Trial reportPacing and clinical electrophysiology : PACE2009
Effect of a psychoeducational intervention on depression, anxiety, and health resource use in implantable cardioverter defibrillator patients.
Trial report in Pacing and clinical electrophysiology : PACE, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00146679 (Psychoeducational Intervention for ICD Patients), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Psychoeducational Intervention for ICD Patients (PEACE)
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Benefits of support groups for patients living with implantable cardioverter defibrillators: a mixed-methods systematic review and meta-analysis.Open heart · 2022Pooled it
- Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator.The Cochrane database of systematic reviews · 2019Pooled it
- Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017Pooled it
- Intervention mediating effects of self-efficacy on patient physical and psychological health following ICD implantation.Journal of behavioral medicine · 2021Trial
- Social cognitive intervention following an initial implantable cardioverter defibrillator: Better treatment response for secondary versus primary prevention.Pacing and clinical electrophysiology : PACE · 2020Trial
- Trial
- Sleep quality and sleepiness in persons with implantable cardioverter defibrillators: outcome from a clinical randomized longitudinal trial.Pacing and clinical electrophysiology : PACE · 2012Trial
- Nurse-Enhanced Memory Intervention in Heart Failure: the MEMOIR study.Journal of cardiac failure · 2011Trial
- COPE-ICD: a randomised clinical trial studying the effects and meaning of a comprehensive rehabilitation programme for ICD recipients -design, intervention and population.BMC cardiovascular disorders · 2011Trial
- Psychological Interventions for Reducing Distress in Patients with Cardiac Arrhythmias.Current cardiology reports · 2025Review
- Severity of Brugada syndrome disease manifestation and risk of new-onset depression or anxiety: a Danish nationwide study.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 · 2023Article
- Patients' knowledge and concerns about using the implantable cardioverter defibrillator for the primary prevention of sudden cardiac death and its correlates: A cross-sectional study.Health science reports · 2022Article
- Psychosocial symptoms of ventricular arrhythmias: Integrating patient-reported outcomes into clinical care.Heart rhythm O2 · 2021Article
- The Cognitive Impact of Chronic Diseases on Functional Capacity in Community-Dwelling Adults.The journal of nursing research : JNR · 2019Article
- Article
- How Do Patients Understand Safety for Cardiac Implantable Devices? Importance of Postintervention Education.Rehabilitation research and practice · 2018Article
- Decision-Making of Patients With Implantable Cardioverter-Defibrillators at End of Life: Family Members' Experiences.The American journal of hospice & palliative care · 2017Article
- Depression and Associated Factors in Patients with Implantable Cardioverter-Defibrillators.The journal of Tehran Heart Center · 2016Article
- The Challenges of Living With an Implantable Cardioverter Defibrillator: A Qualitative Study.Iranian Red Crescent medical journal · 2016Article
- A prospective study of anxiety in ICD patients with a pilot randomized controlled trial of cognitive behavioral therapy for patients with moderate to severe anxiety.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2015Observational
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPsychological responses have been reported for some patients after the insertion of an implantable cardioverter defibrillator (ICD). This study tested the effects of a psychoeducational intervention on anxiety, depressive symptoms, functional status, and health resource use during the first year after ICD implantation.
methodsICD patients (n = 246) were randomized to usual care (UC), group (GRP), or telephone counseling (TC) intervention that included education, symptom management, and coping skill training. Participants were 58 +/- 11 years, 73% men, and 23% minorities. Anxiety (State-Trait Anxiety Inventory [STAI]), depressive symptoms (Beck Depression Inventory II [BDI-II]), and functional status (Duke Activity Status Inventory [DASI]) were measured at baseline and after 1, 3, 6, and 12 months. Health resource use and disability days were tracked. Analyses were repeated-measures analysis of covariance to assess Group x Time effects,chi(2)for percentage with clinically significant anxiety and depression at each time point, and logistic regression.
resultsAll groups experienced decreased anxiety and depressive symptoms over the 12 months; GRP intervention had lower STAI (P = 0.03) than UC at 3 months. Logistic regression revealed group differences for predicted probability of having depressive symptoms at 12 months (UC = 0.31, GRP = 0.17, TC = 0.13, P = 0.03). UC had greater calls to providers at 1 and 6 months (P < 0.05) and more sick/disability days at 12 months (P = 0.01) than intervention groups.
conclusionsA psychoeducational intervention reduced anxiety and depressive symptoms early after ICD implant, lowered probability of depressive symptoms at 1 year, and decreased disability days/calls to providers. These findings support further study and clinical use of both group and telephone interventions to yield better psychological outcomes after ICD implant.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.