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Concerns about implantable cardioverter-defibrillator shocks mediate the relationship between actual shocks and psychological distress.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.ORCID-id: 0000-0002-7097-392X
University of Kentucky, USA; University of Ulster, UK.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.ORCID-id: 0000-0002-4259-3671
University of Kentucky, USA.
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2016 (Engelska)Ingår i: Europace, ISSN 1099-5129, E-ISSN 1532-2092, Vol. 18, nr 6, s. 828-835Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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.

Ort, förlag, år, upplaga, sidor
Oxford University Press, 2016. Vol. 18, nr 6, s. 828-835
Nyckelord [en]
Implantable cardioverter-defibrillator; ICD-related concerns; ICD shocks; Mediators; Psychological distress
Nationell ämneskategori
Kardiologi
Identifikatorer
URN: urn:nbn:se:liu:diva-124321DOI: 10.1093/europace/euv220ISI: 000379742500009PubMedID: 26324839OAI: oai:DiVA.org:liu-124321DiVA, id: diva2:897809
Anmärkning

Funding agencies: Medical Research Council of Southeast Sweden (FORSS); Swedish Heart and Lung Association

Tillgänglig från: 2016-01-26 Skapad: 2016-01-26 Senast uppdaterad: 2017-11-30Bibliografiskt granskad

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Thylén, IngelaStrömberg, Anna

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