title: Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs).
abstract: Rates of sleep disorders and associated adjustment were examined in patients with implantable cardioverter defibrillators (ICDs; n = 42; Mage = 61.57, SD = 12.60). One night of ambulatory polysomnography, 14 days of sleep diaries, and questionnaires (mood, sleepiness, fatigue, device acceptance) were administered. Controlling for ischemia, MANCOVA examined adjustment by sleep diagnosis. Apnea was most common (28.6%), followed by Insomnia (16.7%) and Comorbid Insomnia/Apnea (11.9%). Patients with insomnia reported poorer mood, greater sleepiness, and lower device acceptance than good sleepers; they also demonstrated poorer mood and less ICD device acceptance than patients with sleep apnea. Patients with comorbid insomnia/apnea also exhibited poorer mood and less ICD device acceptance than good sleepers; however, comorbid patients did not significantly differ from insomnia or apnea patients on any measure. Those with disordered sleep (regardless of type) reported greater fatigue than good sleepers. Assessment (and treatment) of difficulties with sleep, mood, fatigue, and device acceptance may be important for the comprehensive clinical management of ICD patients. Further research appears warranted.
authors.affiliation: a Department of Clinical and Health Psychology University of Florida.
authors.forename: Christina S
authors.initials: CS
authors.lastname: McCrae
authors.affiliation: a Department of Clinical and Health Psychology University of Florida.
authors.forename: Alicia J
authors.initials: AJ
authors.lastname: Roth
authors.affiliation: b Department of Psychology East Carolina University.
authors.forename: Jessica
authors.initials: J
authors.lastname: Ford
authors.affiliation: a Department of Clinical and Health Psychology University of Florida.
authors.forename: Earl C
authors.initials: EC
authors.lastname: Crew
authors.affiliation: c Department of Medicine University of Florida.
authors.forename: Jamie B
authors.initials: JB
authors.lastname: Conti
authors.affiliation: c Department of Medicine University of Florida.
authors.forename: Richard B
authors.initials: RB
authors.lastname: Berry
authors.affiliation: b Department of Psychology East Carolina University.
authors.forename: Samuel F
authors.initials: SF
authors.lastname: Sears
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D015897:Comorbidity; D017147:Defibrillators, Implantable / Q000009:adverse effects* / Q000523:psychology*; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D017286:Polysomnography; D012890:Sleep / Q000502:physiology*; D012891:Sleep Apnea Syndromes / Q000453:epidemiology / Q000209:etiology; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology / Q000209:etiology; D012894:Sleep Stages; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires