Interventional Study of Anxiety Symptoms in the Implantable Cardioverter Defibrillator (ICD) Patient

NCT ID: NCT00851071

Last Updated: 2017-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2017-12-20

Brief Summary

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This study will compare the effectiveness that Cognitive Behavioral Therapy has on decreasing the amount of anxiety, as well as the number of inappropriate firings that a patient with an ICD may experience.

Detailed Description

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This study is an interventional study of patients with ICDs followed in the Cleveland Clinic Device Clinic. Patients with ICDs experience some level of anxiety which can impact the number of shocks that they receive from their Device. 100 of these patients will be randomized into one of 2 groups; those receiving three sessions of Cognitive Behavioral Therapy (CBT) and those receiving usual care. We hypothesize that if these ICD patients receive short term (CBT) they will experience less anxiety and have a lower rate of device firings than the patients that did not receive CBT. Furthermore, we will study mechanistic pathways involved in the reduction of anxiety in ICD patients. We will extract initial heart rate variability (HRV) data from device interrogation. We hypothesize that the CBT intervention arm will have a higher normalization of HRV. Patients will repeat questionnaires at 3, 6 and 12 months.

Conditions

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Anxiety

Keywords

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Anxiety Implantable Cardioverter Defibrillator (ICD) Defibrillators, Implantable

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cognitive Behavioral Therapy

Three individual 45 minute cognitive behavioral therapy sessions over a 3 month period

Group Type ACTIVE_COMPARATOR

Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

Three 45 minute CBT sessions scheduled over a 3 month period.

Usual Care Arm

The Usual Care Arm will be the control arm. These patients will not be scheduled with any CBT sessions.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cognitive Behavioral Therapy

Three 45 minute CBT sessions scheduled over a 3 month period.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Currently has an Implantable Cardioverter Defibrillator (ICD)
* Experiences moderate to high anxiety as demonstrated by the the scores on the questionnaires that will be administered

Exclusion Criteria

* Unwilling to comply with follow-up requirements at 3, 6 and 12 months.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Mina Chung

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mina K Chung, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Leopoldo J Pozuelo, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Qintar M, George JJ, Panko M, Bea S, Broer KA, St John J, Blissett KA, Ching E, Sears SF, Pedersen SS, Pozuelo L, Chung MK. A prospective study of anxiety in ICD patients with a pilot randomized controlled trial of cognitive behavioral therapy for patients with moderate to severe anxiety. J Interv Card Electrophysiol. 2015 Jun;43(1):65-75. doi: 10.1007/s10840-015-9990-7. Epub 2015 Mar 17.

Reference Type DERIVED
PMID: 25779222 (View on PubMed)

Study Documents

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Document Type: Publication

View Document

Other Identifiers

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IRB# 08-913

Identifier Type: -

Identifier Source: org_study_id