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Anxiety and Depress...
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Kovacs, Adrienne H.Equilibria Psychological Health, Toronto, Ontario (CAN),Equilibria Psychological Health, ON, Toronto, Canada
(author)
Anxiety and Depression in Adults With Congenital Heart Disease
- Article/chapterEnglish2024
Publisher, publication year, extent ...
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Elsevier Inc.2024
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:hv-21218
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https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-21218URI
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https://doi.org/10.1016/j.jacc.2023.10.043DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-219533URI
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https://gup.ub.gu.se/publication/335236URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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This work was supported by the Research Fund–KU Leuven (Leuven, Belgium) through grant OT/11/033, by the Swedish Heart-Lung Foundation (Sweden) through grant number 20130607, by the University of Gothenburg Centre for Person-Centered Care (Gothenburg, Sweden), by the Cardiac Children’s Foundation (Taiwan) through grant CCF2013_02, by the Research Foundation Flanders through grant 1159522N, and by the Ricerca Corrente funding from the Italian Ministry of Health to IRCCS Policlinico San Donato.
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Background: A comprehensive understanding of adult congenital heart disease outcomes must include psychological functioning. Our multisite study offered the opportunity to explore depression and anxiety symptoms within a global sample.Objectives: In this substudy of the APPROACH-IS (Assessment of Patterns of Patient-Reported Outcomes in Adults With Congenital Heart Disease–International Study), the authors we investigated the prevalence of elevated depression and anxiety symptoms, explored associated sociodemographic and medical factors, and examined how quality of life (QOL) and health status (HS) differ according to the degree of psychological symptoms.Methods: Participants completed the Hospital Anxiety and Depression Scale, which includes subscales for symptoms of anxiety (HADS-A) and depression (HADS-D). Subscale scores of 8 or higher indicate clinically elevated symptoms and can be further categorized as mild, moderate, or severe. Participants also completed analogue scales on a scale of 0 to 100 for QOL and HS. Analysis of variance was performed to investigate whether QOL and HS differed by symptom category.Results: Of 3,815 participants from 15 countries (age 34.8 ± 12.9 years; 52.7% female), 1,148 (30.1%) had elevated symptoms in one or both subscales: elevated HADS-A only (18.3%), elevated HADS-D only (2.9%), or elevations on both subscales (8.9%). Percentages varied among countries. Both QOL and HS decreased in accordance with increasing HADS-A and HADS-D symptom categories (P < 0.001).Conclusions: In this global sample of adults with congenital heart disease, almost one-third reported elevated symptoms of depression and/or anxiety, which in turn were associated with lower QOL and HS. We strongly advocate for the implementation of strategies to recognize and manage psychological distress in clinical settings. (Patient-Reported Outcomes in Adults With Congenital Heart Disease [APPROACH-IS]; NCT02150603)
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Luyckx, KoenSchool Psychology and Development in Context, KU Leuven–University of Leuven, Leuven (BEL); UNIBS, University of the Free State, Bloemfontein (ZAF),School Psychology and Development in Context, KU Leuven–University of Leuven, Leuven, Belgium; UNIBS, University of the Free State, Bloemfontein, South Africa
(author)
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Thomet, CorinaCenter for Congenital Heart Disease, Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern (CHE),Center for Congenital Heart Disease, Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
(author)
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Budts, WernerDivision of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven (BEL); KU Leuven Department of Cardiovascular Sciences, KU Leuven–University of Leuven, Leuven (BEL),Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; KU Leuven Department of Cardiovascular Sciences, KU Leuven–University of Leuven, Leuven, Belgium
(author)
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Enomoto, JunkoDepartment of Education, Toyo University, Tokyo, Japan
(author)
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Sluman, Maayke A.Department of Cardiology, Academic Medical Center, Amsterdam (NLD); Department of Cardiology, Jeroen Bosch Hospital, ‘s-Hertogenbosch (NLD),Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands; Department of Cardiology, Jeroen Bosch Hospital, ‘s-Hertogenbosch, Netherlands
(author)
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Lu, Chun-WeiDepartment of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan,Department of Pediatrics, National Taiwan University Hospital, Taipei (TWN)
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Jackson, Jamie L.Center for Biobehavioral Health, Nationwide Children's Hospital, OH, Columbus, United States
(author)
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Khairy, PaulAdult Congenital Heart Center, Montreal Heart Institute, Université de Montréal, Montreal (CAN),Adult Congenital Heart Center, Montreal Heart Institute, Université de Montréal, Montreal, Canada
(author)
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Cook, Stephen C.IU Health Adult Congenital Heart Disease Program, IU School of Medicine, Indianapolis, Indiana (USA),IU Health Adult Congenital Heart Disease Program, IU School of Medicine, IN, Indianapolis, United States
(author)
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Chidambarathanu, ShanthiPediatric Cardiology, Frontier Lifeline Hospital (Dr K. M. Cherian Heart Foundation), Chennai, India
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Alday, LuisDivision of Cardiology, Hospital de Niños, Córdoba (ARG),Division of Cardiology, Hospital de Niños, Córdoba, Argentina
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Estensen, Mette-EliseDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo (NOR),Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway
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Dellborg, Mikael,1954Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xdelmi
(author)
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Berghammer, Malin,1970-Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,LOVHH,Department of Health Sciences, University West, Trollhättan, Sweden; The Queen Silva Children's Hospital, Gothenburg, Sweden(Swepub:hv)malber
(author)
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Johansson, BengtUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery and Perioperative Sciences, Umeå University, Umeå (SWE)(Swepub:umu)bejo0003
(author)
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Mackie, Andrew S.Division of Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, Alberta (CAN),Division of Cardiology, Stollery Children's Hospital, University of Alberta, AB, Edmonton, Canada
(author)
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Menahem, SamuelDepartment of Paediatrics and School of Clinical Sciences, Monash University, Melbourne, Victoria (AUS),Department of Paediatrics and School of Clinical Sciences, Monash University, VIC, Melbourne, Australia
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Caruana, MaryanneDepartment of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta
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Veldtman, GruschenAdult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, OH, Cincinnati, United States
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Soufi, AlexandraDepartment of Cardiac Rehabilitation, Médipôle Hôpital Mutualiste, Lyon-Villeurbanne (FRA),Department of Cardiac Rehabilitation, Médipôle Hôpital Mutualiste, Lyon-Villeurbanne, France
(author)
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Jameson, Susan M.Adult Congenital Heart Program at Stanford, Lucile Packard Children’s Hospital and Stanford Health Care, Palo Alto, California (USA),Adult Congenital Heart Program at Stanford, Lucile Packard Children's Hospital and Stanford Health Care, CA, Palo Alto, United States
(author)
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Callus, EdwardClinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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Kutty, ShelbyAdult Congenital Heart Disease Center University of Nebraska Medical Center/ Children's Hospital and Medical Center, NE, Omaha, United States
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Oechslin, ErwinToronto Adult Congenital Heart Disease Program, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario (CAN); University of Toronto, Toronto, Ontario,(CAN),Toronto Adult Congenital Heart Disease Program, Peter Munk Cardiac Centre, University Health Network, ON, Toronto, Canada; University of Toronto, ON, Toronto, Canada
(author)
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Van Bulck, LiesbetKU Leuven Department of Public Health and Primary Care, KU Leuven–University of Leuven, Leuven (BEL); Research Foundation Flanders (FWO), Brussels (BEL),KU Leuven Department of Public Health and Primary Care, KU Leuven–University of Leuven, Leuven, Belgium; Research Foundation Flanders (FWO), Brussels, Belgium
(author)
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Moons, Philip,1968Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences(Swepub:gu)xmooph
(author)
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Equilibria Psychological Health, Toronto, Ontario (CAN)Equilibria Psychological Health, ON, Toronto, Canada
(creator_code:org_t)
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In:Journal of the American College of Cardiology: Elsevier Inc.83:3, s. 430-4410735-10971558-3597
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Kovacs, Adrienne ...
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Luyckx, Koen
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Thomet, Corina
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Budts, Werner
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Enomoto, Junko
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Sluman, Maayke A ...
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Lu, Chun-Wei
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Jackson, Jamie L ...
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Khairy, Paul
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Cook, Stephen C.
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Chidambarathanu, ...
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Alday, Luis
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Estensen, Mette- ...
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Dellborg, Mikael ...
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Berghammer, Mali ...
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Johansson, Bengt
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Mackie, Andrew S ...
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Menahem, Samuel
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Caruana, Maryann ...
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Veldtman, Grusch ...
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Soufi, Alexandra
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Jameson, Susan M ...
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Callus, Edward
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Kutty, Shelby
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Oechslin, Erwin
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Van Bulck, Liesb ...
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Moons, Philip, 1 ...
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University West
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Umeå University
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University of Gothenburg