TY  - JOUR
AU  - Dörner, Marc
AU  - von Känel, Roland
AU  - Pazhenkottil, Aju P
AU  - Altwegg, Rahel
AU  - König, Noelle
AU  - Nager, Ladina
AU  - Attanasio, Veronica
AU  - Guth, Lisa
AU  - Zirngast, Sina
AU  - Menzi, Anna
AU  - Princip, Mary
AU  - Zuccarella-Hackl, Claudia
TI  - Cross-sectional study on the impact of adverse childhood experiences on psychological distress in patients with an implantable cardioverter-defibrillator.
JO  - Journal of psychosomatic research
VL  - 189
SN  - 0022-3999
CY  - Amsterdam [u.a.]
PB  - Elsevier Science
M1  - DZNE-2025-00116
SP  - 112033
PY  - 2025
AB  - Previous studies implied detrimental effects of adverse childhood experiences (ACE) on cardiovascular disease and mental health. Still, data on the influence of ACE on psychological distress in patients with an implantable cardioverter-defibrillator (ICD) are lacking.We prospectively recruited 423 patients with an ICD. To determine associations between ACE (ACE questionnaire, cut-off ≥4), depression (Patient Health Questionnaire-8), anxiety (Generalized Anxiety Disorder-7 scale), and post-traumatic stress disorder (PTSD) symptoms (Post-Traumatic Stress Diagnostic Scale), we conducted a binary logistic regression analysis. Regression models were adjusted for conventional risk factors of psychological distress in ICD patients. To identify indirect mediating effects of resilience (Resilience Scale) on ACE and psychological distress, we applied the PROCESS regression path analysis modeling tool.49.1 
KW  - Humans
KW  - Defibrillators, Implantable: psychology
KW  - Female
KW  - Male
KW  - Cross-Sectional Studies
KW  - Middle Aged
KW  - Psychological Distress
KW  - Adverse Childhood Experiences
KW  - Stress Disorders, Post-Traumatic: psychology
KW  - Anxiety: psychology
KW  - Aged
KW  - Depression: psychology
KW  - Adult
KW  - Resilience, Psychological
KW  - Prospective Studies
KW  - Risk Factors
KW  - Stress, Psychological: psychology
KW  - Adverse childhood experiences (Other)
KW  - Anxiety (Other)
KW  - Depression (Other)
KW  - Implantable cardioverter-defibrillator (Other)
KW  - Post-traumatic stress disorder (Other)
KW  - Resilience (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:39787970
DO  - DOI:10.1016/j.jpsychores.2024.112033
UR  - https://pub.dzne.de/record/275881
ER  -