Multi-morbidity burden, psychological distress, and quality of life in implantable cardioverter defibrillator recipients: Results from a nationwide study
| Autor: | Mary M. Czarapata, Debra K. Moser, Jennifer L Miller, Samy Claude Elayi, Terry A. Lennie, Ingela Thylén, Farshid Etaee, Steve T. Fleming |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Population Comorbidity Anxiety Psychological Distress Type D Personality Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Internal medicine Prevalence medicine Humans Personality Registries 030212 general & internal medicine education Depression (differential diagnoses) Aged media_common Aged 80 and over Sweden Psychiatry education.field_of_study Depression business.industry Type D personality Sudden cardiac arrest Middle Aged Implantable cardioverter-defibrillator Defibrillators Implantable Psychiatry and Mental health Clinical Psychology Logistic Models Quality of Life Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Psychosomatic Research. 120:39-45 |
| ISSN: | 0022-3999 |
| DOI: | 10.1016/j.jpsychores.2019.03.006 |
| Popis: | Background The prevalence of multi-morbidity in implantable cardioverter defibrillator (ICD) recipients is approximately 25%. Multi-morbidity is associated with poor health and psychological outcomes in this population and may affect ICD recipients' quality-of-life (QOL). The purpose of this study was to determine the prevalence of psychological distress (anxiety, depressive symptoms, and Type-D personality) in ICD recipients with varying levels of comorbidities, and to examine the association between multi-morbidity burden and QOL in this population. Methods All adults listed in the Swedish ICD and Pacemaker Registry in 2012 with an ICD implanted for at least one year were invited to participate in this study. Binary logistic regression was used to predict QOL using the EQ-5D mean index dichotomized based on median QOL scores. Multi-morbidity burden scores were based on quartile groupings. Results A total of 2658 ICD recipients participated in the study (with a mean age of 65, 20.6% female, mean implant duration of 4.7 years, with 35.4% implanted for primary prevention of sudden cardiac arrest). Greater multi-morbidity burden, female sex, not working outside the home, history of ICD shock, negative ICD experience, higher levels of ICD-related concerns, and the presence of anxiety, depression, or Type D personality were associated with worse QOL in ICD recipients. Predictors differed by multi-morbidity burden level. Conclusions Multi-morbidity burden and psychological distress is an essential factor related to QOL. This issue should be discussed with potential ICD recipients prior to implant. Further exploration of increased recognition and treatment of psychological distress in ICD recipients is warranted. |
| Databáze: | OpenAIRE |
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