Depressive symptoms in patients with an implantable cardioverter defibrillator: Does treatment expectations play a role?
Pedersen,S.S. Andersen,Christina M Denollet,J. Habibovic,M.
Pedersen,S.S.
Andersen,Christina M
Denollet,J.
Habibovic,M.
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Abstract
Objective: Patients with an implantable cardioverter defibrillator (ICD) and co-morbid depression are at greater risk of poor quality of life and premature death. We examined if treatment expectations predict depressive symptoms 12months post implant. Methods: First-time implant patients from the WEBCARE study (n=177; 83.1% men) completed the EXPECTations towards ICD therapy questionnaire and the Type D Scale at baseline, and the Patient Health Questionnaire at baseline and 12months. Results: Using hierarchical linear regression with 3 models, we identified the following independent predictors of 12-months depressive symptoms: Model 1: Negative treatment expectations (β=0.202; p=0.020) and baseline depression (β=0.376; p<0.0001). Model 2: Baseline depression (β=0.350; p<0.0001) and Type D personality (β=0.162; p=0.042); negative treatment expectations was borderline significant (β=0.169; p=0.051). Model 3: Baseline depression (β=0.353; p<0.0001) and negative treatment expectations (β=0.180; p=0.043); Type D personality was not significant (β=0.150; p=0.067), adjusting for positive treatment expectations, heart failure, sex, and shocks during follow-up. The models accounted for 22.2%, 24.1%, and 23.3% of the variance in 12-months depressive symptoms, respectively. Conclusion: Further research is warranted to explore the role of treatment expectations at the time of implant and its overlap with personality as a determinant of depression in patients with an ICD.
Description
Copyright © 2017 Elsevier Inc. All rights reserved.
Date
2018
Journal Title
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Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
Aged, Comorbidity, Defibrillators, Implantable/statistics & numerical data, Depression/epidemiology, Female, Follow-Up Studies, Heart Diseases/epidemiology, Humans, Male, Middle Aged, Outcome Assessment (Health Care)/statistics & numerical data, Patient Satisfaction/statistics & numerical data, Type D Personality
Citation
Pedersen, S S, Andersen, C M, Denollet, J & Habibovic, M 2018, 'Depressive symptoms in patients with an implantable cardioverter defibrillator : Does treatment expectations play a role?', General Hospital Psychiatry: Psychiatry, Medicine and Primary Care, vol. 51, pp. 10-14. https://doi.org/10.1016/j.genhosppsych.2017.12.002
License
info:eu-repo/semantics/closedAccess