Sexual Health

Quality of Life, Mood Disturbance, and Sexual Health in Implantable Cardioverter Defibrillators Recipients.

TL;DR

Lower quality of life was significantly associated with higher mood disturbance and lower sexual health in ICD recipients, underscoring the importance of addressing emotional and sexual well-being in ICD patient care.

Key Findings

Lower quality of life was significantly associated with higher mood disturbance in ICD patients.

  • Spearman's correlation: rho = -0.645, p < .001
  • Measured using the SF-36 (QoL) and Profile of Mood States (mood disturbance)
  • Cross-sectional, correlational study design with 30 adult ICD patients
  • Participants were ages 27-83, recruited within 3 years postimplantation from a Southeastern U.S. academic medical center

Lower quality of life was significantly associated with lower sexual health in ICD patients.

  • Spearman's correlation: rho = 0.535, p = .005
  • Sexual health measured using the Multidimensional Sexuality Questionnaire
  • QoL measured using the SF-36
  • Sample consisted of 30 adult ICD recipients

No significant association was found between mood disturbance and sexual health in ICD patients.

  • Spearman's correlation: rho = -0.279, p = .168
  • Mood measured with the Profile of Mood States; sexual health with the Multidimensional Sexuality Questionnaire
  • This non-significant finding suggests mood disturbance and sexual health may operate as independent contributors to QoL

Multiple linear regression confirmed that quality of life in ICD patients was influenced by both mood disturbance and sexual health.

  • Both mood disturbance and sexual health were retained as significant predictors of QoL in the regression model
  • Analyses used SF-36, Profile of Mood States, and Multidimensional Sexuality Questionnaire as instruments
  • Study used a cross-sectional, correlational design

The study sample of 30 participants provided 90% statistical power at a 5% error rate.

  • Post-hoc power analysis was conducted using EpiData
  • Sample size was n = 30 adult ICD patients
  • Participants were recruited from a Southeastern U.S. academic medical center within 3 years of ICD implantation
  • Authors noted further research with larger samples is needed to deepen understanding of these relationships

Anxiety, depression, and fears around physical and sexual activity are common among ICD patients but remain underexplored.

  • The abstract notes that QoL may improve shortly after ICD implantation but that factors such as age, psychological state, and ICD shocks can influence long-term outcomes
  • The depth of these effects on mood and sexual health was identified as underexplored in existing literature
  • The study was motivated by a gap in understanding the interplay of these psychosocial factors in ICD recipients

What This Means

This research suggests that people living with implantable cardioverter defibrillators (ICDs) — devices implanted in the chest to correct dangerous heart rhythms — experience meaningful connections between their overall quality of life, emotional well-being, and sexual health. In a study of 30 ICD patients ranging in age from 27 to 83, researchers found that those who reported worse quality of life also tended to report greater mood disturbances (such as anxiety or depression) and poorer sexual health. These associations were statistically significant and were confirmed using multiple analytical approaches. Interestingly, mood disturbance and sexual health did not appear to be directly linked to each other — instead, they each seem to independently affect quality of life. This suggests that emotional struggles and sexual health concerns are distinct issues that may both need to be addressed separately in caring for ICD patients, rather than assuming that treating one will automatically improve the other. This research suggests that ICD care should extend beyond managing heart rhythm and device function to also include support for patients' emotional and sexual well-being. The authors call for targeted interventions addressing these areas and for future studies with larger patient groups to better understand these relationships. The findings highlight that living with an ICD affects multiple dimensions of a person's life, and holistic care approaches may lead to better overall outcomes for patients.

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Citation

Herrera Viancha R, Lima Dos Santos S, G&#xf3;mez Ortega O, Fl&#xf3;rez Fl&#xf3;rez M, Moore W, Tofthagen C. (2025). Quality of Life, Mood Disturbance, and Sexual Health in Implantable Cardioverter Defibrillators Recipients.. Clinical nursing research. https://doi.org/10.1177/10547738251347417