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Despite the effectiveness of an implantable cardioverter defibrillator (ICD), its implantation and concomitant therapies, including shocks, can induce psychological distress in patients. Depression has been observed in approximately 30% of ICD patients, and shocks may contribute to the persistence of depression. Anxiety is common, with reports of 24-87% of ICD patients experiencing symptoms of anxiety after implantation, and type D personality and ICD-related concerns may play important rolesdoi:10.1016/j.joa.2013.05.006 fatcat:xnaediddl5grhlu7njknmzjzdy