Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families A Scientific Statement From the American Heart Association

Published on Oct 23, 2012in Circulation23.603
· DOI :10.1161/CIR.0B013E31825D59FD
Sandra B. Dunbar2
Estimated H-index: 2
(AHA: American Heart Association),
Cynthia M. Dougherty1
Estimated H-index: 1
(AHA: American Heart Association)
+ 8 AuthorsVicki L. Zeigler1
Estimated H-index: 1
(AHA: American Heart Association)
Significant mortality benefits have been documented in recipients of implantable cardioverter defibrillators (ICDs); however, the psychosocial distress created by the underlying arrhythmia and its potential treatments in patients and family members may be underappreciated by clinical care teams. The disentanglement of cardiac disease and device-related concerns is difficult. The majority of ICD patients and families successfully adjust to the ICD, but optimal care pathways may require additional psychosocial attention to all ICD patients and particularly those experiencing psychosocial distress. This state-of-the-science report was developed on the basis of an analysis and critique of existing science to (1) describe the psychological and quality-of-life outcomes after receipt of an ICD and describe related factors, such as patient characteristics; (2) describe the concerns and educational/informational needs of ICD patients and their family members; (3) outline the evidence that supports interventions fo...
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