PMID- 21821854
OWN - NLM
STAT- MEDLINE
DCOM- 20120702
LR  - 20111117
IS  - 1532-2092 (Electronic)
IS  - 1099-5129 (Linking)
VI  - 13
IP  - 12
DP  - 2011 Dec
TI  - Gender disparities in anxiety and quality of life in patients with an implantable 
      cardioverter-defibrillator.
PG  - 1723-30
LID - 10.1093/europace/eur252 [doi]
AB  - AIMS: A paucity of studies in implantable cardioverter-defibrillator (ICD) 
      patients has examined gender disparities in patient-reported outcomes, such as 
      anxiety and quality of life (QoL). We investigated (i) gender disparities in 
      anxiety and QoL and (ii) the magnitude of the effect of gender vs. New York Heart 
      Association (NYHA) functional class (III/IV), ICD shock, and Type D personality 
      on these outcomes. METHODS AND RESULTS: Implantable cardioverter-defibrillator 
      patients (n = 718; 81% men) completed the State-Trait Anxiety Inventory (STAI) 
      and the Short-Form Health Survey 36 (SF-36) at baseline and 12 months 
      post-implantation. The magnitude of the effect was indicated using Cohen's effect 
      size index. Multivariate analysis of covariance for repeated measures showed no 
      differences between men and women on mean scores of anxiety (F((1,696)) = 2.67, P 
      = 0.10). Differences in QoL were observed for only two of the eight subscales of 
      the SF-36, with women reporting poorer physical functioning (F((1,696)) = 7.14, P 
      = 0.008) and vitality (F((1,696)) = 4.88, P = 0.028) than men. With respect to 
      anxiety, effect sizes at baseline and 12 months for gender, NYHA class, and ICD 
      shocks were small. A large effect size for Type D personality was found at both 
      time points. For QoL, at baseline and 12 months, the effect sizes for gender were 
      small, while the influence of NYHA class and Type D personality was moderate to 
      large. CONCLUSIONS: Men and women did not differ on mean anxiety or QoL scores, 
      except for women reporting poorer QoL on two domains. The relative influence of 
      gender on anxiety and QoL was less than that of NYHA functional class and Type D 
      personality.
FAU - Habibovic, Mirela
AU  - Habibovic M
AD  - CoRPS-Department of Medical Psychology and Neuropsychology, Tilburg University, 
      Tilburg, The Netherlands.
FAU - van den Broek, Krista C
AU  - van den Broek KC
FAU - Theuns, Dominic A M J
AU  - Theuns DA
FAU - Jordaens, Luc
AU  - Jordaens L
FAU - Alings, Marco
AU  - Alings M
FAU - van der Voort, Pepijn H
AU  - van der Voort PH
FAU - Pedersen, Susanne S
AU  - Pedersen SS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20110806
PL  - England
TA  - Europace
JT  - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal 
      of the working groups on cardiac pacing, arrhythmias, and cardiac cellular 
      electrophysiology of the European Society of Cardiology
JID - 100883649
SB  - IM
MH  - Aged
MH  - Anxiety/epidemiology/*psychology
MH  - Arrhythmias, Cardiac/physiopathology/*therapy
MH  - Death, Sudden, Cardiac/*prevention & control
MH  - *Defibrillators, Implantable
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Personality/physiology
MH  - Quality of Life/*psychology
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - *Sex Characteristics
MH  - Treatment Outcome
EDAT- 2011/08/09 06:00
MHDA- 2012/07/03 06:00
CRDT- 2011/08/09 06:00
PHST- 2011/08/09 06:00 [entrez]
PHST- 2011/08/09 06:00 [pubmed]
PHST- 2012/07/03 06:00 [medline]
AID - eur252 [pii]
AID - 10.1093/europace/eur252 [doi]
PST - ppublish
SO  - Europace. 2011 Dec;13(12):1723-30. doi: 10.1093/europace/eur252. Epub 2011 Aug 6.