eScholarship@UMMS

Title

Spiritual well-being may buffer psychological distress in patients with implantable cardioverter defibrillators (ICD)

Authors

Elena Salmoirago Blotcher, University of Massachusetts Medical SchoolFollow
Sybil L. Crawford, University of Massachusetts Medical SchoolFollow
Chau Tran, University of Massachusetts Medical SchoolFollow
Robert J. Goldberg, University of Massachusetts Medical SchoolFollow
Lawrence S. Rosenthal, University of Massachusetts Medical SchoolFollow
Ira S. Ockene, University of Massachusetts Medical SchoolFollow

UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Quantitative Health Sciences

Publication Date

2012-10-01

Document Type

Article Preprint

Subjects

Defibrillators, Implantable; Mind-Body Therapies; Spirituality

Disciplines

Alternative and Complementary Medicine | Cardiology | Cardiovascular Diseases | Psychological Phenomena and Processes | Psychology

Abstract

Psychological distress is common in patients with implantable cardioverter defibrillators (ICDs) and has been associated with a worse prognosis. The authors examined whether spiritual well-being is associated with reduced psychological distress in patients with ICDs. The Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SWB) questionnaire and the Hospital Anxiety and Depression Scale (HADS) were used to measure spiritual well-being and overall psychological distress. Multivariate linear regression was used to explore the relationship between these variables.

The study sample included 46 ICD outpatients (32 M, 14 F; age range 43-83). An inverse association between HADS and FACIT-SWB scores was found, persisting after adjustment for demographics, anxiety/depression, medications, therapist support, and functional status (F = 0.001; β= -0.31, CI: -0.44, -0.19). In conclusion, spiritual well-being was independently associated with lower psychological distress in ICD outpatients. Spiritual well-being could act as a protective factor against psychological distress in these high-risk patients.

Keywords

prevention, spirituality, cardioverter defibrillators

Rights and Permissions

In accordance with SAGE's copyright and permission policies (http://www.sagepub.com/journalgateway/permissions.htm), this is the version of the article that the authors submitted to the Journal of Evidence-Based Complementary and Alternative Medicine.

DOI of Published Version

10.1177/2156587212447627

Source

J Evid Based Complementary Altern Med. 2012 Oct 1;17(3):148-154. doi:10.1177/2156587212447627. Link to article on publisher's website

Journal/Book/Conference Title

Journal of Evidence-Based Complementary and Alternative Medicine

Related Resources

Link to article in PubMed

PubMed ID

23050210

Repository Citation

Salmoirago Blotcher, Elena; Crawford, Sybil L.; Tran, Chau; Goldberg, Robert J.; Rosenthal, Lawrence S.; and Ockene, Ira S., "Spiritual well-being may buffer psychological distress in patients with implantable cardioverter defibrillators (ICD)" (2012). Cardiovascular Medicine Publications and Presentations. 83.
https://escholarship.umassmed.edu/cardio_pp/83