Evaluation of an Internet‐based intervention for ICD patients with elevated symptoms of posttraumatic stress disorder.
Background: To date, treatment to reduce posttraumatic stress disorder (PTSD) symptoms in implantable cardioverter defibrillator (ICD) patients has been limited by lack of symptom recognition, lack of provider referrals, barriers to treatment access, and inadequate evidence base of treatment effecti...
| Published in: | Pacing & Clinical Electrophysiology Vol. 42; no. 5; pp. 521 - 530 |
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| Main Authors: | , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
May2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135976790&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135976790 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: May2019 vid: 42 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 135976790 135976790 135976790 10.1111/pace.13654 135976790 ppf: 521 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Evaluation of an Internet‐based intervention for ICD patients with elevated symptoms of posttraumatic stress disorder. aug: au: Ford, Jessica Littleton, Heather Lutes, Lesley Wuensch, Karl Benton, Christie Cahill, John Hudson, Christopher Nekkanti, Rajasekhar Gehi, Anil Sears, Samuel affil: Department of Psychology, East Carolina University, Greenville North Carolina sug: subj: Stress Disorders, Post-Traumatic Therapy Internet Telehealth Defibrillators, Implantable Psychosocial Factors Cardiac Patients Psychosocial Factors Human Referral and Consultation Health Services Accessibility Electrophysiology Academic Medical Centers Psychotherapy, Brief Protocols Cognitive Therapy Pretest-Posttest Design Mental Health Psychological Trauma Anxiety Checklists Treatment Outcomes ab: Background: To date, treatment to reduce posttraumatic stress disorder (PTSD) symptoms in implantable cardioverter defibrillator (ICD) patients has been limited by lack of symptom recognition, lack of provider referrals, barriers to treatment access, and inadequate evidence base of treatment effectiveness in this population. Methods: Participants were 46 patients with ICDs (17 paired) with elevated PTSD symptoms who were recruited in electrophysiology clinics at community and university hospitals as well as ICD support forums. Participants were provided the Web‐based, brief psychosocial intervention, which was tailored to ICD patients and contained elements of evidence‐based cognitive‐behavioral protocols for PTSD. Pretest and posttest measurement assessed participants' trauma experiences, mental health, and device‐specific distress (device acceptance and shock anxiety). Results: Postintervention scores on the PTSD Checklist (PCL; M = 35.5, SD = 10.09) were significantly lower than preintervention scores (M = 46.31, SD = 9.88), t (16) = 3.51, P = 0.003, d = 1.08. Conclusions: Preliminary results indicate that future research with a more robust design is warranted. Given limitations in accessibility of mental health providers to manage cardiac‐related psychological sequelae, brief, Web‐based intervention may be an effective, supplemental, clinical modality to offer treatment to this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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