Journal Article

DZNE-2025-00285

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator.

Dörner, M. (First author)DZNE* ; von Känel, R. ; Pazhenkottil, A. P. ; Altwegg, R. ; König, N. ; Nager, L. ; Attanasio, V. ; Guth, L. ; Zirngast, S. ; Menzi, A. ; Zuccarella-Hackl, C. ; Princip, M.

2025
Springer Nature [London]

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Please use a persistent id in citations: doi:10.1038/s41598-025-88470-x

Abstract: Illness perceptions (IP), as measured by the Brief Illness Perception Questionnaire (BIPQ), and adverse childhood experiences (ACE) have been shown to affect the physical and psychological well-being in different patient populations. However, little is known about IP and ACE in patients with an implantable cardioverter-defibrillator (ICD). Our objectives were to investigate the dimensional structure and to evaluate correlates of the BIPQ in ICD patients. 423 patients with an ICD were prospectively recruited. We conducted a principal component analysis to determine the dimensional structure of the BIPQ. Associations between ACE, other sociodemographic and clinical variables, and IP were analysed using a multivariable linear regression. We identified a two-factor structure (I = Consequences, II = Control) of the BIPQ. Among others, a higher number of ICD shocks in the past (0.21, 95% CI = 0.01-0.41, p = 0.036), low physical activity (-2.16, 95% CI = -4.37 to -0.37, p = 0.045), more frequent ACE (0.56, 95% CI = 0.08-1.22, p = 0.030), ICD shock-related concerns (0.75, 95% CI 0.62-0.89, p < 0.001), and primary ICD indication (-2.29, 95% CI -4.47 to -0.11, p = 0.039) were significantly associated with more threatening IP. The identification of those variables might lead to more precise interventions targeting maladaptive IP in this vulnerable patient population.

Keyword(s): Humans (MeSH) ; Defibrillators, Implantable: psychology (MeSH) ; Male (MeSH) ; Female (MeSH) ; Surveys and Questionnaires (MeSH) ; Adverse Childhood Experiences (MeSH) ; Middle Aged (MeSH) ; Aged (MeSH) ; Prospective Studies (MeSH) ; Perception (MeSH) ; Adverse childhood experiences ; Dimensional structure of the Brief Illness Perception Questionnaire ; ICD shocks ; Illness perception ; Implantable cardioverter-defibrillator ; Physical activity

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Contributing Institute(s):

1. Mixed Cerebral Pathologies and Cognitive Aging (AG Schreiber)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2025

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