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Resilience, Cardiological Outcome, and Their Correlations With Anxious-Depressive Symptoms and Quality of Life in

Celeste Isella1, Alessandra Gasparini1, Giulia Lucca1

  • 1Department of Medicine and Surgery, Section of Psychiatry, University of Insubria, Varese, Italy.

Frontiers in Psychiatry
|December 13, 2021
PubMed

Insights

Higher resilience correlates with better quality of life and fewer anxiety-depressive symptoms in patients with implantable cardioverter defibrillators (ICD). Cardiac events negatively impact quality of life, while resilience remains stable.

Area of Science:

  • Cardiology
  • Psychiatry
  • Psychology

Background:

  • Resilience acts as a protective factor against psychiatric disorders and is increasingly recognized in cardiovascular pathology.
  • This study investigates the link between resilience, mental health, and quality of life in patients with implantable cardioverter defibrillators (ICDs).

Purpose of the Study:

  • To explore the correlation between individual resilience, depressive and anxiety symptoms, and quality of life in ICD patients.
  • To compare these variables between patients who experienced major cardiac events and those who did not during follow-up.

Main Methods:

  • A longitudinal study involving 80 cardiology patients evaluated at three time points (T0, T1, T2).
  • Utilized the 14-item Resilience Scale (RS-14), Hospital Anxiety and Depression Scale (HADS), and WHO Quality of Life-Brief Version (WHOQOL-Bref).

Main Results:

  • Significant positive correlation found between resilience and all quality of life domains.
  • Negative correlations observed between resilience and anxiety/depressive symptoms, and between these symptoms and quality of life.
  • Patients with cardiac events showed decreased quality of life and increased anxiety/depression, with stable resilience; those without events exhibited increasing resilience.

Conclusions:

  • Resilience is significantly associated with mental well-being and quality of life in ICD patients.
  • The RS-14 scale is a potentially valuable tool for assessing resilience in cardiology due to its ease of use.
  • Further research is warranted to confirm the clinical utility of resilience assessment in cardiovascular care.

Keywords:
anxietydepressionimplantable cardioverter defibrillatorlife qualityoutcomeresiliencescreening

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