Search: onr:"swepub:oai:DiVA.org:liu-124321" >
Concerns about impl...
Concerns about implantable cardioverter-defibrillator shocks mediate the relationship between actual shocks and psychological distress.
-
- Thylén, Ingela (author)
- Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Kardiologiska kliniken US
-
- Moser, Debra K (author)
- University of Kentucky, USA; University of Ulster, UK
-
- Strömberg, Anna (author)
- Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Kardiologiska kliniken US
-
show more...
-
- Dekker, Rebecca A (author)
- University of Kentucky, USA
-
- Chung, Misook L (author)
- University of Kentucky, USA
-
show less...
-
(creator_code:org_t)
- 2015-08-31
- 2016
- English.
-
In: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 18:6, s. 828-835
- Related links:
-
https://academic.oup...
-
show more...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- AIMS: Although most implantable cardioverter-defibrillator (ICD) patients cope well, fears about receiving ICD shocks have been identified as a major determinant of psychological distress. The relationships among ICD-related concerns, receipt of defibrillating shocks, and symptoms of anxiety and depression have not yet been investigated. Our objective was to examine whether the relationship between receipt of defibrillating shocks and psychological distress was mediated by patients' concerns related to their ICD.METHODS AND RESULTS: All Swedish ICD-recipients were invited to this cross-sectional correlational study; 3067 completing the survey (55% response rate). Their mean age was 66 ± 11 years, and 80% were male. One-third (35%) had received defibrillating shocks, and 26% had high ICD-related concerns. Regression analyses demonstrated that having received at least one shock significantly predicted symptoms of anxiety and depression [odds ratio (OR) 1.58 and OR 3.04, respectively]. The association between receipt of shocks and psychologically distress was mediated by high ICD-related concerns which explained 68% of the relationship between shocks and symptoms of anxiety, and 54% of the relationship between shocks and symptoms of depression.CONCLUSION: Implantable cardioverter-defibrillator-related concerns have a bigger impact on psychological distress than receipt of an actual shock. Assessing ICD-related concerns in clinical practice can identify patients at risk for psychological distress. Further research on assessment of, and interventions targeting, ICD-related concerns is warranted.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Implantable cardioverter-defibrillator; ICD-related concerns; ICD shocks; Mediators; Psychological distress
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
-
Europace
(Search for host publication in LIBRIS)
To the university's database