Abstract 14331: Patient Outcomes Enhanced by Partner Involvement in Social Cognitive Interventions After an Initial Implantable Cardioverter Defibrillator

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Jon AULD ◽  
Frances Elaine Thompson ◽  
Cynthia M Dougherty
Keyword(s):  
Depressive Symptoms ◽  
Implantable Cardioverter Defibrillator ◽  
Caregiver Burden ◽  
Social Cognitive ◽  
Physical Symptoms ◽  
Cardioverter Defibrillator ◽  
Reciprocal Influence ◽  
Cardiac Illness ◽  
Partner Involvement ◽  
Reciprocal Influences

Background: Research points to reciprocal influences that patients and partners may have on one another’s recovery in cardiac illness, yet interventions to enhance recovery after an implantable cardioverter defibrillator (ICD) are usually directed only toward the patient. Purpose: To compare 2 social cognitive (SC) intervention conditions (patient only or P-only, and patient + partner or P+P) from the Patient + Partner RCT. Patient physical symptoms and depression were compared with partner caregiver burden over 12 months post initial ICD. Methods: The study included 301 patient-partner dyads (151=P-only; 150=P+P) who participated in 1 of 2 nurse-led SC interventions delivered by telephone in the first 3 months after the patient received an ICD. Patient symptoms were measured with the PCA, depression with the PHQ-9, and partner caregiver burden with the OCBS, at baseline, 3, 6, and 12 months. Parallel process growth modeling and mixed effects models were used to compare intervention outcomes. Results: Patients were on average 64±12 years old, male (74%), white (91%), and most received an ICD for primary prevention (60%). Partners were on average 62±12 years, female (74%), and white (88%). In the first 3 months, decline in patient depression was significantly associated with decline in partner caregiver burden in P+P (β=0.93; p<0.001), but not in P-only (β= -0.14; p=0.54). Decline in physical symptoms was more strongly associated with decline in partner caregiver burden in P+P (β=0.93, p<0.001) than P-only (β=0.58, p=0.02). At 3 months, there were no significant differences in patient physical (p=0.59) and depressive symptoms (p=0.27) for P+P vs P-only. Partner caregiver burden was significantly lower in P+P vs P-only (p=0.01). At 12 months, patient physical and depressive symptoms and partner caregiver burden were significantly lower in P+P vs P-only (p=0.043, p=0.008, p=0.001, respectively). Conclusion: A SC intervention that included intimate partners (P+P) showed greater reductions in patient physical and depressive symptoms and partner caregiver burden and reflected greater reciprocal influence than the P-only intervention. Dyadic SC interventions can provide added support for patients after an ICD and may improve partner caregiver burden.

Concerns about the implantable cardioverter defibrillator: A determinant of anxiety and depressive symptoms independent of experienced shocks

2005 ◽  
Vol 149 (4) ◽  
pp. 664-669 ◽  
Author(s):  
Susanne S. Pedersen ◽  
Ron T. van Domburg ◽  
Dominic A.M.J. Theuns ◽  
Luc Jordaens ◽  
Ruud A.M. Erdman
Keyword(s):  
Depressive Symptoms ◽  
Implantable Cardioverter Defibrillator ◽  
Cardioverter Defibrillator

scholarly journals Changes in the Physical Function and Psychological Distress from Pre-Implant to 1, 6, and 12 Months Post-Implant in Patients Undergoing Implantable Cardioverter Defibrillator Therapy

2020 ◽  
Vol 9 (2) ◽  
pp. 307
Author(s):  
JinShil Kim ◽  
Jin-Kyu Park ◽  
Jiin Choi ◽  
Sun Hwa Kim ◽  
Young Keun On ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Depressive Symptoms ◽  
Physical Function ◽  
Implantable Cardioverter Defibrillator ◽  
Cultural Backgrounds ◽  
Icd Therapy ◽  
Cardioverter Defibrillator ◽  
Function Recovery ◽  
Physical Function Recovery

Recipients of implantable cardioverter-defibrillator (ICD) therapy in Western countries often experience distressful physical and psychological adjustments. Sociocultural influences on post-implant recovery are likely; however, evidence from other ethnic/cultural backgrounds is lacking. This study aimed to examine the changes in physical function and psychological distress (anxiety and depressive symptoms) from pre-implant to one, six, and 12 months post-implant in Korean patients undergoing ICD therapy. A total of 34 patients underwent pre- to post-implant longitudinal assessments of physical and psychological function using mixed modeling procedures. Physical function significantly declined from pre-implant to one month post-implant (B = −10.05, p = 0.004) and then nearly returned to the pre-implant level at six months post-implant (B = 8.34, p = 0.028). This level of improvement continued through 12 months post-implant. In psychological distress, significant improvements were observed from pre-implant to one month (anxiety (B = −1.20, p = 0.020) and in depressive symptoms (B = −1.15, p = 0.037)), which then plateaued without significant changes from one to 12 months. We concluded that physical function recovery occurred six months post-implant, but function remained poor until 12 months post-implant. Psychological distress improved one month post-implant and it was maintained. Clinicians must provide more intensive interventions to improve long-term physical function after ICD therapy.

scholarly journals Resilience, Cardiological Outcome, and Their Correlations With Anxious-Depressive Symptoms and Quality of Life in Patients With an Implantable Cardioverter Defibrillator

2021 ◽  
Vol 12 ◽  
Author(s):  
Celeste Isella ◽  
Alessandra Gasparini ◽  
Giulia Lucca ◽  
Marta Ielmini ◽  
Ivano Caselli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Implantable Cardioverter Defibrillator ◽  
Protective Factor ◽  
World Health ◽  
Cardiac Events ◽  
World Health Organization Quality ◽  
Cardioverter Defibrillator

Background: Resilience is proven as a protective factor against the development of psychiatric disorders, and it has gained clinical relevance in the development and progression of cardiovascular pathology. The authors performed a longitudinal study on patients with implantable cardioverter defibrillator (ICD) with the primary aim to highlight the possible existence of a correlation between individual resilience capacity, depressive and anxiety symptoms, and quality of life in terms of outcomes. The secondary aim was to analyze the differences between patients with major cardiac events in the follow-up and patients without cardiac events with respect to the previous variables.Materials and Methods: A total of 80 patients enrolled in the Cardiology Unit were evaluated at T0 and during the follow-up through the following scales: the 14-item Resilience Scale (RS-14), the Hospital Anxiety and Depression Scale (HADS), and the World Health Organization Quality of Life-Brief Version (WHOQOL-Bref).Results: A significant linear correlation between resilience and all the areas of quality of life at T0, T1, and T2 emerged. A negative correlation between resilience and anxiety and depressive symptoms emerged, as well as between depression and anxiety and quality of life. Patients with cardiac events during the follow up have shown a worse quality of life and the onset of anxiety-depressive symptoms over time, without changes to the resilience scores. Patients without cardiac events showed an increasing trend in resilience scores.Discussion: Given the speed and simplicity of use of the RS-14 scale, it seems promising to further investigate the real clinical usefulness of this instrument in the cardiology field.

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