The effect of cardiac genetic testing on psychological well-being and illness perceptions

Objective: To assess the effects of positive cardiac genetic diagnoses, ICD discharges, and arrhythmias on measures of psychological well-being. Methods: Fifty-eight adults with prior cardiac genetic testing were enrolled. Patient welt-being was determined using the SF-36 (QoL), HADS-A and HADS-D (anxiety/depression), and IPQ-R (patients' perceptions of illness). Patients with positive and negative cardiac genetic test results were compared using non-parametric statistics. Results: Genetic testing yielded 76% with a positive diagnosis and,29% reported an ICD shock. QoL assessments (n = 33) were within normal ranges (mean of 50) with the exceptions of general health (44.1 +/- 12.2, p <0.01) and bodily pain (55.1 +/- 9.1, p < 0.01) domains, but only the bodily pain domain showed differences between those with positive and negative cardiac genetic test results. Subjects with ICD discharges had higher scores than those without shocks in consequential and emotional IPQR subscales as well as greater perceived risks of experiencing a serious cardiac event, developing additional symptoms, or limitations in daily activities. Conclusion: Positive genetic results did not negatively impact patient well-being with the exception of the bodily pain domain of the SF-36. (C) 2014 Elsevier Inc. All rights reserved.