Psychische Störungen nach ICD-Mehrfachschocks und deren psychotherapeutische Behandlung

Ginzburg, D.; Tavenaux, M.; Sperzel, Johannes; Hamm, Christian W.; Jordan, Jochen

doi:10.1007/s12181-011-0331-5

Cited by 5 publications

(4 citation statements)

References 39 publications

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“…In a retrospective design we asked for differences between the time before the inpatient treatment and the time of the follow-up [18], [19]. …”

Section: Results Of the Pilot Studymentioning

confidence: 99%

“…Follow-up results: As in a first pilot study the treatment modules, the dosage and timescale of the follow-up interviews differed from person to person we used a short self-constructed Likert-scale to assess anxiety, avoidance behaviour, mood, sleep, nervousness and loss of interest. In a retrospective design we asked for differences between the time before the inpatient treatment and the time of the follow-up [ 18 ], [ 19 ].…”

Section: Results Of the Pilot Studymentioning

confidence: 99%

“…Five or more ICD shocks in 12 months or more than 3 shocks consecutively (24 hours) are considered high risk for psychological complaints. The experience of multiple shocks is seen as a high risk for anxiety, depression, panic disorder and very often these symptoms exist within a PTSD [ 3 ], [ 15 ], [ 16 ], [ 18 ], [ 19 ], [ 20 ], [ 21 ]. Very important is the knowledge that the existence of a PTSD after multiple shocks is a factor which increases risk in the prognosis of the disease (including the risk of mortality [ 21 ], [ 22 ]).…”

Section: Current Researchmentioning

confidence: 99%

See 2 more Smart Citations

Manual for the psychotherapeutic treatment of acute and post-traumatic stress disorders following multiple shocks from implantable cardioverter defibrillator (ICD)

Jordan

Titscher

Peregrinova

et al. 2013

GMS Psycho-Social-Medicine; 10:Doc09; ISSN 1860-5214

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“…In a retrospective design we asked for differences between the time before the inpatient treatment and the time of the follow-up [18], [19]. …”

Section: Results Of the Pilot Studymentioning

confidence: 99%

Section: Results Of the Pilot Studymentioning

confidence: 99%

Section: Current Researchmentioning

confidence: 99%

See 1 more Smart Citation

Manual for the psychotherapeutic treatment of acute and post-traumatic stress disorders following multiple shocks from implantable cardioverter defibrillator (ICD)

Jordan

Titscher

Peregrinova

et al. 2013

GMS Psycho-Social-Medicine; 10:Doc09; ISSN 1860-5214

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“…Kritische Ereignisse in diesem Zusammenhang sind sogenannte "electrical storms", gekennzeichnet durch mehrere ICD-Entladungen innerhalb von 24 Stunden. Sie treten bei 10-20 % der ICD-Träger auf und sind mit einer erhöhten Mortalität [16] und der Entwicklung einer posttraumatischen Belastungsstörung assoziiert [8,11,17]. Trotz der Entwicklungsfortschritte der ICD-Technologie erleben 8-10 % der Träger inadäquate Therapien.…”

Section: Icd-schocksunclassified

Psychische Komorbiditäten bei Patienten mit ICD

Leithäuser¹,

Jordan

2015

Aktuel Kardiol

Self Cite

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Zusammenfassung Ziel der Therapie mit einem implantierbaren Kardioverter-Defibrillator (ICD) ist die Verhinderung des pl?tzlichen Herztods. ?Defi-Patienten? geh?ren daher zu den psychisch am meisten Belasteten im kardiologischen Fachgebiet. Die Lebensqualit?t von ICD-Tr?gern ist h?ufig entscheidend beeintr?chtigt durch die anhaltende Besch?ftigung mit der Erkrankung und dem Implantat, und knapp ein Drittel entwickelt eine Angst- oder Belastungsst?rung oder eine Depression. Dabei sind die Einschr?nkungen der k?rperlichen Leistungsf?higkeit durch die kardiale Grunderkrankung, Pers?nlichkeitsmerkmale und das soziale Umfeld der Patienten die wesentlichen Risikofaktoren. Unvorhersehbar und eventuell mehrfach auftretende, schmerzhafte elektrische Entladungen im Inneren des K?rpers (Schocks) tragen abh?ngig von der Auspr?gung der Risiken zur psychischen Belastung bei. Die Anpassung an ein implantiertes ICD-Aggregat ist ein Kontinuum. Aufgabe in der Nachsorge von ICD-Patienten ist es ebenso, Risikofaktoren oder Symptome psychosozialer Belastungen m?glichst fr?hzeitig zu erkennen und zu behandeln, um den Nutzen der ICD-Therapie zu optimieren.

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Psychokardiologischer Praxisleitfaden für die ICD-Implantation und Langzeitbetreuung

Jordan

Sperzel

2011

Herzschr. Elektrophys.

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In the literature there are only very few reports on systematic education or information for patients after implantation. Research in this field has only just begun so that there are no sufficiently evaluated models which could serve as the foundations for recommendations. Approximately 80% of affected patients, relatives and partners show a good cognitive acceptance and are capable of coping with the situation. However, in the first 12 months following ICD implantation some 20% of patients are in a state of anxiety and depression. These patients must be recognized and if necessary treated and given support. For this reason it is important in the consultation and routine appointments to give patients the chance to express their views on this if necessary. Only then can cardiologists recognize whether a patient is under substantial mental stress. It is recommended that immediately after the implantation and before being discharged from hospital, a screening procedure for anxiety and depression should be carried out using, e.g. the Hospital Anxiety and Depression Scale (HADS) and to distribute a questionnaire on desired information and unanswered questions. This would not only give a lead in for a targeted consultation during the follow-up appointment in the first year but also allow the opportunity to offer such patients an education course in order to specifically approach the problem being experienced. Patients who have experienced more than 5 shocks in 12 months or more than 3 shocks in 1 episode should attend a psychocardiological consultation in order to check whether there are post-traumatic disorders. It is imperative that these be treated because they do not in general resolve spontaneously.

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Psychische Störungen nach ICD-Mehrfachschocks und deren psychotherapeutische Behandlung

Cited by 5 publications

References 39 publications

Manual for the psychotherapeutic treatment of acute and post-traumatic stress disorders following multiple shocks from implantable cardioverter defibrillator (ICD)

Manual for the psychotherapeutic treatment of acute and post-traumatic stress disorders following multiple shocks from implantable cardioverter defibrillator (ICD)

Psychische Komorbiditäten bei Patienten mit ICD

Psychokardiologischer Praxisleitfaden für die ICD-Implantation und Langzeitbetreuung

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