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Symptoms of Depression, Anxiety, and Posttraumatic Stress among Patients with Cardiac Pacemakers

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  • Britta S. Bürker

    (Department of Psychiatry, Nordland Hospital Trust Bodø, 8092 Bodø, Norway
    Norwegian National Unit for Sensory Loss and Mental Health, Oslo University Hospital, 0424 Oslo, Norway)

  • Randolf I. Hardersen

    (Department of Nephrology, Nordland Hospital Trust Bodø, 8092 Bodø, Norway
    Department of Clinical Medicine, UiT The Arctic University of Norway, 9037 Tromsø, Norway)

  • Knut Tore Lappegård

    (Department of Clinical Medicine, UiT The Arctic University of Norway, 9037 Tromsø, Norway
    Division of Medicine, Department of Cardiology, Nordland Hospital Trust Bodø, 8092 Bodø, Norway)

Abstract

Despite being a prerequisite for tailoring specific therapeutic interventions, knowledge of pattern and prevalence of clinically significant psychiatric symptomatology among patients with cardiac pacemakers (PMs), especially of symptoms of posttraumatic stress, is limited. We studied symptoms of depression, anxiety, and posttraumatic stress among PM patients (PM due to syncope or presyncope) compared to participants of (i) a cardiac, (ii) a chronic disease, and (iii) a healthy control group. Symptoms of depression, anxiety and posttraumatic stress were measured by validated self-report scales at least 6 months after implantation of the PM (PM group; n = 38), percutaneous coronary intervention (PCI; PCI control group; n = 23), and first dialysis (Dialysis control group; n = 17). Blood donors constituted the Healthy control group ( n = 42). Both PM, PCI, and dialysis patients reported depressive symptoms above clinical cut-off more frequently than the healthy controls (16.2, 26.1, 41.2, and 0%, respectively; p < 0.001). Self-report of symptoms of anxiety and posttraumatic stress did not differ significantly across study groups. However, a non-negligible proportion of PM patients reported on symptoms of posttraumatic stress of anticipated clinical relevance. Identification and treatment of depression deserves attention in clinical routine in all three patient populations. Further study of posttraumatic stress in PM patients seems advisable.

Suggested Citation

  • Britta S. Bürker & Randolf I. Hardersen & Knut Tore Lappegård, 2022. "Symptoms of Depression, Anxiety, and Posttraumatic Stress among Patients with Cardiac Pacemakers," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16838-:d:1004075
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    References listed on IDEAS

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    1. Jenny Tagney, 2010. "A literature review comparing the experiences and emergent needs of adult patients with permanent pacemakers (PPMs) and implantable cardioverter defibrillators (ICDs)," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(15‐16), pages 2081-2089, August.
    2. Zhiying Shen & Feng Zheng & Zhuqing Zhong & Siqing Ding & Lu Wang, 2019. "Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial," Nursing & Health Sciences, John Wiley & Sons, vol. 21(2), pages 269-277, June.
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    1. Zhiying Shen & Feng Zheng & Zhuqing Zhong & Siqing Ding & Lu Wang, 2019. "Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial," Nursing & Health Sciences, John Wiley & Sons, vol. 21(2), pages 269-277, June.

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