PTSD and mood disorders in implantable cardioverter defibrillator patients: is more psychological assessment needed?

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Expert Review of Cardiovascular Therapy Pub Date : 2024-08-01 DOI:10.1080/14779072.2024.2385974
Anne Sorrell, Rebecca Harrell, Elizabeth Jordan, Maeve Sargeant, Rajasekhar Nekkanti, John N Catanzaro, Samuel F Sears
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Abstract

Introduction: The aim of this review is to identify common mood concerns in ICD patients and suggest brief psychological screeners essential for early detection and monitoring in patient care.

Areas covered: Reliable and valid psychological assessment tools are reviewed, including those specifically designed for ICD patient populations.

Expert opinion: Psychological assessment, in combination with cardiologic standard of care, can help overcome many barriers associated with poor implantable cardioverter-defibrillator (ICD) management and related cardiovascular outcomes. Earlier identification and treatment of mood concerns in ICD patients has been shown to improve quality of life (QOL) and patient outcomes. At this time, however, logistical challenges and time restraints, in addition to knowledge of appropriate treatment plans or referral options, remain central barriers to providing integrated, patient-centered care. Ultimately, all cardiology clinics would benefit from a collaborative care team that includes a mental health consultant or in-house psychologists who can provide consultations or referral services. Additionally, all patients that come to the clinics should complete proactive screening measures as routine component of care to assess the presence of mood concerns to improve patient outcomes and aid in treatment planning.

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植入式心律转复除颤器患者的创伤后应激障碍和情绪障碍:是否需要更多心理评估?
简介:本综述旨在确定 ICD 患者常见的情绪问题,并提出在患者护理中早期发现和监测所必需的简短心理筛查工具:专家意见:心理评估与心脏病学标准护理相结合,有助于克服与植入式心律转复除颤器(ICD)管理不善和相关心血管后果有关的许多障碍。事实证明,尽早发现和治疗 ICD 患者的情绪问题可提高生活质量(QOL)和患者预后。但目前,除了了解适当的治疗计划或转诊选择外,后勤挑战和时间限制仍是提供以患者为中心的综合护理的主要障碍。归根结底,所有心脏病诊所都将受益于包括心理健康顾问或内部心理学家在内的协作式医疗团队,他们可以提供咨询或转诊服务。此外,所有到诊所就诊的患者都应完成主动筛查措施,作为常规护理的一部分,以评估是否存在情绪问题,从而改善患者的治疗效果并帮助制定治疗计划。
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来源期刊
Expert Review of Cardiovascular Therapy
Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
0.00%
发文量
82
期刊介绍: Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.
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