Psychological distress in patients with a left ventricular assist device and their partners: An exploratory study

C.J. Brouwers, J. Denollet, K. Caliskan, N. de Jonge, A. Constantinescu, Q. Young, A. Kaan, S.S. Pedersen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background: 
Left ventricular assist device (LVAD) therapy is increasingly used in patients with advanced heart failure,and may have a significant psychological impact on both patients and their partners. Hence, we examined the distresslevels of LVAD patients and their partners.
Methods: 
Anxiety, depression and post-traumatic stress disorder (PTSD) were assessed at 3–4 weeks after implantation, and at 3 and 6 months follow-up in 33 LVAD patients (73% men; mean age=54±10 years) and 33 partners (27% men;mean age=54±11 years).
Results: 
The prevalence of anxiety in LVAD partners was significantly higher compared to LVAD patients at baseline (48% vs. 23%, p=0.03) and 3 months follow-up (44% vs. 15%, p=0.02), but not at 6 months follow-up (p=0.43). Nodifferences were found for depression and PTSD (ps>0.05). Scores between the LVAD patients and partners showed only a significant correlation at baseline between the anxiety, depression and PTSD score of the patient and the depression score of the partner (ranx=0.40, p=0.04; rdep=.40, p=0.04; rPSTD=0.46, p=0.05). Multivariable analyses showed no significantassociation between the role (patient vs. partner) and anxiety, depression and PTSD over time after correction for age, gender and clinical covariates. However, after correction for Type D personality and the use of psychotropic medication the LVAD partners showed significantly higher anxiety (F=6.95, p=0.01) and depression (F=3.94, p=0.04) scores over time compared to LVAD patients.
Conclusion: 
LVAD partners had significantly higher levels of anxiety than LVAD patients. Emotional distress of LVAD partners should gain more attention, as partners are an essential source of support for LVAD patients.
Original languageEnglish
Pages (from-to)53-62
JournalEuropean Journal of Cardiovascular Nursing
Volume14
Issue number1
DOIs
Publication statusPublished - 2015

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Heart-Assist Devices
Depression

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Brouwers, C.J. ; Denollet, J. ; Caliskan, K. ; de Jonge, N. ; Constantinescu, A. ; Young, Q. ; Kaan, A. ; Pedersen, S.S. / Psychological distress in patients with a left ventricular assist device and their partners : An exploratory study. In: European Journal of Cardiovascular Nursing. 2015 ; Vol. 14, No. 1. pp. 53-62.
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title = "Psychological distress in patients with a left ventricular assist device and their partners: An exploratory study",
abstract = "Background: Left ventricular assist device (LVAD) therapy is increasingly used in patients with advanced heart failure,and may have a significant psychological impact on both patients and their partners. Hence, we examined the distresslevels of LVAD patients and their partners.Methods: Anxiety, depression and post-traumatic stress disorder (PTSD) were assessed at 3–4 weeks after implantation, and at 3 and 6 months follow-up in 33 LVAD patients (73{\%} men; mean age=54±10 years) and 33 partners (27{\%} men;mean age=54±11 years).Results: The prevalence of anxiety in LVAD partners was significantly higher compared to LVAD patients at baseline (48{\%} vs. 23{\%}, p=0.03) and 3 months follow-up (44{\%} vs. 15{\%}, p=0.02), but not at 6 months follow-up (p=0.43). Nodifferences were found for depression and PTSD (ps>0.05). Scores between the LVAD patients and partners showed only a significant correlation at baseline between the anxiety, depression and PTSD score of the patient and the depression score of the partner (ranx=0.40, p=0.04; rdep=.40, p=0.04; rPSTD=0.46, p=0.05). Multivariable analyses showed no significantassociation between the role (patient vs. partner) and anxiety, depression and PTSD over time after correction for age, gender and clinical covariates. However, after correction for Type D personality and the use of psychotropic medication the LVAD partners showed significantly higher anxiety (F=6.95, p=0.01) and depression (F=3.94, p=0.04) scores over time compared to LVAD patients.Conclusion: LVAD partners had significantly higher levels of anxiety than LVAD patients. Emotional distress of LVAD partners should gain more attention, as partners are an essential source of support for LVAD patients.",
author = "C.J. Brouwers and J. Denollet and K. Caliskan and {de Jonge}, N. and A. Constantinescu and Q. Young and A. Kaan and S.S. Pedersen",
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Psychological distress in patients with a left ventricular assist device and their partners : An exploratory study. / Brouwers, C.J.; Denollet, J.; Caliskan, K.; de Jonge, N.; Constantinescu, A.; Young, Q.; Kaan, A.; Pedersen, S.S.

In: European Journal of Cardiovascular Nursing, Vol. 14, No. 1, 2015, p. 53-62.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Psychological distress in patients with a left ventricular assist device and their partners

T2 - An exploratory study

AU - Brouwers, C.J.

AU - Denollet, J.

AU - Caliskan, K.

AU - de Jonge, N.

AU - Constantinescu, A.

AU - Young, Q.

AU - Kaan, A.

AU - Pedersen, S.S.

PY - 2015

Y1 - 2015

N2 - Background: Left ventricular assist device (LVAD) therapy is increasingly used in patients with advanced heart failure,and may have a significant psychological impact on both patients and their partners. Hence, we examined the distresslevels of LVAD patients and their partners.Methods: Anxiety, depression and post-traumatic stress disorder (PTSD) were assessed at 3–4 weeks after implantation, and at 3 and 6 months follow-up in 33 LVAD patients (73% men; mean age=54±10 years) and 33 partners (27% men;mean age=54±11 years).Results: The prevalence of anxiety in LVAD partners was significantly higher compared to LVAD patients at baseline (48% vs. 23%, p=0.03) and 3 months follow-up (44% vs. 15%, p=0.02), but not at 6 months follow-up (p=0.43). Nodifferences were found for depression and PTSD (ps>0.05). Scores between the LVAD patients and partners showed only a significant correlation at baseline between the anxiety, depression and PTSD score of the patient and the depression score of the partner (ranx=0.40, p=0.04; rdep=.40, p=0.04; rPSTD=0.46, p=0.05). Multivariable analyses showed no significantassociation between the role (patient vs. partner) and anxiety, depression and PTSD over time after correction for age, gender and clinical covariates. However, after correction for Type D personality and the use of psychotropic medication the LVAD partners showed significantly higher anxiety (F=6.95, p=0.01) and depression (F=3.94, p=0.04) scores over time compared to LVAD patients.Conclusion: LVAD partners had significantly higher levels of anxiety than LVAD patients. Emotional distress of LVAD partners should gain more attention, as partners are an essential source of support for LVAD patients.

AB - Background: Left ventricular assist device (LVAD) therapy is increasingly used in patients with advanced heart failure,and may have a significant psychological impact on both patients and their partners. Hence, we examined the distresslevels of LVAD patients and their partners.Methods: Anxiety, depression and post-traumatic stress disorder (PTSD) were assessed at 3–4 weeks after implantation, and at 3 and 6 months follow-up in 33 LVAD patients (73% men; mean age=54±10 years) and 33 partners (27% men;mean age=54±11 years).Results: The prevalence of anxiety in LVAD partners was significantly higher compared to LVAD patients at baseline (48% vs. 23%, p=0.03) and 3 months follow-up (44% vs. 15%, p=0.02), but not at 6 months follow-up (p=0.43). Nodifferences were found for depression and PTSD (ps>0.05). Scores between the LVAD patients and partners showed only a significant correlation at baseline between the anxiety, depression and PTSD score of the patient and the depression score of the partner (ranx=0.40, p=0.04; rdep=.40, p=0.04; rPSTD=0.46, p=0.05). Multivariable analyses showed no significantassociation between the role (patient vs. partner) and anxiety, depression and PTSD over time after correction for age, gender and clinical covariates. However, after correction for Type D personality and the use of psychotropic medication the LVAD partners showed significantly higher anxiety (F=6.95, p=0.01) and depression (F=3.94, p=0.04) scores over time compared to LVAD patients.Conclusion: LVAD partners had significantly higher levels of anxiety than LVAD patients. Emotional distress of LVAD partners should gain more attention, as partners are an essential source of support for LVAD patients.

U2 - 10.1177/1474515113517607

DO - 10.1177/1474515113517607

M3 - Article

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EP - 62

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 1

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