Effects of Living with an ICD: The Female Perspective

佩戴 ICD 生活的影响：女性视角

• 批准号: 7061055
• 负责人: LAUREN DANIELLE VAZQUEZ
• 金额: $ 3.04万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7061055
• 关键词: anxiety; behavioral /social science research tag; circadian rhythms; clinical research; clinical trials; cognitive behavior therapy; cortisol; depression; gender difference; group counseling; human subject; human therapy evaluation; implantable defibrillators; medical implant science; predoctoral investigator; psychological adaptation; psychological stressor; quality of life; social support network; women' s health

DESCRIPTION (provided by applicant): The implantable cardioverter defibrillator (ICD) has emerged as an effective and life-saving biomedical device that delivers an electrical shock to terminate potentially lethal ventricular arrhythmias in patients at risk for sudden cardiac death. The survival benefits of the ICD may be diminished in a sizable number of patients who develop clinically significant symptoms of anxiety and depression. Women have been identified as an at risk group for psychological distress secondary to cardiac disease. Prior case studies suggest that cognitive-behavioral psychosocial interventions may be effective in reducing distress although there are no studies to date exploring the impact of a group-based psychosocial intervention for female ICD patients. This study is a two phase project in which to examine the patterns of adjustment that women display in response to their ICD and to then test the effectiveness of a psychosocial intervention for a female population of ICD recipients. The proposed project will examine the effect of the intervention on a variety of psychosocial (anxiety, depression, social support), physiological (cortisol, shock frequency), and broad health outcomes (generic and disease specific quality of life, arrhythmias).

描述（由申请人提供）：植入式心律转复除颤器（ICD）已成为一种有效的救生生物医学器械，可通过电击终止有心脏性猝死风险的患者的潜在致命性室性心律失常。ICD的生存获益可能在相当数量的出现临床显著焦虑和抑郁症状的患者中减少。妇女已被确定为心脏病继发性心理困扰的高危群体。先前的案例研究表明，认知行为心理社会干预可能是有效的，在减少痛苦，虽然没有研究到目前为止，探讨女性ICD患者的群体为基础的心理社会干预的影响。这项研究是一个两阶段的项目，在其中检查的模式，妇女显示在响应其ICD，然后测试的有效性，为女性人口的ICD收件人的心理社会干预。拟议的项目将检查干预措施对各种社会心理（焦虑，抑郁，社会支持），生理（皮质醇，休克频率）和广泛的健康结果（一般和疾病特异性生活质量，心律失常）的影响。