{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:36:08Z","timestamp":1777516568180,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n                    Implantable Cardioverter Defibrillators (ICDs) are essential for managing life-threatening arrhythmias but can impact patients\u2019 quality of life (QoL), mood, and sexual health. Although QoL may improve shortly after implantation, factors such as age, psychological state, and ICD shocks can influence long-term outcomes. Anxiety, depression, and fears around physical and sexual activity are common among ICD patients, yet the depth of these effects remains underexplored. This cross-sectional, correlational study examined associations between QoL, mood, and sexual health in 30 adult ICD patients (ages 27\u201383) within 3\u2009years postimplantation, recruited from a Southeastern U.S. academic medical center. Participants completed the SF-36, Profile of Mood States, and Multidimensional Sexuality Questionnaire. Spearman\u2019s correlations indicated that lower QoL was significantly associated with higher mood disturbance (rho\u2009=\u2009\u22120.645,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001) and lower sexual health (rho\u2009=\u20090.535,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.005), though no significant link was found between mood disturbance and sexual health (rho\u2009=\u2009\u22120.279,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.168). Multiple linear regression confirmed that QoL was influenced by both mood and sexual health. Post-hoc power analysis using EpiData verified that the sample size (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200930) provided 90% power with a 5% error rate. These findings underscore the importance of addressing emotional and sexual well-being in ICD patient care. Targeted interventions could improve outcomes, but further research with larger samples is needed to deepen understanding of these relationships.\n                  <\/jats:p>","DOI":"10.1177\/10547738251347417","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T04:04:44Z","timestamp":1750305884000},"page":"255-261","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Life, Mood Disturbance, and Sexual Health in Implantable Cardioverter Defibrillators Recipients"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7678-4894","authenticated-orcid":false,"given":"Rosa Amelia","family":"Herrera Viancha","sequence":"first","affiliation":[{"name":"Mayo Clinic in Florida, Jacksonville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sueny Paloma","family":"Lima dos Santos","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Biostatistics and Medical Epidemiology, Missouri, USA"},{"name":"Center for Nutrition and Health Impact, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga Roc\u00edo","family":"G\u00f3mez Ortega","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda Universidad Nacional de Colombia, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6886-1187","authenticated-orcid":false,"given":"Magda Lucia","family":"Fl\u00f3rez Fl\u00f3rez","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda Universidad Nacional de Colombia, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy C.","family":"Moore","sequence":"additional","affiliation":[{"name":"Mayo Clinic in Florida, Jacksonville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3757-5823","authenticated-orcid":false,"given":"Cindy","family":"Tofthagen","sequence":"additional","affiliation":[{"name":"Mayo Clinic in Florida, Jacksonville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Al-Khatib S. M. Stevenson W. G. Ackerman M. J. Bryant W. J. Callans D. J. Curtis A. B. Deal B. J. Dickfeld T. Field M. E. Fonarow G. C. Gillis A. M. Granger C. B. Hammill S. C. Hlatky M. A. Joglar J. A. Kay G. N. Matlock D. D. Myerburg R. J. Page R. L. (2018). 2017 AHA\/ACC\/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 138(13) e272\u2013e391. https:\/\/doi.org\/10.1161\/cir.0000000000000549","DOI":"10.1161\/CIR.0000000000000548"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"Berg S. K. Elleman-Jensen L. Zwisler A. D. Winkel P. Svendsen J. H. Pedersen P. U. Moons P. (2013). Sexual concerns and practices after ICD implantation: findings of the COPE-ICD rehabilitation trial. European Journal of Cardiovascular Nursing 12(5) 468\u2013474. https:\/\/doi.org\/10.1177\/1474515112473528","DOI":"10.1177\/1474515112473528"},{"key":"e_1_3_4_4_1","volume-title":"EpiData-comprehensive data management and basic statistical analysis system","author":"Christiansen T.","year":"2010","unstructured":"Christiansen T., Lauritsen J. (2010). EpiData-comprehensive data management and basic statistical analysis system. Odense: EpiData Association."},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","unstructured":"Cook S. C. Valente A. M. Maul T. M. Dew M. A. Hickey J. Jennifer Burger P. Harmon A. Clair M. Webster G. Cecchin F. Khairy P. (2013). Shock-related anxiety and sexual function in adults with congenital heart disease and implantable cardioverter-defibrillators. 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