Sears S F, Conti J B, Curtis A B, Saia T L, Foote R, Wen F
University of Florida Health Science Center, Gainesville 32610-0165, USA.
Pacing Clin Electrophysiol. 1999 Dec;22(12):1831-4. doi: 10.1111/j.1540-8159.1999.tb00422.x.
The implantable cardioverter defibrillator (ICD) may be associated with some degree of psychological maladjustment, especially in patients experiencing high rates of discharge. This article reviews the psychological literature related to ICDs and presents two case examples illustrating common psychological complications related to multiple discharges. A brief, psychological intervention can be implemented to improve patient adjustment. To explain possible processes by which psychological complications may develop in ICD patients, two well-established psychological theories of learning and behavior, classical conditioning and learned helplessness, are reviewed. Multidisciplinary teams that include consultation with clinical psychologists are suggested for the routine care of ICD patients.
植入式心脏复律除颤器（ICD）可能会导致一定程度的心理失调，尤其是在放电频率较高的患者中。本文回顾了与ICD相关的心理学文献，并给出了两个案例，说明与多次放电相关的常见心理并发症。可以实施一种简短的心理干预来改善患者的适应情况。为了解释ICD患者可能出现心理并发症的潜在过程，本文回顾了两种成熟的学习和行为心理学理论，即经典条件反射和习得性无助。建议组建多学科团队，其中包括咨询临床心理学家，以便对ICD患者进行常规护理。
