuki; Tsuchihashi-Makaya, Miyuki; Ohtsuka, Yuko; Nakai, Mori; Miyazono, Mami; Hashiguchi, Nobuko; Sakurada, Harumizu; Takemoto, Masao; Mukai, Yasushi; Inoue, Shujiro; Sunagawa, Kenji; Chishaki, Hiroaki

doi:10.1253/circj.cj-12-1116

Cited by 26 publications

(35 citation statements)

References 40 publications

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“…This study showed that impairment of left ventricular function in terms of decreased LVEF related to subjective distress caused by traumatic events such as history of SCD and/or near‐fatal arrhythmias and inappropriate and/or appropriate shocks by ICD (i.e., PTSD) and its symptoms. The patients with decreased LVEF should be followed up carefully for potential psychological problems, in addition to female patients and those with complications of CHF . There are some underlying mechanisms indicating that impaired cardiac function increases the severity of PTSD in ICD patients.…”

Section: Discussionmentioning

confidence: 99%

“…We recruited 179 consecutive outpatients with ICD implantation based on our previous study . The inclusion criteria were as follows: patients who (1) had undergone ICD implantation, (2) were age >18 years, (3) were judged capable of completing the survey physically and cognitively, and (4) were capable of understanding spoken and written Japanese.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies reported that 10% to 46% of ICD patients developed psychological problems, especially in the patients who recovered after SCD and experienced frequent ICD shocks and/or inappropriate ICD shocks . Contributing factors for psychological problems in ICD patients were reported as female sex and age . These psychological problems might adversely affect the quality of life and increase mortality in ICD patients .…”

Section: Introductionmentioning

confidence: 99%

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Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators

Sawatari

Ohkusa

Rahamawati

et al. 2016

Clinical Cardiology

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Background: Implantable cardioverter-defibrillators (ICD) have provided effective therapy for fatal arrhythmia. However, ICD patients are known to develop psychological problems, such as posttraumatic stress disorder (PTSD), if they have experienced potentially fatal arrhythmia and ICD shocks. Little is known about the factors influencing PTSD in ICD patients. Hypothesis: Echocardiographic cardiac-function parameters might relate to psychological problems, especially PTSD, in ICD patients. Methods: A total of 128 outpatients with ICD implantation completed the Impact of Event Scale Revised (IES-R) questionnaire as a measurement of PTSD. Demographic and clinical characteristic data were collected from medical records. Results: The mean age of the ICD patients was 59 ± 16 years; 103 were male; and the mean left ventricular ejection fraction (LVEF) by echocardiography was 52.4% ± 18.3%. In the ICD patients, female sex and impaired LVEF were related to lower IES-R scores or led to PTSD (P = 0.01 and P = 0.03, respectively). Impaired LVEF also worsened 2 symptoms of PTSD, intrusion (P = 0.02) and hyperarousal (P = 0.03). In patients with LVEF <35%, there was a significant negative correlation between LVEF level and IES-R score (P = 0.045).Conclusions: This study showed that LVEF was related to the severity of PTSD, especially in the ICD patients with LVEF of <35%. We should pay more attention to ICD patients with severely impaired left ventricular function to prevent psychological problems.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators

Sawatari

Ohkusa

Rahamawati

et al. 2016

Clinical Cardiology

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“…The prevalence of PTSD in ICD patients has been reported to be approximately 20%, although neither the definition of PTSD nor the clinical characteristics of patients were uniform across the studies [50–54]. A recent study by Rahmawati et al reported the prevalence (23.5%) of a PTSD score of ≥20 using the Impact of Event Scale‐Revised (IES‐R) in Japanese patients with an ICD; this result is comparable to previously reported results [24]. Kapa et al found that 21% of 223 ICD patients met the criteria for PTSD with an IES‐R score ≥24 at initial assessment (within 2 months after implantation), which decreased significantly to 12% after 6 months.…”

Section: Posttraumatic Stress Disordermentioning

confidence: 99%

Psychological distress in patients with an implantable cardioverter defibrillator

Shiga

Suzuki

Nishimura

2013

Journal of Arrhythmia

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Despite the effectiveness of an implantable cardioverter defibrillator (ICD), its implantation and concomitant therapies, including shocks, can induce psychological distress in patients. Depression has been observed in approximately 30% of ICD patients, and shocks may contribute to the persistence of depression. Anxiety is common, with reports of 24–87% of ICD patients experiencing symptoms of anxiety after implantation, and type D personality and ICD‐related concerns may play important roles in the level of anxiety in ICD patients. However, the association between ICD shocks and anxiety is controversial. The prevalence of posttraumatic stress disorder (PTSD) in ICD patients is approximately 20%, and type D personality, comorbidities, and frequent shocks may contribute to PTSD. It is also important to pay attention to the psychological distress in the partners of ICD patients.

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“…Furthermore, studies have explored gender differences in self‐rated health and quality of life (QoL) after ICD implantation and found that women are generally more affected on psychosocial outcomes than men. Women experience greater levels of anxiety and depression and are more prone to having lower QoL . These gender disparities may be attributed to differences in the way of dealing with stressful situations, in the acceptance of implanted mechanical devices, and in pain perception and pain tolerance …”

Section: Introductionmentioning

confidence: 99%

Effect of Cardiac Rehabilitation in Patients with ICD: Are Gender Differences Present? Results from the COPE‐ICD Trial

Christensen

Zwisler

Svendsen

et al. 2014

Pacing Clinical Electrophis

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Gender Disparities in Quality of Life and Psychological Disturbance in Patients With Implantable Cardioverter-Defibrillators

Cited by 26 publications

References 40 publications

Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators

Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators

Psychological distress in patients with an implantable cardioverter defibrillator

Effect of Cardiac Rehabilitation in Patients with ICD: Are Gender Differences Present? Results from the COPE‐ICD Trial

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