Avoidance behavior associated with depressive symptoms in patients with implantable cardioverter defibrillators

• Kanako Ichikura ^[1] ; Sayaka Kobayashi ^[2] ; Shiho Matsuoka ^[1] ; Tsuyoshi Suzuki ^[2] ; Katsuji Nishimura ^[2] ; Tsuyoshi Shiga ^[2] ; Nobuhisa Hagiwara ^[2] ; Jun Ishigooka ^[2] ; Shin-ichi Suzuki ^[1]
  1. [1] Waseda University

     Waseda University

     Japón

     
  2. [2] Tokyo Women's Medical University

     Tokyo Women's Medical University

     Japón

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 17, Nº. 1, 2017, págs. 1-8
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2016.11.001
• Títulos paralelos:
  • Conducta de evitación asociada a síntomas depresivos en pacientes con desfibriladores cardioversores implantables
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 3 Citas
• Resumen
  • español

    Objetivo: Muchos pacientes con desfibriladores cardioversores implantables experimentan síntomas depresivos. Además, la conducta de evitación es un problema común entre estos pacientes. El objetivo fue examinar la asociación entre las conductas de evitación y síntomas depresivos en pacientes con desfibriladores cardioversores implantables. Método: Se llevó a cabo un estudio transversal en un único centro entre mayo de 2010 y marzo de 2011. Mediante autoinformes se midieron conductas de evitación (evitación a lugares, evitación a objetos y evitación a situaciones) y síntomas depresivos (mediante el Inventario de Depresión de Beck, Versión II) en 119 participantes. El instrumento de evitación se desarrolló para este estudio con adecuada fiabilidad de consistencia interna. Resultados: Noventa y dos pacientes (77,3%) tenían más de 50 años y 86 pacientes (72,3%) eran hombres. Cincuenta y un pacientes (42,9%) informaron de “evitación a lugares”, 34 pacientes (28,6%) informaron de “evitación a objetos” y 63 pacientes (52,9%) informaron “evitación a actividad”. La conducta de evitación se asoció con un aumento en la probabilidad de síntomas depresivos (OR 1,31; IC del 95%, 1,06-1,62). Conclusiones: Este es el primer estudio para identificar la relación entre la conducta de evitación y síntomas depresivos en pacientes portadores de desfibriladores cardioversores implantables, aunque existen algunas limitaciones metodológicas.

  • English

    Objective: Many patients with implantable cardioverter defibrillators experience depressive symptoms. In addition, avoidance behavior is a common problem among patients with implantable cardioverter defibrillators. We examined the association between avoidance behaviors and depressive symptoms in patients with implantable cardioverter defibrillators. Method: We conducted a single-center, cross-sectional study with self-completed questionnaires between May 2010 and March 2011. We measured avoidance behaviors (avoidance of places, avoidance of objects, and avoidance of situations) and depressive symptoms (using the Beck Depression Inventory, Version II) in 119 participants. An avoidance behaviors instrument was developed for this study and we confirmed its internal consistency reliability. Results: Ninety-two (77.3%) patients were aged older than 50 years, and 86 (72.3%) were men. Fifty-one (42.9%) patients reported “avoidance of places”, 34 (28.6%) reported “avoidance of objects”, and 63 (52.9%) reported “avoidance of activity”. Avoidance behavior was associated with increased odds for the presence of depressive symptoms (OR 1.31; 95% CI 1.06–1.62). Conclusions: This was the first study to identify the relationship between avoidance behavior and depressive symptoms among patients with implantable cardioverter defibrillators; however, there are a few methodological limitations.

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