Department of Psychology, East Carolina University, Greenville, NC, USA.
Department of Cardiovascular Sciences, East Carolina University, Greenville, NC, USA.
Expert Rev Cardiovasc Ther. 2024 Aug;22(8):347-352. doi: 10.1080/14779072.2024.2385974. Epub 2024 Aug 1.
The aim of this review is to identify common mood concerns in ICD patients and suggest brief psychological screeners essential for early detection and monitoring in patient care.
Reliable and valid psychological assessment tools are reviewed, including those specifically designed for ICD patient populations.
Psychological assessment, in combination with cardiologic standard of care, can help overcome many barriers associated with poor implantable cardioverter-defibrillator (ICD) management and related cardiovascular outcomes. Earlier identification and treatment of mood concerns in ICD patients has been shown to improve quality of life (QOL) and patient outcomes. At this time, however, logistical challenges and time restraints, in addition to knowledge of appropriate treatment plans or referral options, remain central barriers to providing integrated, patient-centered care. Ultimately, all cardiology clinics would benefit from a collaborative care team that includes a mental health consultant or in-house psychologists who can provide consultations or referral services. Additionally, all patients that come to the clinics should complete proactive screening measures as routine component of care to assess the presence of mood concerns to improve patient outcomes and aid in treatment planning.
本综述旨在确定 ICD 患者常见的情绪问题，并提出一些在患者护理中用于早期发现和监测的基本心理筛查工具。
回顾了可靠且有效的心理评估工具，包括专为 ICD 患者群体设计的工具。
心理评估与心脏病学标准护理相结合，可以帮助克服与植入式心律转复除颤器（ICD）管理和相关心血管结果不佳相关的许多障碍。已经证明，早期识别和治疗 ICD 患者的情绪问题可以提高生活质量（QOL）和患者结局。然而，目前在提供综合、以患者为中心的护理方面仍然存在一些障碍，包括对适当治疗计划或转介选择的了解、获取相关信息的困难、时间限制等。最终，所有心脏病学诊所都将受益于一个协作护理团队，该团队包括心理健康顾问或内部心理学家，他们可以提供咨询或转介服务。此外，所有到诊所就诊的患者都应完成主动筛查措施，作为常规护理的一部分，以评估情绪问题的存在，从而改善患者结局并辅助治疗计划。
