Resilience, Cardiological Outcome, and Their Correlations With Anxious-Depressive Symptoms and Quality of Life in Patients With an Implantable Cardioverter Defibrillator

Bibliographic Data

ID15520435
AuthorsCeleste Isella (University of Insubria), Alessandra Gasparini (0000-0002-6907-6869, University of Insubria), Giulia Lucca (0000-0001-9248-1603, University of Insubria), Marta Ielmini (0000-0001-5232-2122, University of Insubria), Ivano Caselli (0000-0002-2163-8025, University of Insubria), Nicola Poloni (0000-0001-5173-087X, University of Insubria), Carlo Dajelli Ermolli (University of Insubria), Fabrizio Caravati (0000-0001-6343-6352, University of Insubria), Battistina Castiglioni (0000-0003-4925-2877, University of Insubria), Roberto De Ponti (0000-0003-3278-1721, University of Insubria), Camilla Callegari (0000-0002-0624-9988, University of Insubria, corresponding author)
Year2021
Volume12
Pages763726-763726
Publication date2021-11-24
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.763726
PMID34899424
OpenAlexW4200479513
LanguageEN
Citations received1
References cited32

Background: Resilience is proven as a protective factor against the development of psychiatric disorders, and it has gained clinical relevance in the development and progression of cardiovascular pathology. The authors performed a longitudinal study on patients with implantable cardioverter defibrillator (ICD) with the primary aim to highlight the possible existence of a correlation between individual resilience capacity, depressive and anxiety symptoms, and quality of life in terms of outcomes. The secondary aim was to analyze the differences between patients with major cardiac events in the follow-up and patients without cardiac events with respect to the previous variables. Materials and Methods: A total of 80 patients enrolled in the Cardiology Unit were evaluated at T 0 and during the follow-up through the following scales: the 14-item Resilience Scale (RS-14), the Hospital Anxiety and Depression Scale (HADS), and the World Health Organization Quality of Life-Brief Version (WHOQOL-Bref). Results: A significant linear correlation between resilience and all the areas of quality of life at T 0 , T 1 , and T 2 emerged. A negative correlation between resilience and anxiety and depressive symptoms emerged, as well as between depression and anxiety and quality of life. Patients with cardiac events during the follow up have shown a worse quality of life and the onset of anxiety-depressive symptoms over time, without changes to the resilience scores. Patients without cardiac events showed an increasing trend in resilience scores. Discussion: Given the speed and simplicity of use of the RS-14 scale, it seems promising to further investigate the real clinical usefulness of this instrument in the cardiology field

Anxiety · Cardiology · Depression (economics · Hospital Anxiety and Depression Scale · Implantable cardioverter-defibrillator · Mental health · Psychiatry · Psychological resilience · Quality of life (healthcare · Cardiac Health and Mental Health · Clinical Psychology · Medicine · Mental Health Treatment and Access · Psychology · Resilience and Mental Health · Internal Medicine