Internettherapie für ICD-Patienten
Abstract
Implantable cardioverter-defibrillators (ICD) are increasingly used for the prevention of potentially lethal cardiac arrhythmias due to their confirmed superior medical efficiency. Nevertheless, ICD-patients often suffer from psychosocial problems, e.g., anxiety and depression. These issues are rarely addressed in routine medical follow-up care. Due to the limited mobility of many ICD-patients, Internet-based care may be ideal for delivering psychosocial care to patients in their homes. Our pilot study and case studies illustrate prospects and challenges of this approach. We developed icd-forum.de, a 6-week internet-based prevention program that provides a platform for information, a virtual self-help group, and a professionally moderated chat room in order to help decrease anxiety and to improve quality of life. A critical evaluation in the context of other published studies on the subject allows recommendations for the implementation of future internet-based psychosocial programs for ICD-patients to be deduced. It is the authors' opinion that such programs offer advantages specifically for heart failure patients and they recommend their broader use. Prior to this, conclusive evaluation studies are needed.
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Intervention trials targeting symptoms of depression and anxiety in the ICD population have largely used cognitive behavioral therapy, relaxation and mindfulness techniques, supplemented with telephone support, education and exercise, and online therapies, as single, one-time interventions.
“Intervention trials targeting symptoms of depression and anxiety in the ICD population have largely used cognitive behavioral therapy, relaxation and mindfulness techniques, supplemented with telephone support, education and exercise, and online therapies, as single, one-time interventions [25, 26].”
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- Authors
- Schulz, S. M., & Pauli, P.
- Affiliations
- University of Würzburg (DE)
- Corresponding author
- Schulz, S.M.
- Pauli, P.
- Venue
- Herzschrittmachertherapie + Elektrophysiologie
- Published
- 2011-08-10
- Volume
- 22
- Issue
- 3
- Pages
- 166-173
- ISSN
- 0938-7412 (ISSN-L)
- 1435-1544
- OpenAlex
- W48913901
- Cited by
- 3
- References
- 31
- Citations by year
- 2019: 1 · 2018: 1 · 2014: 1
- FWCI
- 0.22
- Type
- journal article
- Language
- de
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Herzschrittmachertherapie + Elektrophysiologie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- implantable cardioverter-defibrillator, online therapy, psychosocial care, anxiety, depression, quality of life, arrhythmia prevention, home care, heart failure patients
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Anxiety, Conditioning, Operant, Depression, Fear, Germany, Heart Failure, Humans, Male, Middle Aged, Models, Psychological, Patient Education as Topic, Pilot Projects, Psychotherapy, Group, Quality of Life, Self Care, Self-Help Groups, Sick Role, Software, Therapy, Computer-Assisted, User-Computer Interface, Cognitive Behavioral Therapy, Treatment Outcome, Defibrillators, Implantable, Internet
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