Journal
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
Volume 33, Issue 9, Pages 1131-1140Publisher
WILEY
DOI: 10.1111/j.1540-8159.2010.02787.x
Keywords
implantable cardioverter defibrillator; women; psychosocial intervention; anxiety; device acceptance
Funding
- National Heart, Lung, and Blood Institute [F31HL083764]
- Medtronic
- St. Jude Medical
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Method: Twenty-nine women were recruited for the study. Fourteen women were randomized to the intervention group and participated in a psychosocial intervention focused on female-specific issues; 15 were randomized to the wait-list control group. All women completed individual psychological batteries at baseline and at 1-month follow-up measuring shock anxiety and device acceptance. Results: Pre-post measures of shock anxiety demonstrated a significant time by group interaction effect with the intervention group having a significantly greater decrease (Pillai's trace = 5.58, P = 0.026). A significant interaction effect (Pillai's trace = 5.05, P = 0.046) was found, such that women under the age of 50 experienced greater reduction in shock anxiety than their middle-aged cohorts. Pre-post measures of device acceptance revealed a significant time by group interaction effect with the intervention group having significantly greater increases (Pillai's trace = 5.80, P = 0.023). Conclusions: Structured interventions for female ICD patients involving ICD-specific education, cognitive behavioral therapy strategies, and group social support provide improvements in shock anxiety and device acceptance at 1-month re-assessment. Young women appear to be an at-risk subgroup of this population and may experience more benefit from psychosocial treatment targeting device-specific concerns. (PACE 2010; 33:1131-1140).
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