Do Positive Health Expectations and Optimism Relate to Quality-of-Life Outcomes for the Patient With an Implantable Cardioverter Defibrillator?

Sears, Samuel F.; Serber, Eva R.; Lewis, Tara Saia; Walker, Robyn L.; Conners, Nancy; Lee, John T.; Curtis, Anne B.; Conti, Jamie B.

doi:10.1097/00008483-200409000-00008

Cited by 71Optimism, Hope, and Well-beingCardiac Health and Mental HealthCardiac pacing and defibrillation studies

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Do Positive Health Expectations and Optimism Relate to Quality-of-Life Outcomes for the Patient With an Implantable Cardioverter Defibrillator?

Sears, Samuel F., Serber, Eva R., Lewis, Tara Saia, Walker, Robyn L., Conners, Nancy, Lee, John T., Curtis, Anne B., Conti, Jamie B.·2004·Journal of Cardiopulmonary Rehabilitation

DOI 10.1097/00008483-200409000-00008

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Abstract

PURPOSE: Clinical trials with the implantable cardioverter defibrillator (ICD) have demonstrated desirable outcomes in terms of mortality and morbidity among patients with potentially lethal arrhythmias. This study examined the "resilience factors" of positive health expectations and global optimism prospectively using the general quality-of-life (QOL) scores of newly implanted ICD patients. METHODS: The study enrolled 88 newly implanted ICD patients (mean age, 65.3 +/- 13.2 years; 83% male; 92% white) assessed 8 and 14 months after ICD implantation. A series of 2 x 2 factorial multivariate analyses of covariance were performed to examine the differences between baseline low versus high positive health expectations and baseline low versus high optimism in short- and long-term general QOL scores. RESULTS: After control was used for ejection fraction (mean, 31%), the patients with baseline high positive health expectations reported better general health at a long-term follow-up assessment (P = .002). The patients with high optimism reported better mental health and social functioning at a short-term follow-up assessment (P =. 056), and this finding approached significance at a long-term follow-up assessment (P = .061). CONCLUSIONS: Positive health expectations and optimism are differentially related to various components of QOL. Collectively, these two resilience factors may be targeted in future studies of interventions to improve QOL for ICD patients.

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Individuals who start with high expectations and with optimism have better quality of life.
“Not surprisingly, individuals who start with high expectations and with optimism have better QOL. 13”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [13]

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Authors: Sears, S. F., Serber, E. R., Lewis, T. S., Walker, R. L., Conners, N., Lee, J. T., Curtis, A. B., & Conti, J. B.
Affiliations: University of Florida Health (US)
Corresponding author: Sears, Samuel F.
ORCID: Sears, Samuel F.
Lee, John T.
Curtis, Anne B.
Conti, Jamie B.
Venue: Journal of Cardiopulmonary Rehabilitation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-09
Volume: 24
Issue: 5
Pages: 324-331
ISSN: 0883-9212 (ISSN-L)
DOI: 10.1097/00008483-200409000-00008
OpenAlex: W2008044856
Cited by: 71
References: 22
Citations by year: 2026: 1 · 2023: 2 · 2022: 4 · 2021: 1 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 3 · 2012: 7
FWCI: 7.13
Type: journal article
Language: en
Open access: closed
Locations: Journal of Cardiopulmonary Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords: implantable cardioverter-defibrillator, optimism, quality of life, resilience factors, mental health, social functioning
MeSH terms: Aged, Attitude to Health, Coronary Artery Disease, Female, Humans, Male, Middle Aged, Prospective Studies, Quality of Life, Stroke Volume, Ventricular Fibrillation, Comorbidity, Treatment Outcome, Defibrillators, Implantable, Sickness Impact Profile, Self Efficacy

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Do Positive Health Expectations and Optimism Relate to Quality-of-Life Outcomes for the Patient With an Implantable Cardioverter Defibrillator?

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