Abstract
Psychosocial challenges for ICD patients have been well established in research and clinical practice. Anxiety secondary to disease management and/or fear of ICD shock is among the most common concerns that lead to development and maintenance of psychological distress in ICD patients. Researchers and clinicians have developed a broad range of cognitive-behavioral, pharmacological, and nontraditional approaches to address the unique needs of ICD patients. Findings from two recent meta-analyses suggest that cognitive-behavioral interventions of high intensity were effective in reducing anxiety and depressive symptoms (effect sizes ranging from small to moderate large). However, the high degree of heterogeneity in treatment duration and content across studies has made it difficult to formulate broad conclusions on the feasibility and effectiveness of existing interventions. The purpose of this chapter is to highlight the evidence and breadth of empirically supported psychological treatments for ICD patients and their families. A list of resources for ICD patients and mental health professionals is also provided at the end of the chapter.
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Beach, S. R., Celano, C. M., Noseworthy, P. A., Januzzi, J. L., & Huffman, J. C. (2013). QTc prolongation, torsades de pointes, and psychotropic medications. Psychosomatics, 54(1), 1–13. doi:10.1016/j.psym.2012.11.001.
Bennett, G. G., & Glasgow, R. E. (2009). The delivery of public health interventions via the internet: Actualizing their potential. Annual Review of Public Health, 30, 273–292. doi:10.1146/annurev.publhealth.031308.100235.
Berg, S. K., Svendsen, J. H., Zwisler, A. D., Pedersen, B. D., Preisler, P., Siersbaek-Hansen, L., … Pedersen, P. U. (2011). COPE-ICD: A randomised clinical trial studying the effects and meaning of a comprehensive rehabilitation programme for ICD recipients -design, intervention and population. BMC Cardiovascular Disorders, 11, 33-2261-11-33. doi: 10.1186/1471-2261-11-33.
Broek, K., Nyklícek, I., & Denollet, J. (2009). Anxiety predicts poor perceived health in patients with an implantable defibrillator. Psychosomatics, 50, 483–492.
Carlsson, E., Olsson, S. B., & Hertevig, E. (2002). The role of the nurse in enhancing quality of life in patients with an implantable cardioverter defibrillator: The Swedish experience. Progress in Cardiovascular Nursing, 17, 18–25.
Chevalier, P., Cottraux, J., Mollard, E., Yao, S., Brun, S., Burri, H., … Adeleine, P. (2006). Prevention of implantable defibrillator shocks by cognitive behavioral therapy: A pilot trial. American Heart Journal, 151, 191. doi: 10.1016/j.ahj.2005.10.007.
Dougherty, C. (1994). Longitudinal recovery following sudden cardiac arrest and internal cardioverter defibrillator implantation: Survivors and their families. American Journal of Critical Care, 3, 145–154. PMID:8167775.
Dougherty, C. M., Glenny, R., & Kudenchuk, P. J. (2008). Aerobic exercise improves fitness and heart rate variability after an implantable cardioverter defibrillator. Journal of Cardiopulmonary Rehabilitation and Prevention, 28(5), 307–311. doi:10.1097/01.HCR.0000336140.56322.1f.
Dunbar, S. B., Dougherty, C. M., Sears, S. F., Carroll, D. L., Goldstein, N. E., Mark, D. B., … American Heart Association Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Council on Cardiovascular Disease in the Young. (2012). Educational and psychological interventions to improve outcomes for recipients of implantable cardioverter defibrillators and their families: A scientific statement from the american heart association. Circulation, 126(17), 2146–2172. doi: 10.1161/CIR.0b013e31825d59fd.
Fitchett, A., Doherty, P. J., Bundy, C., Bell, W., Fitzpatrick, A. P., & Garratt, C. J. (2003). Comprehensive cardiac rehabilitation programme for implantable cardioverter-defibrillator patients: A randomised controlled trial. Heart (British Cardiac Society), 89(2), 155–160.
Frizelle, D., Lewin, R., Kaye, G., Hargreaves, C., Hasney, K., Beaumont, N., & Moniz-Cook, E. (2004). Cognitive behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: A pilot study. British Journal of Health Psychology, 9, 381–392. doi:10.1348/1359107041557039.
Habibovic, M., Burg, M. M., & Pedersen, S. S. (2013). Behavioral interventions in patients with an implantable cardioverter defibrillator: Lessons learned and where to go from here? Pacing and Clinical Electrophysiology: PACE, 36(5), 578–590. doi:10.1111/pace.12108.
Hauptman, P. J., Chibnall, J. T., Guild, C., & Armbrecht, E. S. (2013). Patient perceptions, physician communication, and the implantable cardioverter-defibrillator. JAMA Internal Medicine, 173(7), 571–577. doi:10.1001/jamainternmed.2013.3171.
Irvine J, Firestone J, Ong L, Cribbie R, Dorian P, Harris L, Ritvo P, et al. (2011) A randomized controlled trial of cognitive behavior therapy tailored to psychological adaptation to an implantable cardioverter defibrillator. Psychosom Med. 73:226–233.
Isaksen K, Morken IM, Munk PS, Larsen AI. (2012). Exercise training and cardiac rehabilitation in patients with implantable cardioverter defibrillators: a review of current literature focusing on safety, effects of exercise training, and the psychological impact of programme participation. Eur J Prev Cardiol. 19:804.
Kapa, S., Rotondi-Trevisan, D., Mariano, Z., Aves, T., Irvine, J., Dorian, P., & Hayes, D. L. (2010). Psychopathology in patients with ICDs over time: Results of a prospective study. Pacing and Clinical Electrophysiology, 33(2), 198–208. doi:10.1111/j.1540-8159.2009.02599.x.
Kuhl, E., Sears, S., Vazquez, L., & Conti, J. (2009). Patient-assisted computerized education for recipients of implantable cardioverter-defibrillators: A randomized controlled trial of the PACER program. The Journal of Cardiovascular Nursing, 24, 225–231. doi:10.1097/JCN.0b013e31819c143d.
Lewin, R., Coulton, S., Frizelle, D., Kaye, G., & Cox, H. (2009). A brief cognitive behavioural pre-implantation and rehabilitation programme for patients receiving and implantable cardioverter defibrillator improves physical health and reduces psychological morbidity and unplanned re-admission. Heart, 95, 63–69. doi:10.1136/hrt.2007.129890.
Mark DB, Anstrom KJ, Sun JL, et al. (2008). Quality of Life with Defibrillator Therapy or Amiodarone in Heart Failure. The New England journal of medicine. 359(10):999-1008. doi:10.1056/NEJMoa0706719.
Mowrer, O. H. (1960). Learning theory and behavior. New York: Wiley.
O’Brien, P., & Oyebode, F. (2003). Psychotropic medication and the heart. Advances in Psychiatric Treatment, 9(6), 414–423. doi:10.1192/apt.9.6.414.
Piccini, J. P., Hellkamp, A. S., Whellan, D. J., Ellis, S. J., Keteyian, S. J., Kraus, W. E., … HF-ACTION Investigators. (2013). Exercise training and implantable cardioverter-defibrillator shocks in patients with heart failure: Results from HF-ACTION (heart failure and A controlled trial investigating outcomes of exercise TraiNing). Journal of the American College of Cardiology Heart Failure, 1(2), 142–148. doi: 10.1016/j.jchf.2013.01.005.
Raitt, M. H. (2013). Inappropriate implantable defibrillator shocks: An adverse outcome that can be prevented. Journal of the American College of Cardiology, 62(15), 1351–1352. doi:10.1016/j.jacc.2013.05.055.
Resick, P. A., Uhlmansiek, M. O., Clum, G. A., Galovski, T. E., Scher, C. D., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243–258. doi:10.1037/0022-006X.76.2.243.
Salmoirago-Blotcher, E., & Ockene, I. S. (2009). Methodological limitations of psychosocial interventions in patients with an implantable cardioverter-defibrillator (ICD) A systematic review. BMC Cardiovascular Disorders, 9, 56-2261-9-56. doi: 10.1186/1471-2261-9-56.
Salmoirago-Blotcher, E., Crawford, S. L., Carmody, J., Rosenthal, L., Yeh, G., Stanley, M., … Ockene, I. S. (2013). Phone-delivered mindfulness training for patients with implantable cardioverter defibrillators: Results of a pilot randomized controlled trial. Annals of Behavioral Medicine, 46(2), 243–250. doi: 10.1007/s12160-013-9505-7.
Sears, S. F., & Conti, J. B. (2002). Quality of life and psychological functioning of icd patients. Heart, 87(5), 488–493. doi:10.1136/heart.87.5.488.
Sears, S. F., Sowell, L. D., Kuhl, E. A., Kovacs, A. H., Serber, E. R., Handberg, E., … Conti, J. B. (2007). The ICD shock and stress management program: A randomized trial of psychosocial treatment to optimize quality of life in ICD patients. Pacing and Clinical Electrophysiology, 30(7), 858–864. doi: PACE773
Sears, S. F., Matchett, M., & Conti, J. B. (2009). Effective management of ICD patient psychosocial issues and patient critical events. Journal of Cardiovascular Electrophysiology, 20(11), 1297–1304. doi:10.1111/j.1540-8167.2009.01526.x.
Sears, S. F., Whited, A., & Volosin, K. (2014). Enhancing patient care by estimation and discussion of risk for ICD shock. Manuscript under review.
Sreeram, N., Trieschmann, U., & Haan, E. (2008). Device therapy in children: Current indications. Indian Pacing and Electrophysiology Journal, 8, s92–s104. doi:10.1002/9780470750797.ch4.
Toise, S. C., Sears, S. F., Schoenfeld, M. H., Blitzer, M. L., Marieb, M. A., Drury, J. H., … Donohue, T. J. (2014). Psychosocial and cardiac outcomes of yoga for ICD patients: A randomized clinical control trial. Pacing and Clinical Electrophysiology, 37(1), 48–62. doi: 10.1111/pace.12252.
Vieweg, W. V., Hasnain, M., Howland, R. H., Hettema, J. M., Kogut, C., Wood, M. A., & Pandurangi, A. K. (2012). Citalopram, QTc interval prolongation, and torsade de pointes. How should we apply the recent FDA ruling? The American Journal of Medicine, 125(9), 859–868. doi:10.1016/j.amjmed.2011.12.002.
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Rosman, L., Whited, A., Ford, J.H., Nekkanti, R., Cahill, J., Sears, S.F. (2015). Adding Psychological Intervention to High-Tech Care for Patients with Implantable Cardioverter Defibrillators. In: Alvarenga, M., Byrne, D. (eds) Handbook of Psychocardiology. Springer, Singapore. https://doi.org/10.1007/978-981-4560-53-5_50-1
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DOI: https://doi.org/10.1007/978-981-4560-53-5_50-1
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