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Anxiety Predicts Poor Perceived Health in Patients With an Implantable Defibrillator

Krista C. van den Broek, Ph.D., Ivan Nyklíek, Ph.D., and Johan Denollet, Ph.D.

Received May 31, 2007; revised August 9, 2007; accepted August 21, 2007. From CoRPS (Center of Research on Psychology in Somatic Diseases), Dept. of Medical Psychology, Tilburg University, the Netherlands. Send correspondence and reprint requests to Krista C. van den Broek, Ph.D., CoRPS, Department of Medical Psychology, Tilburg University, Rm. P612, P.O. Box 90153, 5000 LE Tilburg, the Netherlands. e-mail: C.C.L.T.vdnBroek{at}uvt.nl
© 2009 The Academy of Psychosomatic Medicine

BACKGROUND: Implantation with an implantable cardioverter defibrillator (ICD) may cause psychological problems, including anxiety. OBJECTIVE: The objective was to determine whether general anxiety and disease-specific anxiety differentially predict poor perceived health in ICD patients. RESULTS: Patient concerns about the ICD and feelings of disability were independently predicted by general as well as disease-specific anxiety. Clinical anxiety was predicted by general anxiety only, whereas cardiopulmonary symptoms were predicted by disease-specific anxiety. CONCLUSION: Identifying and supporting ICD patients with various anxiety symptoms is important. Future research should examine the differential predictive value of different forms of anxiety toward medical endpoints as well as possible interventions for disease-related anxiety.

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