Key result
In patients with an implantable cardioverter defibrillator, higher levels of depression (r = -0.71), anxiety (r = -0.62), and stress (r = -0.68) were significantly associated with a lower quality of life.
Why the study?
ICDs may cause psychological tensions affecting quality of life, but this association had remained unclear in the Iranian population.
Is there an association between quality of life and psychological issues (depression, anxiety, stress) in patients with an implantable cardioverter defibrillator?
Cross-Sectional (n=96)
Yes
Is there an association between quality of life and psychological issues (depression, anxiety, stress) in patients with an implantable cardioverter defibrillator?
Effect estimate: r = -0.71 (depression), r = -0.62 (anxiety), r = -0.68 (stress)
p-value: p=<0.001
In patients with an implantable cardioverter defibrillator, higher levels of depression, anxiety, and stress are significantly associated with a lower quality of life, highlighting the need for routine psychosocial care.
Introduction: Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias. However, it may result in the incidence of psychological tensions in patients’ lives, eventually leading to changes in their quality of life (QoL). To date, this association has remained unclear among Iranian population. Therefore, the present study aimed to determine the association between QoL and psychological issues in patients with ICD. Methods: Using convenience sampling method, this cross-sectional study was conducted on 96 patients referred to the pacemaker clinic of Shahid Faghihi hospital and Kowsar heart hospital affiliated to Shiraz University of Medical Sciences, Iran from September 2016 to January 2017. The data were collected using Depression, Anxiety, Stress Scale (DASS-21) and the Short Form-36 (SF-36) questionnaire, and analyzed in SPSS software version 13 using independent t-test, Pearson’s correlation test, and ANOVA. Results: The mean (SD) score of patients’ QoL was found to be 1672.02 (43.43). Moreover, the mean (SD) scores of depression, anxiety, and stress were 4.69 (0.46), 5.6 (0.47), and 7.51 (0.05), respectively indicating moderate depression, anxiety, and stress levels among the patients. A significant association was found between the patients’ QoL and depression, anxiety, and stress. Conclusion: As an association was observed between the patients’ QoL and depression, anxiety, and stress, performing some interventions to reduce the patients’ psychological issues might improve their QoL.
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Pasyar et al. (2021) conducted a cross-sectional in Implantable Cardioverter Defibrillator (ICD) (n=96). Psychological issues (depression, anxiety, stress) was evaluated on Correlation between total Quality of Life score and depression, anxiety, and stress scores (r = -0.71 (depression), r = -0.62 (anxiety), r = -0.68 (stress), p=<0.001). In patients with an implantable cardioverter defibrillator, higher levels of depression (r = -0.71), anxiety (r = -0.62), and stress (r = -0.68) were significantly associated with a lower quality of life.
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