Do patients with ICD who report anxiety symptoms on Hospital Anxiety and Depression Scale suffer from anxiety?
The objectives were to determine: 1) whether patients with an implantable cardioverter defibrillator (ICD) presenting with anxiety symptoms measured on the Hospital Anxiety and Depression Scale (HADS) have identifiable anxiety according to the Structured Clinical Interview for DSM disorders (SCID) a...
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Veröffentlicht in: | Journal of psychosomatic research 2019-06, Vol.121, p.100-104 |
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container_title | Journal of psychosomatic research |
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creator | Berg, Selina Kikkenborg Herning, Margrethe Thygesen, Lau Caspar Cromhout, Pernille Fevejle Wagner, Mette Kirstine Nielsen, Kim Mechta Christensen, Anne Vinggaard Rasmussen, Trine Bernholdt |
description | The objectives were to determine: 1) whether patients with an implantable cardioverter defibrillator (ICD) presenting with anxiety symptoms measured on the Hospital Anxiety and Depression Scale (HADS) have identifiable anxiety according to the Structured Clinical Interview for DSM disorders (SCID) and 2) the type of anxiety, if any, behind a HADS-A score ≥ 8 in patients with an ICD.
Patients with an ICD were screened using HADS and patients with a HADS-A score ≥ 8 were invited to participate. A total of 88 patients were included in the study and were interviewed using the SCID instrument to determine anxiety or adjustment disorder.
A total of 56% met the criteria for an anxiety diagnosis, 20% for adjustment disorder with anxiety and 8% for adjustment disorder without anxiety. Frequent types of anxiety were panic disorder, generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD). Furthermore, 24 (28%) had an adjustment disorder.
A total of 84% meet the criteria for anxiety or adjustment disorder. The most common anxiety diagnoses were panic disorder, GAD and PTSD.
•Anxiety is a risk factor in cardiac patients that can easily be screened for and treatment should be initiated to improve health outcomes.•The most common anxiety disorders are Generalized Anxiety and Panic Disorder. |
doi_str_mv | 10.1016/j.jpsychores.2019.03.183 |
format | Article |
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Patients with an ICD were screened using HADS and patients with a HADS-A score ≥ 8 were invited to participate. A total of 88 patients were included in the study and were interviewed using the SCID instrument to determine anxiety or adjustment disorder.
A total of 56% met the criteria for an anxiety diagnosis, 20% for adjustment disorder with anxiety and 8% for adjustment disorder without anxiety. Frequent types of anxiety were panic disorder, generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD). Furthermore, 24 (28%) had an adjustment disorder.
A total of 84% meet the criteria for anxiety or adjustment disorder. The most common anxiety diagnoses were panic disorder, GAD and PTSD.
•Anxiety is a risk factor in cardiac patients that can easily be screened for and treatment should be initiated to improve health outcomes.•The most common anxiety disorders are Generalized Anxiety and Panic Disorder.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2019.03.183</identifier><identifier>PMID: 30955912</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adjustment disorder ; Adjustment Disorders - diagnosis ; Aged ; Anxiety ; Anxiety - diagnosis ; Clinical assessment ; Clinical interviews ; Defibrillators ; Defibrillators, Implantable - psychology ; Diagnosis, Differential ; Female ; Generalized anxiety disorder ; Humans ; Male ; Medical diagnosis ; Mental depression ; Middle Aged ; Panic attacks ; Patients ; Post traumatic stress disorder ; Self Report</subject><ispartof>Journal of psychosomatic research, 2019-06, Vol.121, p.100-104</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Science Ltd. Jun 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-f4af3497fa2aacceb93be0904c64cd49aada4f1511cc10585b92eed07b2014da3</citedby><cites>FETCH-LOGICAL-c485t-f4af3497fa2aacceb93be0904c64cd49aada4f1511cc10585b92eed07b2014da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2019.03.183$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,31004,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30955912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berg, Selina Kikkenborg</creatorcontrib><creatorcontrib>Herning, Margrethe</creatorcontrib><creatorcontrib>Thygesen, Lau Caspar</creatorcontrib><creatorcontrib>Cromhout, Pernille Fevejle</creatorcontrib><creatorcontrib>Wagner, Mette Kirstine</creatorcontrib><creatorcontrib>Nielsen, Kim Mechta</creatorcontrib><creatorcontrib>Christensen, Anne Vinggaard</creatorcontrib><creatorcontrib>Rasmussen, Trine Bernholdt</creatorcontrib><title>Do patients with ICD who report anxiety symptoms on Hospital Anxiety and Depression Scale suffer from anxiety?</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>The objectives were to determine: 1) whether patients with an implantable cardioverter defibrillator (ICD) presenting with anxiety symptoms measured on the Hospital Anxiety and Depression Scale (HADS) have identifiable anxiety according to the Structured Clinical Interview for DSM disorders (SCID) and 2) the type of anxiety, if any, behind a HADS-A score ≥ 8 in patients with an ICD.
Patients with an ICD were screened using HADS and patients with a HADS-A score ≥ 8 were invited to participate. A total of 88 patients were included in the study and were interviewed using the SCID instrument to determine anxiety or adjustment disorder.
A total of 56% met the criteria for an anxiety diagnosis, 20% for adjustment disorder with anxiety and 8% for adjustment disorder without anxiety. Frequent types of anxiety were panic disorder, generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD). Furthermore, 24 (28%) had an adjustment disorder.
A total of 84% meet the criteria for anxiety or adjustment disorder. The most common anxiety diagnoses were panic disorder, GAD and PTSD.
•Anxiety is a risk factor in cardiac patients that can easily be screened for and treatment should be initiated to improve health outcomes.•The most common anxiety disorders are Generalized Anxiety and Panic Disorder.</description><subject>Adjustment disorder</subject><subject>Adjustment Disorders - diagnosis</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - diagnosis</subject><subject>Clinical assessment</subject><subject>Clinical interviews</subject><subject>Defibrillators</subject><subject>Defibrillators, Implantable - psychology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Generalized anxiety disorder</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Panic attacks</subject><subject>Patients</subject><subject>Post traumatic stress disorder</subject><subject>Self Report</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkcFu1DAQhi0EotvCKyBLXLgkjB0nG59Q2YW2UiUOwNlynLHWURIH26Hs2-NqtyBx4TSH-f6Z0XyEUAYlA9a8H8phiUdz8AFjyYHJEqqStdUzsmHtVhasauA52QBwXlRSygtyGeMAAI3k9UtyUYGsa8n4hsx7TxedHM4p0geXDvRut6cPB08DLj4kqudfDtORxuO0JD9F6md66-Pikh7p9bmp557uccnXRJf7X40ekcbVWgzUBj89Tfnwiryweoz4-lyvyPfPn77tbov7Lzd3u-v7woi2ToUV2lZCbq3mWhuDnaw6BAnCNML0Qmrda2FZzZgxDOq27iRH7GHb5WeIXldX5N1p7hL8jxVjUpOLBsdRz-jXqDiHWjDeSpbRt_-gg1_DnK_LlODbFtoGMtWeKBN8jAGtWoKbdDgqBurRiRrUXyfq0YmCSmUnOfrmvGDtJuz_BJ8kZODjCcD8kZ8Og4omCzHYu4Amqd67_2_5DcXBpGU</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Berg, Selina Kikkenborg</creator><creator>Herning, Margrethe</creator><creator>Thygesen, Lau Caspar</creator><creator>Cromhout, Pernille Fevejle</creator><creator>Wagner, Mette Kirstine</creator><creator>Nielsen, Kim Mechta</creator><creator>Christensen, Anne Vinggaard</creator><creator>Rasmussen, Trine Bernholdt</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Do patients with ICD who report anxiety symptoms on Hospital Anxiety and Depression Scale suffer from anxiety?</title><author>Berg, Selina Kikkenborg ; Herning, Margrethe ; Thygesen, Lau Caspar ; Cromhout, Pernille Fevejle ; Wagner, Mette Kirstine ; Nielsen, Kim Mechta ; Christensen, Anne Vinggaard ; Rasmussen, Trine Bernholdt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-f4af3497fa2aacceb93be0904c64cd49aada4f1511cc10585b92eed07b2014da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adjustment disorder</topic><topic>Adjustment Disorders - diagnosis</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - diagnosis</topic><topic>Clinical assessment</topic><topic>Clinical interviews</topic><topic>Defibrillators</topic><topic>Defibrillators, Implantable - psychology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Generalized anxiety disorder</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Panic attacks</topic><topic>Patients</topic><topic>Post traumatic stress disorder</topic><topic>Self Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berg, Selina Kikkenborg</creatorcontrib><creatorcontrib>Herning, Margrethe</creatorcontrib><creatorcontrib>Thygesen, Lau Caspar</creatorcontrib><creatorcontrib>Cromhout, Pernille Fevejle</creatorcontrib><creatorcontrib>Wagner, Mette Kirstine</creatorcontrib><creatorcontrib>Nielsen, Kim Mechta</creatorcontrib><creatorcontrib>Christensen, Anne Vinggaard</creatorcontrib><creatorcontrib>Rasmussen, Trine Bernholdt</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berg, Selina Kikkenborg</au><au>Herning, Margrethe</au><au>Thygesen, Lau Caspar</au><au>Cromhout, Pernille Fevejle</au><au>Wagner, Mette Kirstine</au><au>Nielsen, Kim Mechta</au><au>Christensen, Anne Vinggaard</au><au>Rasmussen, Trine Bernholdt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do patients with ICD who report anxiety symptoms on Hospital Anxiety and Depression Scale suffer from anxiety?</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2019-06</date><risdate>2019</risdate><volume>121</volume><spage>100</spage><epage>104</epage><pages>100-104</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>The objectives were to determine: 1) whether patients with an implantable cardioverter defibrillator (ICD) presenting with anxiety symptoms measured on the Hospital Anxiety and Depression Scale (HADS) have identifiable anxiety according to the Structured Clinical Interview for DSM disorders (SCID) and 2) the type of anxiety, if any, behind a HADS-A score ≥ 8 in patients with an ICD.
Patients with an ICD were screened using HADS and patients with a HADS-A score ≥ 8 were invited to participate. A total of 88 patients were included in the study and were interviewed using the SCID instrument to determine anxiety or adjustment disorder.
A total of 56% met the criteria for an anxiety diagnosis, 20% for adjustment disorder with anxiety and 8% for adjustment disorder without anxiety. Frequent types of anxiety were panic disorder, generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD). Furthermore, 24 (28%) had an adjustment disorder.
A total of 84% meet the criteria for anxiety or adjustment disorder. The most common anxiety diagnoses were panic disorder, GAD and PTSD.
•Anxiety is a risk factor in cardiac patients that can easily be screened for and treatment should be initiated to improve health outcomes.•The most common anxiety disorders are Generalized Anxiety and Panic Disorder.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>30955912</pmid><doi>10.1016/j.jpsychores.2019.03.183</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adjustment disorder Adjustment Disorders - diagnosis Aged Anxiety Anxiety - diagnosis Clinical assessment Clinical interviews Defibrillators Defibrillators, Implantable - psychology Diagnosis, Differential Female Generalized anxiety disorder Humans Male Medical diagnosis Mental depression Middle Aged Panic attacks Patients Post traumatic stress disorder Self Report |
title | Do patients with ICD who report anxiety symptoms on Hospital Anxiety and Depression Scale suffer from anxiety? |
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