Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Habibović, Mirela; Denollet, Johan; Pedersen, Susanne S.

doi:10.1111/pace.13090

Cited by 25 publications

(22 citation statements)

References 37 publications

(72 reference statements)

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“…Generelt er ICD-behandling godt akseptert av pasientene, og assosiert med bevart og i noen tilfeller forbedret livskvalitet (4,(21)(22)(23). Likevel opplever 10-46 prosent av pasientene ICD-relatert angst og depresjon (4,5,10,24,25).…”

Section: Jon Forstår Ikke Oppstyret Rundt Ham Og Føler At Dette Ikke unclassified

See 1 more Smart Citation

Implantert hjertestarter kan gi fantomsjokk

Flagtvedt¹,

Norekvål²

2019

Sykepleien

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Section: Jon Forstår Ikke Oppstyret Rundt Ham Og Føler At Dette Ikke unclassified

“…Manglende ICD-aksept, ICD-bekymring og tidligere angst og depresjon sees på Symptomer som angst og depresjon har negativ påvirkning på arytmi og mortalitet (4,10,21,22).…”

Section: Angst Og Depresjonunclassified

Implantert hjertestarter kan gi fantomsjokk

Flagtvedt¹,

Norekvål²

2019

Sykepleien

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“…ICD activity can invoke fear in patients to the extent they develop conditions akin to a posttraumatic stress disorder . The spectrum of any such adverse effects is unique in each individual, and while they may relate to preexisting personality traits of implantees or their later acquired concerns, these responses are unpredictable . Other midterm risks include the occurrence of inappropriate shocks which affect as many as a quarter of recipients, sometimes related to technical factors such as oversensing, and which may of itself confer a mortality risk .…”

Section: Postprocedural Risksmentioning

confidence: 99%

Putting the “Informed” in the informed consent process for implantable cardioverter‐defibrillators: Addressing the needs of the elderly patient

Eiser

Kirkpatrick

Patton

et al. 2018

Pacing Clinical Electrophis

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Implantable cardioverter defibrillator (ICD) management complexities challenge the ethos of fully informed consent, particularly for the typically multimorbid elderly patient considering the device for primary prevention. The Heart Rhythm Society recommends providers include discussion on the potential need for later device deactivation or nonreplacement at the time of first implant, and to revisit this at appropriate intervals. The initial consent procedure could meet this standard by incorporating the future need to discuss further such issues when the recipient's clinical condition changes to such an extent that defibrillation would no longer be beneficial. At the time of obtaining consent, some patients may lack the will or capacity to make medically complex decisions when it would be necessary for healthcare surrogate decision-makers to contribute to this process. Ensuring an appropriate level of understanding and response may be enhanced by the use of information and decision aids. With improved communication regarding the nuances of ICD therapy, device eligible patients, and those close to them, will be empowered with a better understanding of the nature, benefits, and risks of ICD implantation, allowing them to make treatment decisions consistent with their values.

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“…Patients with a younger age, increased depression score at baseline, and Type D personality were especially prone to experience PTSD and anxiety symptomatology at 12 months follow-up [244].…”

Section: Moderate Evidencementioning

confidence: 99%

“…The acceptance of the ICD appears to be influenced by a number of variables such as psychological morbidity, advanced age, severity of the disease, onset of anxious or depressive symptoms, type D personality, worry about the ICD implantation, and understanding of the benefits and disadvantages of the ICD, which would seem to impact on the perceived quality of life [241][242][243][244].…”

Section: Implantable Cardioverter-defibrillator (Icd)mentioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Cited by 25 publications

References 37 publications

Implantert hjertestarter kan gi fantomsjokk

Implantert hjertestarter kan gi fantomsjokk

Putting the “Informed” in the informed consent process for implantable cardioverter‐defibrillators: Addressing the needs of the elderly patient

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

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