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
Hauptverfasser: Berg, Selina Kikkenborg, Herning, Margrethe, Thygesen, Lau Caspar, Cromhout, Pernille Fevejle, Wagner, Mette Kirstine, Nielsen, Kim Mechta, Christensen, Anne Vinggaard, Rasmussen, Trine Bernholdt
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container_end_page 104
container_issue
container_start_page 100
container_title Journal of psychosomatic research
container_volume 121
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
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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. 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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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