The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation

Himali Weerahandi, Nathan Goldstein, Laura P. Gelfman, Ulrich Jorde, James N. Kirkpatrick, Edith Meyerson, Judith Marble, Yoshifumi Naka, Sean Pinney, Mark S. Slaughter, Emilia Bagiella, Deborah D. Ascheim

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Abstract

Context Ventricular assist devices (VADs) improve quality of life in advanced heart failure patients, but there are little data exploring psychological symptoms in this population. Objective This study examined the prevalence of psychiatric symptoms and disease over time in VAD patients. Methods This prospective multicenter cohort study enrolled patients immediately before or after VAD implant and followed them up to 48 weeks. Depression and anxiety were assessed with Patient-Reported Outcomes Measurement Information System Short Form 8a questionnaires. The panic disorder, acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) modules of the Structured Clinical Interview for the DSM were used. Results Eighty-seven patients were enrolled. After implant, depression and anxiety scores decreased significantly over time (P = 0.03 and P < 0.001, respectively). Two patients met criteria for panic disorder early after implantation, but symptoms resolved over time. None met criteria for ASD or PTSD. Conclusions Our study suggests VADs do not cause serious psychological harms and may have a positive impact on depression and anxiety. Furthermore, VADs did not induce PTSD, panic disorder, or ASD in this cohort.

Original languageEnglish (US)
Pages (from-to)870-876.e1
JournalJournal of Pain and Symptom Management
Volume54
Issue number6
DOIs
StatePublished - Dec 2017

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Keywords

  • Ventricular assist device
  • anxiety
  • depression

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Weerahandi, H., Goldstein, N., Gelfman, L. P., Jorde, U., Kirkpatrick, J. N., Meyerson, E., Marble, J., Naka, Y., Pinney, S., Slaughter, M. S., Bagiella, E., & Ascheim, D. D. (2017). The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation. Journal of Pain and Symptom Management, 54(6), 870-876.e1. https://doi.org/10.1016/j.jpainsymman.2017.05.002