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Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator

Author
Organization
Abstract
Background: Implantable cardioverter-defibrillator (ICD) shock is a critical event to patients associated with well-being after implantation, although other factors may play an equally important role. We compared the association of shock and the patient's preimplantation personality with health status, using a prospective study design. Methods and Results: Consecutively implanted ICD patients (n=383; 79% men) completed the Type D Scale at baseline and the Short-Form Health Survey 36 (SF-36) at baseline and 3, 6, and 12 months. Of all patients, 23.5% had a Type D personality and 13.8% received a shock during follow-up. Shocked patients reported significantly poorer health status, as did Type D patients. Health status patterns were poorest in patients with combined Type D personality and shock during follow-up. Shock during follow-up was a significant independent associate of poorer health status for 4 of 8 subscales of the SF-36 and the Mental Component Summary (all P<.05), with shocked patients scoring between 2.60 to 13.30 points lower than nonshocked patients. Type D personality was an independent associate of poor postimplantation health status for 6 of 8 of the SF-36 subscales and the Mental Component Summary, with Type D patients scoring between 2.12 to 8.02 points lower, adjusting for demographic and clinical characteristics. Conclusions: ICD shock and the patient's preimplantation personality disposition were equally important associates of health status 12 months after implantation. Identification of the patient's personality profile before ICD implantation may help identify subsets of patients who may need additional care, for example, with a psychosocial component.
Keywords
arrhythmias, implantable cardioverter-defibrillator, Type D personality, health status, shock, quality of life, QUALITY-OF-LIFE, SYMPTOMATIC HEART-FAILURE, CENTERED OUTCOMES, NEGATIVE AFFECTIVITY, SOCIAL INHIBITION, LONGITUDINAL DATA, DEPRESSION, ICD, DISTRESS, ANXIETY

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MLA
Pedersen, Susanne S et al. “Shock and Patient Preimplantation Type D Personality Are Associated with Poor Health Status in Patients with Implantable Cardioverter-defibrillator.” CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES 5.3 (2012): 373–380. Print.
APA
Pedersen, Susanne S, Tekle, F. B., Hoogwegt, M. T., Jordaens, L., & Theuns, D. A. (2012). Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator. CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 5(3), 373–380.
Chicago author-date
Pedersen, Susanne S, Fetene B Tekle, Madelein T Hoogwegt, Luc Jordaens, and Dominic AMJ Theuns. 2012. “Shock and Patient Preimplantation Type D Personality Are Associated with Poor Health Status in Patients with Implantable Cardioverter-defibrillator.” Circulation-cardiovascular Quality and Outcomes 5 (3): 373–380.
Chicago author-date (all authors)
Pedersen, Susanne S, Fetene B Tekle, Madelein T Hoogwegt, Luc Jordaens, and Dominic AMJ Theuns. 2012. “Shock and Patient Preimplantation Type D Personality Are Associated with Poor Health Status in Patients with Implantable Cardioverter-defibrillator.” Circulation-cardiovascular Quality and Outcomes 5 (3): 373–380.
Vancouver
1.
Pedersen SS, Tekle FB, Hoogwegt MT, Jordaens L, Theuns DA. Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator. CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES. 2012;5(3):373–80.
IEEE
[1]
S. S. Pedersen, F. B. Tekle, M. T. Hoogwegt, L. Jordaens, and D. A. Theuns, “Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator,” CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, vol. 5, no. 3, pp. 373–380, 2012.
@article{8101695,
  abstract     = {Background: Implantable cardioverter-defibrillator (ICD) shock is a critical event to patients associated with well-being after implantation, although other factors may play an equally important role. We compared the association of shock and the patient's preimplantation personality with health status, using a prospective study design. 
Methods and Results: Consecutively implanted ICD patients (n=383; 79% men) completed the Type D Scale at baseline and the Short-Form Health Survey 36 (SF-36) at baseline and 3, 6, and 12 months. Of all patients, 23.5% had a Type D personality and 13.8% received a shock during follow-up. Shocked patients reported significantly poorer health status, as did Type D patients. Health status patterns were poorest in patients with combined Type D personality and shock during follow-up. Shock during follow-up was a significant independent associate of poorer health status for 4 of 8 subscales of the SF-36 and the Mental Component Summary (all P<.05), with shocked patients scoring between 2.60 to 13.30 points lower than nonshocked patients. Type D personality was an independent associate of poor postimplantation health status for 6 of 8 of the SF-36 subscales and the Mental Component Summary, with Type D patients scoring between 2.12 to 8.02 points lower, adjusting for demographic and clinical characteristics. 
Conclusions: ICD shock and the patient's preimplantation personality disposition were equally important associates of health status 12 months after implantation. Identification of the patient's personality profile before ICD implantation may help identify subsets of patients who may need additional care, for example, with a psychosocial component.},
  author       = {Pedersen, Susanne S and Tekle, Fetene B and Hoogwegt, Madelein T and Jordaens, Luc and Theuns, Dominic AMJ},
  issn         = {1941-7705},
  journal      = {CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES},
  keywords     = {arrhythmias,implantable cardioverter-defibrillator,Type D personality,health status,shock,quality of life,QUALITY-OF-LIFE,SYMPTOMATIC HEART-FAILURE,CENTERED OUTCOMES,NEGATIVE AFFECTIVITY,SOCIAL INHIBITION,LONGITUDINAL DATA,DEPRESSION,ICD,DISTRESS,ANXIETY},
  language     = {eng},
  number       = {3},
  pages        = {373--380},
  title        = {Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator},
  url          = {http://dx.doi.org/10.1161/CIRCOUTCOMES.111.964197},
  volume       = {5},
  year         = {2012},
}

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