The relationship between mental problem and adult congenital heart disease.
Jocelyn (Junru) Liu
Adrienne’s 2009 study aimed to find determinants of depression and anxiety symptoms, as well as assess the incidence of mood and anxiety disorders among North American ACHD patients. Consecutive patients from two ACHD outpatient clinics were recruited for this cross-sectional investigation. All patients filled out self-report psychosocial questionnaires, and a subset was chosen at random to take part in formal clinical interviews. Depression and anxiety symptoms were predicted using linear regression models.
Self-report measures were completed by a total of 280 patients (mean age = 32 years; 52% female). Sixty percent of the flaws were of moderate complexity, while 31% were of considerable complexity. Loneliness (p 0.001), perceived health state (p 0.001), and fear of unfavourable appraisal (p = 0.02) were all significant predictors of depressed symptoms. Loneliness (p 0.001) and fear of unfavourable judgement (p 0.001) were found to be significant predictors of anxiety symptoms. The severity of the disease and its functional class had no bearing on mood or anxiety symptoms. Fifty percent of individuals interviewed (29/58) fulfilled diagnostic criteria for at least one mood or anxiety disorder in their lives, with 39% having never had any mental health therapy. The findings support an increased risk of mood and anxiety problems in ACHD patients, as well as undertreatment of these illnesses. Medical characteristics were less predictive of sadness and anxiety than social adjustment and patient-perceived health status. These variables are changeable, making them a possible intervention target.
Kovacs, Saidi, A. S., Kuhl, E. A., Sears, S. F., Silversides, C., Harrison, J. L., Ong, L., Colman, J., Oechslin, E., & Nolan, R. P. (2008). Depression and anxiety in adult congenital heart disease: Predictors and prevalence. International Journal of Cardiology, 137(2), 158–164. https://doi.org/10.1016/j.ijcard.2008.06.042