PSYCHOLOGICAL AND PSYCHOSOMATIC SYMPTOMS IN PATIENTS WITH ICD
C. Godoy Fernández1, S. Alcaraz Andreu1, J.J. Sánchez Muñoz, M.D. Hidalgo Montesinos1, E. Fernández Ros1, C. Muñoz Esparza, A. García Alberola
Arrhythmia Unit and Electrophysiology. Department of Cardiology, Virgen de la Arrixaca University Hospital, IMIB, Murcia, Spain. 1Department of Personality, Evaluation and Psychological Treatment. Faculty of Psychology, University de Murcia, Spain.
Introduction: Several studies have reported a prevalence between 25-33% of symptoms of anxiety and depression in patients with an implantable cardioverter defibrillator (ICD). The purpose of this study was to evaluate the presence of psychological and psychosomatic symptoms in these patients.
Methods: A total of 38 patients with ICD were assessed in the study, 28 (73,7%) were male and age ranged from 21 to 72 years (53± 12). All patients completed a List of Brief Symptoms (LSB-50).
Results: 11% of patients showed a percentile ? 97 in the index of psychopathological risk. In clinical subscales the percentage of patients was as follows: psycho-reactivity (26.4 %), hypersensitivity (13 %), obsessive-compulsive (21%), anxiety (24%), hostility (23.5%), somatisation (31.5%), depression (29%), sleep disorders (45 %). The prevalence of psychological symptoms was higher in the secondary prevention ICD implantation group except for the somatisation subscale, which was higher in primary prevention.
Conclusions: Psychological and psychosomatic symptoms were common in patients with ICD, the most prevalent being sleep disorders.
