Optimism as predictor of patient-reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study)

M Habibović*, E Broers, D Heumen, J Widdershoven, S S Pedersen, J Denollet

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

OBJECTIVE: The implantable cardioverter defibrillator (ICD) is the treatment of choice for prevention of sudden cardiac death. However, a subgroup of ICD patients experiences psychological adjustment problems post implant. To date, positive psychological constructs (e.g. optimism) have been understudied in this population. Hence, we examined the association between optimism and anxiety, depression, and health status at 12-months post implant.

METHODS: Patients (N=171) enrolled in the WEB-based distress management study for ICD patients were included in the analyses. Optimism and pessimism (LOT), and Type D personality (DS14) were administered at baseline, while anxiety (GAD-7), depression (PHQ-9), and health status (SF-12) were assessed at 12-months.

RESULTS: The mean age was 59.6±10.06 with 81% being male. After controlling for demographic, personality, and clinical variables, baseline optimism was associated with lower anxiety (β=-0.210; p=0.011) and depression (β=-0.222; p=0.005), and better physical (β=0.227; p=0.004) and mental health status (β=0.350; p=0.000) at follow-up. Optimism was also associated with change in mental health status (β=0.195; p=0.007) but not with change in anxiety, depression, and physical health status at follow-up.

CONCLUSIONS: Our findings indicate that optimism is associated with less distress and possibly helps safeguard mental health in ICD patients. Increase optimism might be the way forward to reduce long-term distress and impaired health status.

TRIAL REGISTRATION: http://www.ClinicalTrials.gov. Identifier: NCT00895700.

Original languageEnglish
JournalGeneral Hospital Psychiatry
Volume50
Pages (from-to)90-95
ISSN0163-8343
DOIs
Publication statusPublished - 12. Nov 2017

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Implantable Defibrillators
Depression
Mental Health
Type D Personality
Optimism
Population

Keywords

  • Journal Article
  • Health status
  • Pessimism
  • Implantable cardioverter defibrillator
  • Distress
  • Optimism
  • Defibrillators, Implantable/psychology
  • Humans
  • Middle Aged
  • Male
  • Personality
  • Adult
  • Female
  • Aged
  • Anxiety/psychology
  • Health Status
  • Depression/psychology
  • Optimism/psychology
  • Patient Reported Outcome Measures

Cite this

@article{aba0eeeaba2943e7a14a2bd77d0aa551,
title = "Optimism as predictor of patient-reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study)",
abstract = "OBJECTIVE: The implantable cardioverter defibrillator (ICD) is the treatment of choice for prevention of sudden cardiac death. However, a subgroup of ICD patients experiences psychological adjustment problems post implant. To date, positive psychological constructs (e.g. optimism) have been understudied in this population. Hence, we examined the association between optimism and anxiety, depression, and health status at 12-months post implant.METHODS: Patients (N=171) enrolled in the WEB-based distress management study for ICD patients were included in the analyses. Optimism and pessimism (LOT), and Type D personality (DS14) were administered at baseline, while anxiety (GAD-7), depression (PHQ-9), and health status (SF-12) were assessed at 12-months.RESULTS: The mean age was 59.6±10.06 with 81{\%} being male. After controlling for demographic, personality, and clinical variables, baseline optimism was associated with lower anxiety (β=-0.210; p=0.011) and depression (β=-0.222; p=0.005), and better physical (β=0.227; p=0.004) and mental health status (β=0.350; p=0.000) at follow-up. Optimism was also associated with change in mental health status (β=0.195; p=0.007) but not with change in anxiety, depression, and physical health status at follow-up.CONCLUSIONS: Our findings indicate that optimism is associated with less distress and possibly helps safeguard mental health in ICD patients. Increase optimism might be the way forward to reduce long-term distress and impaired health status.TRIAL REGISTRATION: http://www.ClinicalTrials.gov. Identifier: NCT00895700.",
keywords = "Journal Article, Health status, Pessimism, Implantable cardioverter defibrillator, Distress, Optimism, Defibrillators, Implantable/psychology, Humans, Middle Aged, Male, Personality, Adult, Female, Aged, Anxiety/psychology, Health Status, Depression/psychology, Optimism/psychology, Patient Reported Outcome Measures",
author = "M Habibović and E Broers and D Heumen and J Widdershoven and Pedersen, {S S} and J Denollet",
note = "Copyright {\circledC} 2017 Elsevier Inc. All rights reserved.",
year = "2017",
month = "11",
day = "12",
doi = "10.1016/j.genhosppsych.2017.10.005",
language = "English",
volume = "50",
pages = "90--95",
journal = "General Hospital Psychiatry",
issn = "0163-8343",
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Optimism as predictor of patient-reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study). / Habibović, M; Broers, E; Heumen, D; Widdershoven, J; Pedersen, S S; Denollet, J.

In: General Hospital Psychiatry, Vol. 50, 12.11.2017, p. 90-95.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Optimism as predictor of patient-reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study)

AU - Habibović, M

AU - Broers, E

AU - Heumen, D

AU - Widdershoven, J

AU - Pedersen, S S

AU - Denollet, J

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017/11/12

Y1 - 2017/11/12

N2 - OBJECTIVE: The implantable cardioverter defibrillator (ICD) is the treatment of choice for prevention of sudden cardiac death. However, a subgroup of ICD patients experiences psychological adjustment problems post implant. To date, positive psychological constructs (e.g. optimism) have been understudied in this population. Hence, we examined the association between optimism and anxiety, depression, and health status at 12-months post implant.METHODS: Patients (N=171) enrolled in the WEB-based distress management study for ICD patients were included in the analyses. Optimism and pessimism (LOT), and Type D personality (DS14) were administered at baseline, while anxiety (GAD-7), depression (PHQ-9), and health status (SF-12) were assessed at 12-months.RESULTS: The mean age was 59.6±10.06 with 81% being male. After controlling for demographic, personality, and clinical variables, baseline optimism was associated with lower anxiety (β=-0.210; p=0.011) and depression (β=-0.222; p=0.005), and better physical (β=0.227; p=0.004) and mental health status (β=0.350; p=0.000) at follow-up. Optimism was also associated with change in mental health status (β=0.195; p=0.007) but not with change in anxiety, depression, and physical health status at follow-up.CONCLUSIONS: Our findings indicate that optimism is associated with less distress and possibly helps safeguard mental health in ICD patients. Increase optimism might be the way forward to reduce long-term distress and impaired health status.TRIAL REGISTRATION: http://www.ClinicalTrials.gov. Identifier: NCT00895700.

AB - OBJECTIVE: The implantable cardioverter defibrillator (ICD) is the treatment of choice for prevention of sudden cardiac death. However, a subgroup of ICD patients experiences psychological adjustment problems post implant. To date, positive psychological constructs (e.g. optimism) have been understudied in this population. Hence, we examined the association between optimism and anxiety, depression, and health status at 12-months post implant.METHODS: Patients (N=171) enrolled in the WEB-based distress management study for ICD patients were included in the analyses. Optimism and pessimism (LOT), and Type D personality (DS14) were administered at baseline, while anxiety (GAD-7), depression (PHQ-9), and health status (SF-12) were assessed at 12-months.RESULTS: The mean age was 59.6±10.06 with 81% being male. After controlling for demographic, personality, and clinical variables, baseline optimism was associated with lower anxiety (β=-0.210; p=0.011) and depression (β=-0.222; p=0.005), and better physical (β=0.227; p=0.004) and mental health status (β=0.350; p=0.000) at follow-up. Optimism was also associated with change in mental health status (β=0.195; p=0.007) but not with change in anxiety, depression, and physical health status at follow-up.CONCLUSIONS: Our findings indicate that optimism is associated with less distress and possibly helps safeguard mental health in ICD patients. Increase optimism might be the way forward to reduce long-term distress and impaired health status.TRIAL REGISTRATION: http://www.ClinicalTrials.gov. Identifier: NCT00895700.

KW - Journal Article

KW - Health status

KW - Pessimism

KW - Implantable cardioverter defibrillator

KW - Distress

KW - Optimism

KW - Defibrillators, Implantable/psychology

KW - Humans

KW - Middle Aged

KW - Male

KW - Personality

KW - Adult

KW - Female

KW - Aged

KW - Anxiety/psychology

KW - Health Status

KW - Depression/psychology

KW - Optimism/psychology

KW - Patient Reported Outcome Measures

U2 - 10.1016/j.genhosppsych.2017.10.005

DO - 10.1016/j.genhosppsych.2017.10.005

M3 - Journal article

C2 - 29127812

VL - 50

SP - 90

EP - 95

JO - General Hospital Psychiatry

JF - General Hospital Psychiatry

SN - 0163-8343

ER -