The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation. Academic Article uri icon

Overview

abstract

  • CONTEXT: Ventricular assist devices (VADs) improve quality of life in advanced heart failure patients, but there are little data exploring psychological symptoms in this population. OBJECTIVE: This study examined the prevalence of psychiatric symptoms and disease over time in VAD patients. METHODS: This prospective multicenter cohort study enrolled patients immediately before or after VAD implant and followed them up to 48 weeks. Depression and anxiety were assessed with Patient-Reported Outcomes Measurement Information System Short Form 8a questionnaires. The panic disorder, acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) modules of the Structured Clinical Interview for the DSM were used. RESULTS: Eighty-seven patients were enrolled. After implant, depression and anxiety scores decreased significantly over time (P = 0.03 and P < 0.001, respectively). Two patients met criteria for panic disorder early after implantation, but symptoms resolved over time. None met criteria for ASD or PTSD. CONCLUSIONS: Our study suggests VADs do not cause serious psychological harms and may have a positive impact on depression and anxiety. Furthermore, VADs did not induce PTSD, panic disorder, or ASD in this cohort.

publication date

  • August 12, 2017

Research

keywords

  • Anxiety
  • Cardiac Surgical Procedures
  • Depression
  • Heart-Assist Devices

Identity

PubMed Central ID

  • PMC5705533

Scopus Document Identifier

  • 85032347485

Digital Object Identifier (DOI)

  • 10.1016/j.jpainsymman.2017.05.002

PubMed ID

  • 28807706

Additional Document Info

volume

  • 54

issue

  • 6