Cognitive behavioral therapy (CBT) in a Patient with Implantable Cardioverter Defibrillator (ICD) and Posttraumatic stress disorder(PTSD).

  • Sahar Ansari Markazi University of Medical Sciences, Saveh, Iran
  • Mohammad Arbabi Psychaitry and psychology research center, Department of psychiatry, Tehran University of Medical Sciences, Iran
Keywords: Cognitive behavioral psychotherapy(CBT), Implantable cardiovertter defibrlator(ICD)

Abstract

The implantable cardioverter defibrillator (ICD) has currently become the standard treatment for preventing sudden cardiac death. There are some psychological consequences in patients with ICD such as posttraumatic stress disorder (PTSD) after the shocks induced by ICD. This report aimed to present the case of a 54-year-old man with ICD who had developed PTSD; his PTSD was treated, using cognitive-behavioral psychotherapy consisting of relaxation, mindfulness and problem solving techniques. In patients with ICD who are experiencing PTSD using cognitive behavioral interventions may be helpful to reduce their psychological sufferings.

References

Sears SF, Jr, Conti JB. Quality of life and psychological functioning of icd patients. Heart 2002; 87: 488-493.

DiMarco JP. Implantable cardioverter-defibrillators. N Engl J Med 2003; 349: 1836-1847.

Fricchione GL, Olson LC, Vlay SC. Psychiatric syndromes in patients with the automatic internal cardioverter defibrillator: anxiety, psychological dependence, abuse, and withdrawal. Am Heart J 1989; 117: 1411-1414.

Whang W, Albert CM, Sears SF, Jr., Lampert R, Conti JB, Wang PJ, et al. Depression as a predictor for appropriate shocks among patients with implantable cardioverter-defibrillators: results from the Triggers of Ventricular Arrhythmias (TOVA) study. J Am Coll Cardiol 2005; 45: 1090-1095.

Burg MM, Lampert R, Joska T, Batsford W , Jain D. Psychological traits and emotion-triggering of ICD shock-terminated arrhythmias. Psychosom Med 2004; 66: 898-902.

Lampert R, Joska T, Burg MM, Batsford WP, McPherson CA , Jain D. Emotional and physical precipitants of ventricular arrhythmia. Circulation 2002; 106: 1800-1805.

Hamner M, Hunt N, Gee J, Garrell R , Monroe R. PTSD and automatic implantable cardioverter defibrillators. Psychosomatics 1999; 40: 82-85.

Mundy E, Baum A. Medical disorders as a cause of psychological trauma and posttraumatic stress disorder. Curr Opin Psychiatry 2004; 17: 123-127.

Spindler H, Pedersen SS. Posttraumatic stress disorder in the wake of heart disease: prevalence, risk factors, and future research directions. Psychosom Med 2005; 67: 715-723.

Cotter G, Milo-Cotter O, Rubinstein D , Shemesh E. Posttraumatic stress disorder: a missed link between psychiatric and cardiovascular morbidity? CNS Spectr 2006; 11: 129-136.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed. Washington DC: American Psychiatric Association;1994.

Yehuda R. Post-traumatic stress disorder. N Engl J Med 2002; 346: 108-114.

Sharifi V,Assadi S.M,Mohammadi M.R,Amini H,Kaviani H,Semnani Y,Shabani A,Shahrivar Z,Davari Ashtiani R,Hakimshoushtari M,Sedghi A,Jalali M. Structured Clinical Interview for DSM-IV(SCID):Persian Translation and Cultural Adaptation. Iranian Journal of Psychiatry 2007; 2: 46-48.

Kaviani H, Seifourian H, Sharifi V, Ebrahimkhani N. Relibility and validity of Anxiety and Depression Hospital Scale(HADS):Iranian patients with anxiety and depression disorders. Tehran University Medical Journal 2009; 5: 379-385.

Ladwig KH, Baumert J, Marten, Mittag B, Kolb C, Zrenner B, Schmitt C. Posttraumatic stress symptoms and predicted mortality in patients with implantable cardioverter-defibrillators: results from the prospective living with an implanted cardioverter-defibrillator study. Arch Gen Psychiatry 2008; 65: 1324–1330.

Ladwig KH, Baumert J, Marten-Mittag B, Kolb C, Zrenner B , Schmitt C. Posttraumatic stress symptoms and predicted mortality in patients with implantable cardioverter-defibrillators: results from the prospective living with an implanted cardioverter-defibrillator study. Arch Gen Psychiatry 2008; 65: 1324-1330.

Frizelle DJ, Lewin RJ, Kaye G, Hargreaves C, Hasney K, Beaumont N, et al. Cognitive-behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: a pilot study. Br J Health Psychol 2004; 9: 381-392.

Kohn CS, Petrucci RJ, Baessler C, Soto DM , Movsowitz C. The effect of psychological intervention on patients' long-term adjustment to the ICD: a prospective study. Pacing Clin Electrophysiol 2000; 23: 450-456.

How to Cite
1.
Ansari S, Arbabi M. Cognitive behavioral therapy (CBT) in a Patient with Implantable Cardioverter Defibrillator (ICD) and Posttraumatic stress disorder(PTSD). Iran J Psychiatry. 9(3):181-3.
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