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Article
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
Publication 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.

Keywords
  • prevention,
  • spirituality,
  • cardioverter defibrillators
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.
DOI of Published Version
10.1177/2156587212447627
Source
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
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/robert_goldberg/332/