@article{adf0bec30d45433da8b2f6f25fb2ae90,
title = "The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation",
abstract = "Context Ventricular assist devices (VADs) improve quality of life in advanced heart failure patients, but there are little data exploring psychological symptoms in this population. Objective This study examined the prevalence of psychiatric symptoms and disease over time in VAD patients. Methods This prospective multicenter cohort study enrolled patients immediately before or after VAD implant and followed them up to 48 weeks. Depression and anxiety were assessed with Patient-Reported Outcomes Measurement Information System Short Form 8a questionnaires. The panic disorder, acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) modules of the Structured Clinical Interview for the DSM were used. Results Eighty-seven patients were enrolled. After implant, depression and anxiety scores decreased significantly over time (P = 0.03 and P < 0.001, respectively). Two patients met criteria for panic disorder early after implantation, but symptoms resolved over time. None met criteria for ASD or PTSD. Conclusions Our study suggests VADs do not cause serious psychological harms and may have a positive impact on depression and anxiety. Furthermore, VADs did not induce PTSD, panic disorder, or ASD in this cohort.",
keywords = "Ventricular assist device, anxiety, depression",
author = "Himali Weerahandi and Nathan Goldstein and Gelfman, {Laura P.} and Ulrich Jorde and Kirkpatrick, {James N.} and Edith Meyerson and Judith Marble and Yoshifumi Naka and Sean Pinney and Slaughter, {Mark S.} and Emilia Bagiella and Ascheim, {Deborah D.}",
note = "Funding Information: This work was supported by the Mount Sinai Claude D Pepper Older Americans Independence Center (P30 AG028741; New York, NY; Washington D.C.), grants from the Kornfeld Program in Bioethics (New York, NY), the Greenwall Foundation (New York, NY), and the NRSA T32 training grant (T32-HP10262; Washington D.C.). They had no role in the collection, analysis, or interpretation of data. They played no role in writing the report or in the decision to submit the article for publication. Funding Information: This work was supported by the Mount Sinai Claude D Pepper Older Americans Independence Center ( P30 AG028741 ; New York, NY; Washington D.C.), grants from the Kornfeld Program in Bioethics (New York, NY), the Greenwall Foundation (New York, NY), and the NRSA T32 training grant (T32-HP10262; Washington D.C.). They had no role in the collection, analysis, or interpretation of data. They played no role in writing the report or in the decision to submit the article for publication. Funding Information: Dr. Pinney has received consulting fees and honoraria from Thoratec, Inc. Dr. Slaughter has received research and grant support from HeartWare. Publisher Copyright: {\textcopyright} 2017 American Academy of Hospice and Palliative Medicine",
year = "2017",
month = dec,
doi = "10.1016/j.jpainsymman.2017.05.002",
language = "English (US)",
volume = "54",
pages = "870--876.e1",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "6",
}