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Spiritual well-being may buffer psychological distress in patients with implantable cardioverter defibrillators (ICD)
Cardiovascular Medicine Publications and Presentations
  • Elena Salmoirago Blotcher, University of Massachusetts Medical School
  • Sybil L. Crawford, University of Massachusetts Medical School
  • Chau Tran, University of Massachusetts Medical School
  • Robert J. Goldberg, University of Massachusetts Medical School
  • Lawrence S. Rosenthal, University of Massachusetts Medical School
  • Ira S. Ockene, University of Massachusetts Medical School
UMMS Affiliation
Department of Medicine, Division of Cardiovascular Medicine; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Quantitative Health Sciences
Date
10-1-2012
Document Type
Article Preprint
Subjects
Defibrillators, Implantable; Mind-Body Therapies; Spirituality
Abstract

Psychological distress is common in patients with implantable cardioverter defibrillators (ICDs) and has been associated with a worse prognosis. The authors examined whether spiritual well-being is associated with reduced psychological distress in patients with ICDs. The Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SWB) questionnaire and the Hospital Anxiety and Depression Scale (HADS) were used to measure spiritual well-being and overall psychological distress. Multivariate linear regression was used to explore the relationship between these variables.

The study sample included 46 ICD outpatients (32 M, 14 F; age range 43-83). An inverse association between HADS and FACIT-SWB scores was found, persisting after adjustment for demographics, anxiety/depression, medications, therapist support, and functional status (F = 0.001; β= -0.31, CI: -0.44, -0.19). In conclusion, spiritual well-being was independently associated with lower psychological distress in ICD outpatients. Spiritual well-being could act as a protective factor against psychological distress in these high-risk patients.

Rights and Permissions
In accordance with SAGE's copyright and permission policies (http://www.sagepub.com/journalgateway/permissions.htm), this is the version of the article that the authors submitted to the Journal of Evidence-Based Complementary and Alternative Medicine. The final version was published as: J Evid Based Complementary Altern Med. 2012 Oct 1;17(3):148-154. doi:10.1177/2156587212447627. Link to article on publisher's website
Related Resources
Link to article in PubMed
Keywords
  • prevention,
  • spirituality,
  • cardioverter defibrillators
PubMed ID
23050210
Citation Information
Elena Salmoirago Blotcher, Sybil L. Crawford, Chau Tran, Robert J. Goldberg, et al.. "Spiritual well-being may buffer psychological distress in patients with implantable cardioverter defibrillators (ICD)" Vol. 17 Iss. 3 (2012)
Available at: http://works.bepress.com/elena_salmoiragoblotcher/12/