Intervention mediating effects of self-efficacy on patient physical and psychological health following ICD implantation

Liberato, Ana Carolina Sauer; Thompson, Elaine Adams; Dougherty, Cynthia M.

doi:10.1007/s10865-021-00244-8

Cited by 3 publications

(4 citation statements)

References 37 publications

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“…Including partners in post-ICD psychological interventions improves outcomes for patients. 38 It is of note that most ICD patients are male, and most of their partners are female, which needs to be considered when comparing patient and control groups, as females typically have higher rates of depression and anxiety. Additionally, we did not investigate rates of mood disorders in partners of patients with cardiac disease, but without ICD (or other intervention), and included studies did not report rates of depression and anxiety in partners prior to implantation.…”

Section: Discussionmentioning

confidence: 99%

Burden of mood symptoms and disorders in implantable cardioverter defibrillator patients: a systematic review and meta-analysis of 39 954 patients

et al. 2023

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Aims Implantable cardioverter defibrillators (ICDs) prevent sudden cardiac death. Anxiety, depression, and post-traumatic stress disorder (PTSD) are underappreciated symptoms. We aimed to systematically synthesize prevalence estimates of mood disorders and symptom severities, pre- and post-ICD insertions. Comparisons were made with control groups, as well as within ICD patients by indication (primary vs. secondary), sex, shock status, and over time. Methods Databases (Medline, PsycINFO, PubMed, and Embase) were searched without limits from inception to 31 August 2022; 4661 articles were identified, 109 (39 954 patients) of which met criteria. Results Random-effects meta-analyses revealed clinically relevant anxiety in 22.58% (95%CI 18.26–26.91%) of ICD patients across all timepoints following insertion and depression in 15.42% (95%CI 11.90–18.94%). Post-traumatic stress disorder was seen in 12.43% (95%CI 6.90–17.96%). Rates did not vary relative to indication group. Clinically relevant anxiety and depression were more likely in ICD patients who experienced shocks [anxiety odds ratio (OR) = 3.92 (95%CI 1.67–9.19); depression OR = 1.87 (95%CI 1.34–2.59)]. Higher symptoms of anxiety were seen in females than males post-insertion [Hedges’ g = 0.39 (95%CI 0.15–0.62)]. Depression symptoms decreased in the first 5 months post-insertion [Hedges’ g = 0.13 (95%CI 0.03–0.23)] and anxiety symptoms after 6 months [Hedges’ g = 0.07 (95%CI 0–0.14)]. Conclusion Depression and anxiety are highly prevalent in ICD patients, especially in those who experience shocks. Of particular concern is the prevalence of PTSD following ICD implantation. Psychological assessment, monitoring, and therapy should be offered to ICD patients and their partners as part of routine care.

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Section: Discussionmentioning

confidence: 99%

Burden of mood symptoms and disorders in implantable cardioverter defibrillator patients: a systematic review and meta-analysis of 39 954 patients

et al. 2023

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“…In this study, self-care self-efficacy (SSE) was shown to be positively correlated with ESE. Although evidence from studies on the direct relationship between SSE and ESE among people with ICD is sparse, some studies have shown that self-care confidence mediates the relationship between cognition and self-care behaviours [ 24 ], as well as patients’ physical and psychological health [ 41 ]. Additionally, this finding corroborates that of a systematic review, conducted by Kavradim (2020), which showed that patients with heart disease who have higher levels of SSE exhibited better disease management and exercise adherence [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator

Chen,

Chou,

Lien

et al. 2024

PLoS ONE

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Background Insufficient exercise affects the health of patients who have implantable cardioverter defibrillators (ICD). The purpose of this study was to investigate the correlations between exercise self-efficacy (ESE) and its associated psychological factors in ICD recipients. Methods This cross-sectional study included individuals who had undergone ICD implantation at the cardiology department of a medical centre in Taiwan. A face-to-face survey was conducted. The survey questionnaire included questions regarding the participants’ demographics, perceived health (PH), ICD shock–related anxiety (ICD-SRA), self-care self-efficacy (SSE), perceived exercise benefit (PE-benefit), perceived exercise barrier (PE-barrier), and ESE. Data were analysed using SPSS 20.0 Software. Stepwise multiple regression analyses were also performed to evaluate the predictive effects of the aforementioned factors on ESE. Results A total of 52 ICD recipients were enrolled. ESE was negatively correlated with ICD-SRA (r = −0.511; p < 0.01) and PE-barrier (r = −0.563; p < 0.01), but positively correlated with SSE (r = 0.339; p < 0.05) and PE-benefit (r = 0.464; p < 0.01). The stepwise multiple regression analysis revealed that PE-barrier, PE-benefit, and ICD-SRA effectively predicted ESE in the participants. Conclusions ESE may be improved by overcoming PE-barrier, ICD-SRA and enhancing PE-benefit. Consequently, improving ESE may enhance the health benefits of exercise.

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“…36 Although CSEs have received less attention in the occupational health literature, meta-analytic reviews also have established the components of CSE as predictors of burnout, 26 and other research has shown that each of the components of CSE may be influenced by interventions. [37][38][39][40] The Present Study Because CSE, optimism, and mindfulness are conceptually related indicators of dispositional resilience, we sought to assess the relative contribution of each of these characteristics to predicting occupational health outcomes. We investigated five outcomes that reflect three important components of EM physicians' work experiences: fatigue, turnover intentions, and productivity.…”

Section: Personal Resources and The Capacity For Resiliencementioning

confidence: 99%

“…Not surprisingly then, high CSE individuals also tend to perform better and have more positive perceptions of their work environment 36 . Although CSEs have received less attention in the occupational health literature, meta-analytic reviews also have established the components of CSE as predictors of burnout, 26 and other research has shown that each of the components of CSE may be influenced by interventions 37–40 …”

Section: Personal Resources and The Capacity For Resiliencementioning

confidence: 99%

Resilience-Related Resources Predict Physicians’ Fatigue, Job Search Behavior, and Productivity Outcomes

Sinclair

Sawhney

Jones

et al. 2023

J Occup Environ Med

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The objective of this research was to assess the relative contribution of three resilience-related dispositional resources (trait mindfulness, core selfevaluations, and optimism) to emergency medicine physicians' fatigue, retention, and productivity. Methods: We surveyed emergency physicians employed by a national (US) medical staffing organization. The survey included measures of work stressors, resilience resources, job search behavior, and fatigue. We linked the survey responses to objective demographic and productivity measures from the organization's records. Results: A total of 371 respondents completed the survey. Multiple regression analyses demonstrated support for each of the three resilience-related resources as predictors. Relative weights analyses showed that resilience accounted for 14% and 62% of the outcome variance, whereas work demands accounted for between 32% and 56%. Conclusions: Multiple facets of dispositional resilience are important predictors of emergency medicine physicians' occupational health, retention, and productivity.

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Intervention mediating effects of self-efficacy on patient physical and psychological health following ICD implantation

Cited by 3 publications

References 37 publications

Burden of mood symptoms and disorders in implantable cardioverter defibrillator patients: a systematic review and meta-analysis of 39 954 patients

Burden of mood symptoms and disorders in implantable cardioverter defibrillator patients: a systematic review and meta-analysis of 39 954 patients

Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator

Resilience-Related Resources Predict Physicians’ Fatigue, Job Search Behavior, and Productivity Outcomes

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