Age-specific differences in women with implantable cardioverter defibrillators: an international multi center study.
Age-specific differences in women with implantable cardioverter defibrillators: an international multi center study.
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植入式心脏复律除颤器女性的年龄差异：一项国际多中心研究。
DOI：
10.1111/j.1540-8159.2008.01223.x
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Sears,SamuelF
中科院分区：
文献类型：
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作者：
Vazquez,LaurenD;Kuhl,EmilyA;Shea,JulieBishop;Kirkness,Ann;Lemon,Jim;Whalley,David;Conti,JamieB;Sears,SamuelF
背景：已发现植入式心脏复律除颤器患者群体中常见的心理调节困难，例如年轻（<50岁）、遭受过电击的患者以及女性患者。尚未在不同年龄的女性植入式心脏复律除颤器 (ICD) 接受者中检查增加痛苦机会的特定方面和担忧，例如对死亡或休克的恐惧以及对身体形象的担忧。该研究的目的是调查来自多个中心的三个年龄组女性的这些调整领域。方法：在三个医疗中心招募了 88 名女性 ICD 患者：佛罗里达大学尚兹医院、波士顿布里格姆妇女医院和澳大利亚悉尼皇家北岸医院。女性完成了个人心理评估，测量了休克焦虑、死亡焦虑和身体形象问题的构成。对所有患者的心脏病和 ICD 特定数据进行病历审查。结果：多变量和单变量方差分析显示，年轻女性的休克和死亡焦虑发生率显着较高（Pillai's F = 3.053，P = 0.018，η2p= 0.067），并且对身体形象的担忧显着更高（Pillai's F = 4.198，P = 0.018，η2p= 0.090）高于中老年女性。结论：50岁以下的女性似乎更容易出现与休克焦虑、死亡焦虑和身体形象相关的社会心理困扰。针对年轻女性此类适应困难的基于临床的策略和干预措施可能会改善社会心理和生活质量。
Background:Common psychological adjustment difficulties have been identified for groups of implantable cardioverter defibrillator patients, such as those who are young (<50 years old), have been shocked, and are female. Specific aspects and concerns, such as fears of death or shock and body image concerns, that increase the chance of distress, have not been examined in different aged female implantable cardioverter defibrillator (ICD) recipients. The aim of the study was to investigate these areas of adjustment across three age groups of women from multiple centers.Methods:Eighty‐eight female ICD patients were recruited at three medical centers: Shands Hospital at the University of Florida, Brigham and Women's Hospital in Boston, and Royal North Shore Hospital in Sydney, Australia. Women completed individual psychological assessment batteries, measuring the constructs of shock anxiety, death anxiety, and body image concerns. Medical record review was conducted for all patients regarding cardiac illnesses and ICD‐specific data.Results:Multivariate and univariate analyses of variance revealed that younger women reported significantly higher rates of shock and death anxiety (Pillai's F = 3.053, P = 0.018, η2p= 0.067) and significantly greater body image concerns (Pillai's F = 4.198, P = 0.018, η2p= 0.090) than middle‐ and older‐aged women.Conclusions:Women under the age of 50 appear to be at greater risk for the development of psychosocial distress associated with shock anxiety, death anxiety, and body image. Clinical‐based strategies and interventions targeting these types of adjustment difficulties in younger women may allow for improved psychosocial and quality of life outcomes.