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Psychische Störungen nach ICD-Mehrfachschocks und deren psychotherapeutische Behandlung

Psychological disorders after multiple ICD shocks and their psychotherapeutic management

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Der Kardiologe Aims and scope

Zusammenfassung

Mehrfachschocks stellen für viele der Betroffenen eine massive außeralltägliche Belastung dar. Trotzdem werden die psychischen Auswirkungen sowie Erfolg versprechende psychotherapeutische Behandlungstechniken erst in den letzten Jahren wissenschaftlich untersucht. Derzeit ist bekannt, dass mehrere Schockabgaben in einem kleinen Zeitfenster zu vermehrten psychischen Problemen führen, unter anderem zu Depressionen, Angststörungen oder posttraumatischen Belastungsstörungen. Insbesondere die Applikation von 5 oder mehr ICD-Schocks ist mit einer verschlechterten Lebensqualität und psychischen Beeinträchtigungen verbunden. Für Betroffene gibt es allerdings nur ungenügend Hilfsangebote. Dies liegt zum einen an der uneinheitlichen Klassifizierung psychischer Folgeerscheinungen als auch an der geringen Forschung auf diesem Gebiet. Aufklärung von Betroffenen sowie entsprechende Hilfsangebote sollten vom Kardiologen in die Patientenbetreuung integriert werden, um die psychischen Folgeerscheinungen von Mehrfachschocks zu reduzieren bzw. ihnen vorzubeugen.

Abstract

Research on the psychological influence of electrical storms is rare compared to the number of patients suffering from these major events. It is known that multiple shocks within a short period of time can lead to depression, anxiety or post-traumatic stress disorder, influencing the everyday life of patients. Especially patients experiencing five or more shocks report a significant reduction in quality of life as well as associated symptoms of psychological impairment. However, only a few therapeutic programmes exist. Inconsistencies in classification of psychological symptoms might be responsible for this lack of research. To improve clinical and out-of-hospital care cardiologists should provide psychoeducation and collaborate with psychologists specialized in addressing the needs of these patients.

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Ginzburg, D., Tavenaux, M., Sperzel, J. et al. Psychische Störungen nach ICD-Mehrfachschocks und deren psychotherapeutische Behandlung. Kardiologe 5, 114–121 (2011). https://doi.org/10.1007/s12181-011-0331-5

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