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Resource Loss Predicts Depression and Anxiety Among Patients Treated With an Implantable Cardioverter Defibrillator

Bibliographic Data

ID19301199
AuthorsFaith S Luyster (0000-0001-5130-8839, Kent State University), Joel W Hughes (0000-0002-6476-6588, corresponding author), Donna Waechter, Richard Josephson (0000-0001-5382-751X)
Year2006
Volume68
Issue5
Pages794-800
Publication date2006-09-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000227722.92307.35
PMID17012535
OpenAlexW2044451935
LanguageEN
Citations received5
References cited39

OBJECTIVE: Many patients treated with an implantable cardioverter defibrillator (ICD) experience clinically significant depression and anxiety after ICD implantation. As ICD use continues to evolve, it is important to understand the correlates of depression and anxiety to identify patients at greatest risk of poor psychological functioning. Conservation of resources theory, a general theory of stress, states that people experience greater stress if they perceive that they are losing personal, social, and material resources. We hypothesized that perceptions of resource loss would be related to symptoms of depression and anxiety after controlling for other known predictors. METHODS: One hundred patients treated with an ICD completed standardized depression and anxiety questionnaires along with questionnaires assessing social support, physical functioning, and resource loss. Clinical variables for patients were obtained from prospectively obtained medical records. RESULTS: Over 20% of the sample exhibited elevated symptoms of depression and anxiety. Patients' depression levels were associated with poor social support, poor physical functioning, a history of depression, and a greater length of time since ICD implantation. Having experienced one or more clinical ICD shocks was related to depression but not anxiety. Higher levels of perceived resource loss were associated with higher levels of both depression and anxiety after controlling for all other predictors. CONCLUSIONS: Resource loss may help to determine psychological distress after ICD implantation. Understanding how resource loss contributes to depression and anxiety may help to identify patients at greatest risk of poor psychological functioning and may suggest treatment strategies

Anxiety · Depression (economics) · Distress · Implantable cardioverter-defibrillator · Psychiatry · Psychotherapist · Social support · Cardiac Health and Mental Health · Cardiac pacing and defibrillation studies · Clinical Psychology · Internal Medicine · Mechanical Circulatory Support Devices · Medicine · Psychology

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Citations per year0.38
Citation span2013 - 2025 (13)
Highly citedNo

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