Sears Samuel F, McCrary Samantha, Andrade Tiffany, Rousseau Lauren, Kirkness Ann, Fantin Allana, Shea Julie B
Department of Psychology, East Carolina University, Greenville, North Carolina.
Department of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina.
Heart Rhythm O2. 2025 Apr 3;6(6):874-879. doi: 10.1016/j.hroo.2025.03.021. eCollection 2025 Jun.
While implantable cardioverter-defibrillators (ICDs) save lives in patients at risk for potentially life-threatening arrhythmias, ICD shocks may prompt fear and anxiety and cause potential psychological trauma in patients. Since the beginning of the ICD's broad use, healthcare professionals recognized the unique demands and experiences associated with this therapy. Some clinics responded by initiating patient-focused meetings broadly referred to as "ICD support groups" to address the mental health challenges in these patients. Decades of research have now underscored the importance of ICD patients' psychological and behavioral processes and their associations with adverse health outcomes. ICD patients frequently report disease-specific mental health symptoms, including ICD shock anxiety, poor device acceptance, body image concerns, and decreased physical activity, that require unique clinical expertise from professionals to effectively manage. The original impetus for ICD support groups persists, but relatively few ICD support groups remain active. Online offerings may have taken on some of these functions. We suggest that ICD support groups remain a strategic intervention to address patient psychological and lifestyle concerns. This paper reviews the value of ICD support groups in the United States, Australia, and Canada and analyzes the current state and potential value of ICD support groups.
虽然植入式心脏复律除颤器（ICD）能挽救有潜在致命性心律失常风险的患者生命，但ICD电击可能会引发患者的恐惧和焦虑，并造成潜在的心理创伤。自ICD广泛应用以来，医疗保健专业人员就认识到了这种治疗方法所带来的独特需求和体验。一些诊所通过发起以患者为中心的会议（通常称为“ICD支持小组”）来应对这些患者的心理健康挑战。数十年的研究现已强调了ICD患者心理和行为过程的重要性及其与不良健康结果的关联。ICD患者经常报告特定疾病的心理健康症状，包括ICD电击焦虑、对设备接受度低、身体形象问题以及身体活动减少，这些都需要专业人员具备独特的临床专业知识才能有效管理。ICD支持小组最初的推动力依然存在，但仍在积极运作的ICD支持小组相对较少。在线服务可能已经承担了其中的一些功能。我们建议ICD支持小组仍然是一种应对患者心理和生活方式问题的战略干预措施。本文回顾了美国、澳大利亚和加拿大ICD支持小组的价值，并分析了ICD支持小组的现状和潜在价值。
