Konstam V, Colburn C, Butts L, Mark Estes N A
University of Massachusetts at Boston and Tufts-New England Medical Center, Boston, Massachusetts.
J Clin Psychol Med Settings. 1996 Mar;3(1):69-78. doi: 10.1007/BF01989290.
A lag exists with respect to our understanding of the psychological demands and rehabilitation needs of individuals who have undergone implantable cardioverter defibrillator (ICD) implantation. The ICD is designed to transmit an electric shock to the heart to treat a potentially life-threatening arrhythmia. This study specifically examined the impact of defibrillator discharges on the psychological functioning of ICD recipients. A questionnaire was self-administered to 33 individuals who have been living with the ICD for at least 6 months. Results revealed that levels of anger and depression were significantly higher in those subjects who reported a lower discharge rate, while sense of well-being was significantly higher in those subjects who reported a greater discharge rate. Possible explanations for our findings were proposed as well as implications for clinical intervention were discussed.
在我们对接受植入式心脏复律除颤器（ICD）植入的个体的心理需求和康复需求的理解方面存在滞后。ICD旨在向心脏传输电击以治疗潜在的危及生命的心律失常。本研究专门考察了除颤器放电对ICD接受者心理功能的影响。对33名已使用ICD至少6个月的个体进行了问卷调查。结果显示，报告较低放电率的受试者的愤怒和抑郁水平显著更高，而报告较高放电率的受试者的幸福感显著更高。我们对研究结果提出了可能的解释，并讨论了对临床干预的启示。
