Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator

Background: Several studies that have evaluated psychological and counseling interventions suggest that a proactive approach may be effective in preparing patients for the experience of living with an implantable cardioverter-defibrillator (ICD). The purpose of this study was to develop and assess c...

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Main Authors: Bagherzade A, Arianfar F, Arbabi M
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2012-04-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-155&slc_lang=en&sid=1
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spelling doaj-33fa8218726348e3b892a282e077c8332020-11-25T01:13:29ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222012-04-017013340Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillatorBagherzade A0Arianfar F1Arbabi M2 Background: Several studies that have evaluated psychological and counseling interventions suggest that a proactive approach may be effective in preparing patients for the experience of living with an implantable cardioverter-defibrillator (ICD). The purpose of this study was to develop and assess cognitive and behavioral interventions in reducing stress and anxiety and improving quality of life. Methods: One hundred Patients with ICD in Shariati and Imam Khomeini Hospital in Tehran, Iran during 2009- 2010 were divided randomly into two groups to undergo cognitive and behavioral interventions (case group) or serve as the control group. The patients in the case group were received relaxation, cognitive and ICD alarm trainings three times during the study period. Routine care was the same in both groups after ICD implantation. We evaluated anxiety and depression by, respectively, Beck anxiety and Beck depression inventories in the two groups before and after ICD implantation. Quality of life was also evaluated by SF-36 instrument before and after the interventions. The results were later compared between the two groups. Results: Beck scores for anxiety in the case and control groups before the interventions were 24.9±15.5 and 24.2±15.8 (P=0.590), respectively and after six months they were 13.5±8.3 and 17.9±10.1 (P=0.005), respectively. Beck scores for depression in the case and control groups before the interventions were 17.7±9.8 and 18.4±10.6 (P=0.590), respectively and after six months the scores, respectively, were 13.5±8.3 and 17.9±10.1 (P=0.005). Conclusion: It seems that psychological interventions can reduce anxiety and depression after ICD implantation. Further studies with more sample sizes are necessary for the final judgment.http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-155&slc_lang=en&sid=1Anxietybeck anxiety inventorybeck depression inventorydepressionimplantable cardioverter-defibrillatorquality of life
collection DOAJ
language fas
format Article
sources DOAJ
author Bagherzade A
Arianfar F
Arbabi M
spellingShingle Bagherzade A
Arianfar F
Arbabi M
Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
Tehran University Medical Journal
Anxiety
beck anxiety inventory
beck depression inventory
depression
implantable cardioverter-defibrillator
quality of life
author_facet Bagherzade A
Arianfar F
Arbabi M
author_sort Bagherzade A
title Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
title_short Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
title_full Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
title_fullStr Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
title_full_unstemmed Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
title_sort evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator
publisher Tehran University of Medical Sciences
series Tehran University Medical Journal
issn 1683-1764
1735-7322
publishDate 2012-04-01
description Background: Several studies that have evaluated psychological and counseling interventions suggest that a proactive approach may be effective in preparing patients for the experience of living with an implantable cardioverter-defibrillator (ICD). The purpose of this study was to develop and assess cognitive and behavioral interventions in reducing stress and anxiety and improving quality of life. Methods: One hundred Patients with ICD in Shariati and Imam Khomeini Hospital in Tehran, Iran during 2009- 2010 were divided randomly into two groups to undergo cognitive and behavioral interventions (case group) or serve as the control group. The patients in the case group were received relaxation, cognitive and ICD alarm trainings three times during the study period. Routine care was the same in both groups after ICD implantation. We evaluated anxiety and depression by, respectively, Beck anxiety and Beck depression inventories in the two groups before and after ICD implantation. Quality of life was also evaluated by SF-36 instrument before and after the interventions. The results were later compared between the two groups. Results: Beck scores for anxiety in the case and control groups before the interventions were 24.9±15.5 and 24.2±15.8 (P=0.590), respectively and after six months they were 13.5±8.3 and 17.9±10.1 (P=0.005), respectively. Beck scores for depression in the case and control groups before the interventions were 17.7±9.8 and 18.4±10.6 (P=0.590), respectively and after six months the scores, respectively, were 13.5±8.3 and 17.9±10.1 (P=0.005). Conclusion: It seems that psychological interventions can reduce anxiety and depression after ICD implantation. Further studies with more sample sizes are necessary for the final judgment.
topic Anxiety
beck anxiety inventory
beck depression inventory
depression
implantable cardioverter-defibrillator
quality of life
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-155&slc_lang=en&sid=1
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