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Anxiety and depression in implanted cardioverter-defibrillator recipients and heart failure: a review

Vicki Freedenberg1, Sue A Thomas, Erika Friedmann

  • 1Department of Cardiology, Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC 20010, USA.

Heart Failure Clinics
|November 27, 2010
PubMed

Insights

Implanted cardioverter-defibrillators (ICDs) can cause anxiety and depression in patients, particularly younger females who receive shocks. Early screening and interventions like cognitive behavioral therapy are recommended for ICD recipients with heart failure.

Area of Science:

  • Cardiology
  • Psychology
  • Medical Devices

Background:

  • Implanted cardioverter-defibrillators (ICDs) reduce mortality but can negatively impact psychological well-being.
  • A significant portion of ICD recipients experience anxiety and depression post-implantation, persisting for up to a year.
  • Heart failure (HF) patients with ICDs are also susceptible to psychological distress.

Purpose of the Study:

  • To assess the psychological impact of ICD implantation on patients.
  • To identify patient subgroups vulnerable to psychological distress.
  • To evaluate the effectiveness of interventions for psychological distress in ICD recipients with HF.

Main Methods:

  • Review of existing literature on ICDs and patient psychological status.
  • Analysis of factors contributing to anxiety and depression in ICD recipients.
  • Examination of therapeutic interventions for psychological distress.

Main Results:

  • ICD implantation is associated with increased rates of depression and anxiety.
  • Younger patients, females, and those experiencing ICD shocks are at higher risk.
  • Cognitive behavioral therapy and psychoeducational programs show potential in mitigating distress for HF patients.

Conclusions:

  • Psychological screening for anxiety and depression is crucial for all ICD recipients.
  • Targeted interventions are needed for vulnerable populations, especially those with heart failure.
  • Further research into optimizing psychological support for ICD patients is warranted.

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