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Gender Disparities in Symptoms of Anxiety, Depression, and Quality of Life in Defibrillator Recipients.
College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-7097-392X
College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
2016 (English)In: Pacing and Clinical Electrophysiology, ISSN 0147-8389, E-ISSN 1540-8159, Vol. 39, no 2, 149-159 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Most patients cope well with an implantable cardioverter defibrillator (ICD), but psychological distress and ICD-related concerns have been reported in about 20% of ICD recipients. Many previous studies have not distinguished between genders.

METHODS: In this nationwide study we compared quality of life, anxiety, and depression symptoms between the genders in ICD recipients, and determined predictors of each of these variables in men and women. All adult Swedish ICD recipients were invited by mail to participate and 2,771 patients (66 ± 12 years) completed standardized measures of quality of life, symptoms of anxiety, and depression. Time since implantation ranged from 1 year to 23 years with a mean of 4.7 ± 3.9.

RESULTS: Women reported worse quality of life (mean index 0.790 vs 0.825) and higher prevalence of anxiety (20.5% vs 14.7%) than did men (P < 0.001 for both comparisons), while there were no differences in symptoms of depression (8.8% vs 8.2%).

CONCLUSIONS: Most ICD recipients report a good quality of life, without emotional distress, but among the minority with distress, women fare worse than men.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2016. Vol. 39, no 2, 149-159 p.
Keyword [en]
gender; implantable cardioverter defibrillator; psychological distress
National Category
Cardiac and Cardiovascular Systems
URN: urn:nbn:se:liu:diva-125070DOI: 10.1111/pace.12786ISI: 000370139200006PubMedID: 26856629OAI: diva2:902768
Available from: 2016-02-12 Created: 2016-02-12 Last updated: 2016-03-09

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Thylén, Ingela
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Division of Nursing ScienceFaculty of Health SciencesDepartment of Cardiology in Linköping
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