Anxiety and depression in implanted cardioverter-defibrillator recipients and heart failure: a review

Although implanted cardioverter-defibrillators (ICDs) clearly reduce mortality, their effects on patients' psychological status is equivocal, with a substantial number of patients becoming depressed or anxious after ICD implantation. Significant numbers of ICD recipients, including those with h...

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Bibliographic Details
Published inHeart failure clinics Vol. 7; no. 1; p. 59
Main Authors Freedenberg, Vicki, Thomas, Sue A, Friedmann, Erika
Format Journal Article
LanguageEnglish
Published United States 01.01.2011
Subjects
Adaptation, Psychological
Age Factors
Anti-Anxiety Agents - therapeutic use
Antidepressive Agents - therapeutic use
Anxiety - drug therapy
Anxiety - etiology
Anxiety - psychology
Defibrillators, Implantable - psychology
Depression - drug therapy
Depression - etiology
Depression - psychology
Disease Progression
Female
Heart Failure - complications
Heart Failure - drug therapy
Heart Failure - psychology
Humans
Male
Prognosis
Risk Factors
Sex Factors
Stress, Psychological
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Summary:Although implanted cardioverter-defibrillators (ICDs) clearly reduce mortality, their effects on patients' psychological status is equivocal, with a substantial number of patients becoming depressed or anxious after ICD implantation. Significant numbers of ICD recipients, including those with heart failure (HF), remain anxious and depressed 1 year after ICD implantation. ICD recipients who are younger, female, and received ICD shocks are especially vulnerable to psychological distress. Screening for anxiety and depression is appropriate for all ICD recipients. Cognitive behavioral therapy and psychoeducational programs show promise for reducing psychological distress in ICD recipients with HF.
ISSN:1551-7136
2374-9334
DOI:10.1016/j.hfc.2010.08.008