Relevance of psychosocial factors and occurrence of Implantable Cardioverter-Defibrillator shocks on the perception of cardiac illness as a threat

COMFORT-ICD

Authors

  • Andreia de Oliveira Pinheiro Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo
  • Camila Oliveira Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo
  • Tathiane Barbosa Guimarães Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo
  • Sergio Siqueira Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo
  • Silvana D'Orio Nishioka Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo
  • Martino Martinelli Filho Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.57167/Rev-SBPH.19.414

Keywords:

implantable cardioverter defibrillator, anxiety, depression, type D personality, ICD shock

Abstract

Background: The occurrence of shocks, anxiety and type D personality are well known risk factors for psychosocial maladjustment. At the same time, little attention is given to these and other factors and their influence on perceptions that implantable cardioverter-defibrillator (ICD) patients have about their heart disease as a threat. This was the aim of this research, besides evaluating the temporal relation between occurrence of ICD shocks and illness perception. Methods: 250 ICD patients were evaluated, regarding illness perception, relating it to anxiety, depression, distress, Type D personality, occurrence of recent ICD shocks and since implant. Results: Patients' perceptions of their heart disease were not influenced by shocks since the implant, but by shocks in the last six months. However, anxiety, distress, depression and type D personality were associated with perceiving heart disease as a health threat. Conclusions: ICD patients’ illness perceptions are influenced by type D personality, anxiety, depression and distress. The occurrence of shock is the factor that least affects illness perception as a threat. Therefore, the data indicates the need to give more attention to psychosocial factors.

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Author Biographies

Andreia de Oliveira Pinheiro, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Doutoranda, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (InCor/FMUSP).

Camila Oliveira, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Pesquisadora, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (InCor/FMUSP).

Tathiane Barbosa Guimarães, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Psicóloga da Oncologia Clínica do Hospital do Coração (HCor), doutoranda em Cardiologia no Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo, possui mestrado em Processos de Desenvolvimento Humano e Saúde (2012), graduação em Bacharelado em Psicologia pela Universidade de Brasília (2008) e graduação em Psicologia pela Universidade de Brasília (2009). Tem experiência na área de Psicologia, com ênfase em Psicologia da Saúde, atuando principalmente em psicoeducação.

Sergio Siqueira, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Engenheiro, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (InCor/FMUSP).

Silvana D'Orio Nishioka, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Coordenadora da Unidade Clinica de Estimulação Cardíaca do Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo (InCor/FMUSP).

Martino Martinelli Filho, Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo

Diretor da Unidade Clinica de Estimulação Cardíaca do Instituto do Coração da Faculdade de
Medicina da Universidade de São Paulo(InCor/FMUSP).

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Published

2016-01-23

How to Cite

Pinheiro, A. de O., Oliveira, C., Guimarães, T. B., Siqueira, S., Nishioka, S. D., & Martinelli Filho, M. (2016). Relevance of psychosocial factors and occurrence of Implantable Cardioverter-Defibrillator shocks on the perception of cardiac illness as a threat: COMFORT-ICD. Revista Da Sociedade Brasileira De Psicologia Hospitalar, 19(1), 117–132. https://doi.org/10.57167/Rev-SBPH.19.414

Issue

Vol. 19 No. 1 (2016)

Section

Original research

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