Key result
Perceived resource loss was independently associated with higher levels of depression and anxiety among 100 patients treated with an ICD, of whom over 20% exhibited elevated symptoms.
Why the study?
Does perceived resource loss predict depression and anxiety in patients treated with an implantable cardioverter defibrillator?
Observational (n=100)
Does perceived resource loss predict depression and anxiety in patients treated with an implantable cardioverter defibrillator?
Perceived resource loss is an independent predictor of depression and anxiety in patients with an ICD, highlighting a potential target for identifying and managing psychological distress.
May flag psychological risk in ICD patients; extends known predictors yet remains hypothesis-generating.
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.
No takes yet. Share an insight, caveat, or question.
Luyster et al. (2006) conducted an observational in Implantable cardioverter defibrillator (ICD) recipients (n=100). Perceived resource loss was evaluated on Symptoms of depression and anxiety. Perceived resource loss was independently associated with higher levels of depression and anxiety among 100 patients treated with an ICD, of whom over 20% exhibited elevated symptoms.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: