Quality of life and emotional distress early after left ventricular assist device implant: A mixed-method study

Maddalena Modica, Maurizio Ferratini, Anna Torri, Fabrizio Oliva, Luigi Martinelli, Renata De Maria, Maria Frigerio

Research output: Contribution to journalArticle

Abstract

Patients who temporarily or permanently rely on left ventricular assist devices (LVADs) for end-stage heart failure face complex psychological, emotional, and relational problems. We conducted a mixed-method study to investigate quality of life, psychological symptoms, and emotional and cognitive reactions after LVAD implant. Twenty-six patients admitted to cardiac rehabilitation were administered quality of life questionnaires (Short Form 36 of the Medical Outcomes Study and Minnesota Living with Heart Failure Questionnaire), the Hospital Anxiety and Depression Scale, and the Coping Orientation for Problem Experiences inventory, and underwent three in-depth unstructured interviews within 2 months after LVAD implant. Quality of life assessment (Short Form 36) documented persistently low physical scores whereas mental component scores almost achieved normative values. Clinically relevant depression and anxiety were observed in 18 and 18% of patients, respectively; avoidant coping scores correlated significantly with both depression and anxiety (Pearson correlation coefficients 0.732, P

Original languageEnglish
Pages (from-to)220-227
Number of pages8
JournalArtificial Organs
Volume39
Issue number3
DOIs
Publication statusPublished - Mar 1 2015

Keywords

  • Avoidant coping
  • Left ventricular assist device
  • Mechanical circulatory support
  • Psychological symptoms
  • Qualitative interview
  • Quality of life

ASJC Scopus subject areas

  • Biomaterials
  • Biomedical Engineering
  • Bioengineering
  • Medicine (miscellaneous)

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