Effects of Living with an ICD: The Female Perspective

佩戴 ICD 生活的影响：女性视角

• 批准号: 7389583
• 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/7389583
• 关键词: Accounting; Acute; Affect; American; Anxiety; Appearance; Arrhythmia; Attention; Behavioral; Body Image; Body Size; Cardiac; Cardiovascular system; Case Study; Cessation of life; Client; Cognitive; Condition; Control Groups; Defibrillators; Devices; Disease; Distress; Educational process of instructing; Effectiveness; Effectiveness of Interventions; Electric Countershock; Emotional; Empirical Research; End Point; Enrollment; Exercise; Face; Fellowship; Female; Frequencies; Fright; Gender; Generic Drugs; Health; Heart Diseases; Hydrocortisone; Implant; Implantable Defibrillators; Individual; Intervention; Life; Life Style; Medical; Mental Depression; Methods; Moods; Mosses; Names; Numbers; Outcome; Outpatients; Patient Self-Report; Patients; Pattern; Perception; Personality; Phase; Physiological; Population; Predisposition; Psychological Tests; Psychotherapy; Quality of life; Randomized Controlled Clinical Trials; Rate; Relaxation; Reporting; Research; Research Personnel; Risk; Salivary; Secondary to; Shock; Social support; Subgroup; Symptoms; Tachyarrhythmias; Testing; United States; Ventricular; Ventricular Arrhythmia; Woman; Work; base; clinically significant; coping; depressive symptoms; experience; implantation; improved; interest; male; men; mortality; programs; psychological distress; psychosocial; response; skills; skills training; social; stressor; success; sudden cardiac death

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(申请人提供)：植入式心律转复除颤器(ICD)已经成为一种有效的、挽救生命的生物医学设备，它可以通过电击来终止有心脏性猝死风险的患者潜在的致命性室性心律失常。在临床上出现明显焦虑和抑郁症状的患者中，ICD的生存益处可能会减少。女性已被确定为继发于心脏病的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在减少痛苦方面可能是有效的，尽管到目前为止还没有研究探索基于群体的心理社会干预对女性ICD患者的影响。这项研究是一个分两个阶段的项目，旨在检查女性对ICD反应的适应模式，然后测试对ICD接受者的女性群体进行心理社会干预的有效性。拟议的项目将检查干预对各种心理社会(焦虑、抑郁、社会支持)、生理(皮质醇、休克频率)和广泛健康结果(一般和疾病特有的生活质量、心律失常)的影响。