Psychological traits and emotion-triggering of ICD shock-terminated arrhythmias
Psychological traits and emotion-triggering of ICD shock-terminated arrhythmias
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DOI：
10.1097/01.psy.0000145822.15967.15
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发表时间：
2004-11-01
影响因子：
3.3
通讯作者：
Jain, D
中科院分区：
文献类型：
--
作者：
Burg, MM;Lampert, R;Jain, D
目的：我们之前曾报道过强烈情绪会引发心律失常，从而引发植入式心律转复除颤器 (ICD) 电击。本研究的目的是检验一致的心理特征是否能够区分经历情绪触发的 ICD 休克的患者。方法：240 名 ICD 患者在 ICD 植入后约 2 个月完成了 Speilberger 特质焦虑和愤怒量表、愤怒表达量表以及简化的 Cook-Medley 敌意量表。还向患者提供结构化日记，以回顾性记录 ICD 电击前 0 至 15 分钟的情绪状态以及对应于 ICD 电击后每天同一时间的情绪状态。将报告情绪触发 ICD 休克的患者与未报告情绪触发 ICD 休克的患者进行一致的心理测量。结果：在 TCD 电击前 0 至 15 分钟报告至少中度愤怒的患者在 Speilberger Trait Anger（24.18 +/- 3.97 vs. 17.04 +/- 2.17，p < .0001）和 Cook-Medley 攻击性反应（5.76 +/- 0.75 vs. 3.96 +/- 1.30，p < .0001）方面得分显着较高0.0001）和敌对情绪（3.59 +/- 0.80 vs. 2.04 +/- 1.02，p < .0001），并且斯皮尔伯格愤怒控制（7.94 +/- 1.43 vs. 10.64 +/- 1.19，p < .001）低于那些没有这样做的人。在多变量分析中，只有愤怒特质仍然是愤怒引发的休克的显着预测因子（chi(2) = 7.10，p < .008）。在 ICD 电击前 0 至 15 分钟内报告至少有中度焦虑的患者在 Speilberger 焦虑方面的得分显着高于没有报告的患者（22.43 +/- 1.65 vs. 19.96 +/- 1.7 1，p < .0001）。结论：稳定的心理因素与一致的强烈情绪引发ICD休克的风险相关。
Objective: We have previously reported on the triggering of arrhythmia and hence, implanted cardioverter-defibrillators (ICD) shock by strong emotion. The purpose of the present study was to examine whether concordant psychological traits distinguish patients who experience emotion-triggered ICD shock. Methods: Two hundred forty ICD patients completed the Speilberger Trait Anxiety and Anger Inventories and Anger Expression Scale, and the abridged Cook-Medley Hostility Scale approximately 2 months after ICD implantation. Patients were also given a structured diary to record mood states retrospectively for the period 0 to 15 minutes preceding ICD shock and for a period corresponding to the same time of day I week later. Patients who reported emotion-triggered ICD shock were compared on concordant psychological measures to patients who did not. Results: Patients who reported at least moderate anger in the 0 to 15 minutes before TCD shock scored significantly higher on Speilberger Trait Anger (24.18 +/- 3.97 vs. 17.04 +/- 2.17,p < .0001), and Cook-Medley Aggressive Responding (5.76 +/- 0.75 vs. 3.96 +/- 1.30, p < .0001) and Hostile Affect (3.59 +/- 0.80 vs. 2.04 +/- 1.02, p < .0001), and lower on Speilberger Anger Control (7.94 +/- 1.43 vs. 10.64 +/- 1.19, p < .001) than those who did not. In multivariate analysis, only Trait Anger remained a significant predictor of anger-triggered shock (chi(2) = 7.10, p < .008). Patients who reported at least moderate anxiety in the 0 to 15 minutes before ICD shock scored significantly higher on Speilberger Anxiety (22.43 +/- 1.65 vs. 19.96 +/- 1.7 1, p < .0001) than those who did not. Conclusion: Stable psychological factors are associated with risk for ICD-shock triggered by concordant strong emotion.