Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator

Anita Rahmawati, Akiko Chishaki, Tomoko Ohkusa, Hiroyuki Sawatari, Miyuki Tsuchihashi-Makaya, Yuko Ohtsuka, Mori Nakai, Mami Miyazono, Nobuko Hashiguchi, Harumizu Sakurada, Masao Takemoto, Yasushi Mukai, Shujirou Inoue, Kenji Sunagawa, Hiroaki Chishaki

Research output: Contribution to journalArticle

Abstract

Background: Implantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias. Methods: A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD). Results: Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8. Conclusions: In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.

Original languageEnglish
JournalJournal of Arrhythmia
DOIs
Publication statusAccepted/In press - Aug 28 2015

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Implantable Defibrillators
Primary Prevention
Secondary Prevention
Anxiety
Quality of Life
Psychology
Cardiac Arrhythmias
Equipment and Supplies
Analysis of Variance
Outpatients

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Rahmawati, A., Chishaki, A., Ohkusa, T., Sawatari, H., Tsuchihashi-Makaya, M., Ohtsuka, Y., ... Chishaki, H. (Accepted/In press). Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator. Journal of Arrhythmia. https://doi.org/10.1016/j.joa.2015.10.002

Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator. / Rahmawati, Anita; Chishaki, Akiko; Ohkusa, Tomoko; Sawatari, Hiroyuki; Tsuchihashi-Makaya, Miyuki; Ohtsuka, Yuko; Nakai, Mori; Miyazono, Mami; Hashiguchi, Nobuko; Sakurada, Harumizu; Takemoto, Masao; Mukai, Yasushi; Inoue, Shujirou; Sunagawa, Kenji; Chishaki, Hiroaki.

In: Journal of Arrhythmia, 28.08.2015.

Research output: Contribution to journalArticle

Rahmawati, A, Chishaki, A, Ohkusa, T, Sawatari, H, Tsuchihashi-Makaya, M, Ohtsuka, Y, Nakai, M, Miyazono, M, Hashiguchi, N, Sakurada, H, Takemoto, M, Mukai, Y, Inoue, S, Sunagawa, K & Chishaki, H 2015, 'Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator', Journal of Arrhythmia. https://doi.org/10.1016/j.joa.2015.10.002
Rahmawati, Anita ; Chishaki, Akiko ; Ohkusa, Tomoko ; Sawatari, Hiroyuki ; Tsuchihashi-Makaya, Miyuki ; Ohtsuka, Yuko ; Nakai, Mori ; Miyazono, Mami ; Hashiguchi, Nobuko ; Sakurada, Harumizu ; Takemoto, Masao ; Mukai, Yasushi ; Inoue, Shujirou ; Sunagawa, Kenji ; Chishaki, Hiroaki. / Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator. In: Journal of Arrhythmia. 2015.
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abstract = "Background: Implantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias. Methods: A multicenter survey of 179 consecutive outpatients (29.1{\%} primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD). Results: Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8. Conclusions: In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.",
author = "Anita Rahmawati and Akiko Chishaki and Tomoko Ohkusa and Hiroyuki Sawatari and Miyuki Tsuchihashi-Makaya and Yuko Ohtsuka and Mori Nakai and Mami Miyazono and Nobuko Hashiguchi and Harumizu Sakurada and Masao Takemoto and Yasushi Mukai and Shujirou Inoue and Kenji Sunagawa and Hiroaki Chishaki",
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T1 - Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator

AU - Rahmawati, Anita

AU - Chishaki, Akiko

AU - Ohkusa, Tomoko

AU - Sawatari, Hiroyuki

AU - Tsuchihashi-Makaya, Miyuki

AU - Ohtsuka, Yuko

AU - Nakai, Mori

AU - Miyazono, Mami

AU - Hashiguchi, Nobuko

AU - Sakurada, Harumizu

AU - Takemoto, Masao

AU - Mukai, Yasushi

AU - Inoue, Shujirou

AU - Sunagawa, Kenji

AU - Chishaki, Hiroaki

PY - 2015/8/28

Y1 - 2015/8/28

N2 - Background: Implantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias. Methods: A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD). Results: Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8. Conclusions: In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.

AB - Background: Implantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias. Methods: A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD). Results: Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8. Conclusions: In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.

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