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dc.contributor.authorWalters, TE
dc.contributor.authorWick, K
dc.contributor.authorTan, G
dc.contributor.authorMearns, M
dc.contributor.authorJoseph, SA
dc.contributor.authorMorton, JB
dc.contributor.authorSanders, P
dc.contributor.authorBryant, C
dc.contributor.authorKistler, PM
dc.contributor.authorKalman, JM
dc.date.accessioned2020-12-09T23:13:12Z
dc.date.available2020-12-09T23:13:12Z
dc.date.issued2018-09-18
dc.identifier.citationWalters, T. E., Wick, K., Tan, G., Mearns, M., Joseph, S. A., Morton, J. B., Sanders, P., Bryant, C., Kistler, P. M. & Kalman, J. M. (2018). Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy. JOURNAL OF THE AMERICAN HEART ASSOCIATION, 7 (18), https://doi.org/10.1161/JAHA.117.005502.
dc.identifier.issn2047-9980
dc.identifier.urihttp://hdl.handle.net/11343/253170
dc.description.abstractBackground An association between atrial fibrillation ( AF ), anxiety, and depression is recognized, but the spectrum of psychological distress remains unclear. We aimed to characterize the severity and predictors of distress associated with AF in a tertiary population and its response to AF management. Methods and Results Seventy-eight patients with symptomatic AF underwent evaluation, including of AF symptom severity, health-related quality of life, psychological distress, suicidal ideation, and specific personality traits. Twenty participants underwent AF ablation and 58 were managed medically, with repeat assessments at 4, 8, and 12 months. Severe distress (Hospital Anxiety and Depression Scale score, ≥15/42) was identified in 27 of 78 (35%). Independent predictors were a personality marked by vulnerability to stress (Perceived Stress Scale: R2, 0.54; β=0.7±0.1; t=7.8; P<0.001) and 1 marked by negativity/social inhibition (Type D Personality Scale: R2, 0.47; β=0.7±0.1; t=6.7; P<0.001). Suicidal ideation was reported by 16 of 78 (20%) and was predicted by personality traits (Perceived Stress Scale score: R2, 0.35; odds ratio, 1.22±0.06; P<0.001; Type D Personality Scale score: R2, 0.48; odds ratio, 1.43±0.14; P<0.001). Effective AF ablation (median AF burden 1% [0-1%] over 12 months) was associated with significant reductions in distress (Hospital Anxiety and Depression Scale score, 13.9±1.8 to 4.3±1.8; P<0.05) and prevalence of suicidal ideation (30-5%; P=0.02). Conclusions There was a high prevalence of severe psychological distress (35%) and of suicidal ideation (20%) in a tertiary AF population, with personality traits predicting both. Effective AF ablation was associated with significant improvements, suggesting AF itself may be a treatable causative factor of distress.
dc.languageEnglish
dc.publisherWILEY
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.titlePsychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy
dc.typeJournal Article
dc.identifier.doi10.1161/JAHA.117.005502
melbourne.affiliation.departmentMelbourne School of Psychological Sciences
melbourne.affiliation.departmentMedicine (RMH)
melbourne.affiliation.departmentMedicine, Western Health
melbourne.affiliation.departmentMelbourne Medical School
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleJournal of the American Heart Association
melbourne.source.volume7
melbourne.source.issue18
dc.rights.licenseCC BY-NC
melbourne.elementsid1354996
melbourne.contributor.authorMorton, Joseph
melbourne.contributor.authorKalman, Jonathan
melbourne.contributor.authorKistler, Peter
melbourne.contributor.authorBryant, Christina
dc.identifier.eissn2047-9980
melbourne.accessrightsOpen Access


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