Quality of life and psychological co-morbidities in children and adolescents with cardiac pacemakers and implanted defibrillators: a cohort study in Eastern Germany
| Autor: | Ingo Dähnert, Roman Gebauer, Annette M. Klein, Mirko Döhnert, Christian Paech, Victoria Ebel, Stephanie Stadelmann, Franziska Wagner |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Pacemaker Artificial Adolescent medicine.medical_treatment Comorbidity 030204 cardiovascular system & hematology Anxiety Cardiac pacemaker 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Germany Surveys and Questionnaires medicine Humans 030212 general & internal medicine Child Depression (differential diagnoses) Reference group business.industry Depression Incidence Arrhythmias Cardiac General Medicine Implantable cardioverter-defibrillator Mental health Defibrillators Implantable Mental Health Pediatrics Perinatology and Child Health Quality of Life Female medicine.symptom Cardiology and Cardiovascular Medicine business Cohort study |
| Zdroj: | Cardiology in the young. 30(4) |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | Introduction:The implantation of a pacemaker or an implantable cardioverter-defibrillator during childhood may reduce quality of life and lead to mental health problems. This study aimed to evaluate potential mental health problems (i.e., depressive and anxiety symptoms) and quality of life in children with cardiac active devices in comparison to healthy peers.Methods:We analysed data of children with pacemakers or implantable cardioverter-defibrillators aged 6–18 years. Quality of life, depressive and anxiety symptoms were assessed by standardised questionnaires. The results were compared to age-matched reference groups.Results:Children with implantable cardioverter-defibrillator showed significant lower quality of life in comparison to reference group (p = 0.03), but there was no difference in quality of life between children with pacemaker and reference group. There was no significant difference in depressive symptoms between children with a cardiac rhythm device compared to reference group (self-report: p = 0.67; proxy report: p = 0.49). There was no significant difference in anxiety (p = 0.53) and depressive symptoms (p = 0.86) between children with pacemaker and children with implantable cardioverter-defibrillator.Conclusions:Living with an implantable cardioverter-defibrillator in childhood seems to decrease the patients’ quality of life. Although children with pacemaker and implantable cardioverter-defibrillator don’t seem to show more depressive and anxiety symptoms in comparison to their healthy peers, there still can be an increased risk for those children to develop mental health problems. Therefore, treating physicians should be aware of potential mental health problems and provide the patients and their families with appropriate therapeutic offers. |
| Databáze: | OpenAIRE |
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