Educational and psychological interventions to improve outcomes for recipients of implantable cardioverter defibrillators and their families: A scientific statement from the american heart association

Sandra B. Dunbar, Cynthia M. Dougherty, Samuel F. Sears, Diane L. Carroll, Nathan E. Goldstein, Daniel B. Mark, George McDaniel, Susan J. Pressler, Eleanor Schron, Paul Wang, Vicki L. Zeigler

Research output: Contribution to journalReview article

131 Scopus citations

Abstract

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 psychosocial attention to all ICD patients and particularly those experiencing psychosocial distress. This state-of-the-science report was developed on the basis of an analysis and critique of existing science to (1) describe the psychological and quality-of-life outcomes after receipt of an ICD and describe related factors, such as patient characteristics; (2) describe the concerns and educational/informational needs of ICD patients and their family members; (3) outline the evidence that supports interventions for improving educational and psychological outcomes for ICD patients; (4) provide recommendations for clinical approaches for improving patient outcomes; and (5) identify priorities for future research in this area. The ultimate goal of this statement is to improve the precision of identification and care of psychosocial distress in ICD patients to maximize the derived benefit of the ICD.

Original languageEnglish (US)
Pages (from-to)2146-2172
Number of pages27
JournalCirculation
Volume126
Issue number17
DOIs
StatePublished - Oct 23 2012
Externally publishedYes

Keywords

  • AHA Scientific Statements
  • anxiety
  • depression
  • implantable cardioverter defibrillator
  • patient education
  • patient outcomes assessment
  • psychological responses
  • quality of life

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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