Cognitive behavioural therapy significantly reduces anxiety in patients with implanted cardioverter defibrillator compared with usual care: Findings from the Screen-ICD randomised controlled trial:

Published on Feb 1, 2020in European Journal of Preventive Cardiology5.64
· DOI :10.1177/2047487319874147
Selina Kikkenborg Berg13
Estimated H-index: 13
(UCPH: University of Copenhagen),
Trine Bernholdt Rasmussen5
Estimated H-index: 5
(Copenhagen University Hospital)
+ 3 AuthorsLau Caspar Thygesen22
Estimated H-index: 22
(University of Southern Denmark)
AimThe aim of this study was to investigate the effect of a cognitive behavioural therapy intervention provided by trained cardiac nurses plus usual care compared with usual care alone in patients ...
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#1Selina Kikkenborg Berg (University of Southern Denmark)H-Index: 13
#2Margrethe HerningH-Index: 6
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Abstract Objectives The objectives were to determine: 1) whether patients with an implantable cardioverter defibrillator (ICD) presenting with anxiety symptoms measured on the Hospital Anxiety and Depression Scale (HADS) have identifiable anxiety according to the Structured Clinical Interview for DSM disorders (SCID) and 2) the type of anxiety, if any, behind a HADS-A score ≥ 8 in patients with an ICD. Methods Patients with an ICD were screened using HADS and patients with a HADS-A score ≥ 8 wer...
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#2Charlotte Brun Thorup (AAU: Aalborg University)H-Index: 6
Last. Marianne Vámosi (Aarhus University Hospital)H-Index: 3
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AimsPatient-reported quality of life and anxiety/depression scores provide important prognostic information independently of traditional clinical data. The aims of this study were to describe: (a) mortality and cardiac events one year after hospital discharge across cardiac diagnoses; (b) patient-reported outcomes at hospital discharge as a predictor of mortality and cardiac events.DesignA cross-sectional survey with register follow-up.MethodsParticipants: All patients discharged from April 2013...
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#2Trine Bernholdt Rasmussen (Gentofte Hospital)H-Index: 6
Last. Lars ThrysoeeH-Index: 3
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Background:Although highly effective in preventing arrhythmic death, there is a high prevalence of anxiety, depression and reduced quality of life among patients who have received an implantable cardioverter defibrillator (ICD). Whether mortality, ICD shock and readmission are predicted by patient-reported outcomes is unknown.Aim:The aim of this study was to describe patient-reported outcomes among patients with ICDs compared by: ICD indication and generator type (ICD or cardiac resynchronisatio...
6 CitationsSource
#1Susanne S. Pedersen (University of Southern Denmark)H-Index: 46
#2Roland von KänelH-Index: 47
Last. Johan Denollet (Tilburg University)H-Index: 60
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Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients’ psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20% of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a bar...
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#1Selina Kikkenborg Berg (UCPH: University of Copenhagen)H-Index: 13
#2Margrethe HerningH-Index: 6
Last. Lau Caspar Thygesen (University of Southern Denmark)H-Index: 22
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#1Selina Kikkenborg Berg (Copenhagen University Hospital)H-Index: 13
#2Lau Caspar Thygesen (University of Southern Denmark)H-Index: 22
Last. Ann-Dorthe Zwisler (University of Southern Denmark)H-Index: 18
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Background Although highly effective in preventing arrhythmic death, patients receiving an implantable cardioverter defibrillator (ICD) may still experience psychological difficulties such as anxiety, depression, and reduced quality of life. The objectives of this study were to describe patient-reported outcomes among ICD patients: (1) compared to a matched healthy population, (2) compared by ICD indication, (3) factors predicting patient-reported outcomes, and (4) if patient-reported outcomes p...
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#1Ana Claudia C. de Ornelas Maia (UFRJ: Federal University of Rio de Janeiro)H-Index: 8
#2Arthur de Azevedo Braga (UFRJ: Federal University of Rio de Janeiro)H-Index: 5
Last. Adriana Cardoso Silva (UFRJ: Federal University of Rio de Janeiro)H-Index: 14
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This article is a systematic review of the available literature on the benefits that cognitive behavioral therapy (CBT) offers patients with implanted cardioverter defibrillators (ICDs) and confirms its effectiveness. After receiving the device, some patients fear that it will malfunction, or they remain in a constant state of tension due to sudden electrical discharges and develop symptoms of anxiety and depression. A search with the key words “anxiety”, “depression”, “implantable cardioverter”...
13 CitationsSource
#1Madelein T. Hoogwegt (Tilburg University)H-Index: 10
#2Susanne S. PedersenH-Index: 46
Last. Nina Kupper (Tilburg University)H-Index: 28
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We investigated the relationship between Type D personality, depression, and anxiety, and heart rate variability (HRV) in 64 patients with an implantable cardioverter-defibrillator (ICD). HRV was obtained via 24-h Holter monitoring, and 24-h, 30-min daytime rest and 30-min nighttime sleep HRV were analyzed. In adjusted analyses, significant associations (standard deviation of normal-to-normal [NN] intervals [SDNN]: p = .043; standard deviation of NN intervals over 5-min periods [SDANN]: p = .010...
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#1Neil Oldridge (UW: University of Wisconsin-Madison)H-Index: 44
#2Stefan Höfer (Innsbruck Medical University)H-Index: 26
Last. Hugo Saner (University of Bern)H-Index: 29
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Background:Evaluation of health-related quality of life (HRQL) is important in improving the quality of patient care. The aim of this study was to determine the psychometric properties of the HeartQoL in patients with ischemic heart disease (IHD), specifically angina, myocardial infarction (MI), or ischemic heart failure.Methods:Data for the interim validation of the HeartQoL questionnaire were collected in (a) a cross-sectional survey and (b) a prospective substudy of patients undergoing either...
63 CitationsSource
#1Sandra B. Dunbar Dsn Rn Faha Faan (AHA: American Heart Association)H-Index: 2
#2Cynthia M. Dougherty (AHA: American Heart Association)H-Index: 1
Last. Vicki L. Zeigler (AHA: American Heart Association)H-Index: 1
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Significant mortality benefits have been documented in recipients of implantable cardioverter defibrillators (ICDs); however, the psychosocial distress created by the underlying arrhythmia and its potential treatments in patients and family members may be underappreciated by clinical care teams. The disentanglement of cardiac disease and device-related concerns is difficult. The majority of ICD patients and families successfully adjust to the ICD, but optimal care pathways may require additional...
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Cited By1
#1Johan Denollet (Tilburg University)H-Index: 60
#2Susanne S. Pedersen (University of Southern Denmark)H-Index: 46
Last. Mirela Habibović (Tilburg University)H-Index: 10
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Abstract Background Subclinical anxiety symptoms are associated with risk of impaired mental and physical health status, ventricular tachyarrhythmias and mortality, in patients with an implantable cardioverter defibrillator (ICD). This study evaluates the validity of the brief and new 4-item Anxiety Scale (ANX4) and its predictive value in relation to health status 12-months post ICD implantation. Methods A total of 288 ICD patients completed the ANX4 questionnaire. Factor analysis was performed...
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