Anxiety and Depression in Adults With Congenital Heart Disease

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Anxiety and Depression in Adults With Congenital Heart Disease

Kovacs, Adrienne H. (författare): Equilibria Psychological Health, Toronto, Ontario (CAN),Equilibria Psychological Health, ON, Toronto, Canada

Luyckx, Koen (författare): School 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

Thomet, Corina (författare): Center 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

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Budts, Werner (författare): Division 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

Enomoto, Junko (författare): Department of Education, Toyo University, Tokyo, Japan

Sluman, Maayke A. (författare): 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

Lu, Chun-Wei (författare): Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan,Department of Pediatrics, National Taiwan University Hospital, Taipei (TWN)

Jackson, Jamie L. (författare): Center for Biobehavioral Health, Nationwide Children's Hospital, OH, Columbus, United States

Khairy, Paul (författare): Adult Congenital Heart Center, Montreal Heart Institute, Université de Montréal, Montreal (CAN),Adult Congenital Heart Center, Montreal Heart Institute, Université de Montréal, Montreal, Canada

Cook, Stephen C. (författare): 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

Chidambarathanu, Shanthi (författare): Pediatric Cardiology, Frontier Lifeline Hospital (Dr K. M. Cherian Heart Foundation), Chennai, India

Alday, Luis (författare): Division of Cardiology, Hospital de Niños, Córdoba (ARG),Division of Cardiology, Hospital de Niños, Córdoba, Argentina

Estensen, Mette-Elise (författare): Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo (NOR),Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway

Dellborg, Mikael, 1954 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine

Berghammer, Malin, 1970- (författare): Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,LOVHH,Department of Health Sciences, University West, Trollhättan, Sweden; The Queen Silva Children's Hospital, Gothenburg, Sweden

Johansson, Bengt (författare): Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery and Perioperative Sciences, Umeå University, Umeå (SWE)

Mackie, Andrew S. (författare): 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

Menahem, Samuel (författare): Department 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

Caruana, Maryanne (författare): Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta

Veldtman, Gruschen (författare): Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, OH, Cincinnati, United States

Soufi, Alexandra (författare): Department of Cardiac Rehabilitation, Médipôle Hôpital Mutualiste, Lyon-Villeurbanne (FRA),Department of Cardiac Rehabilitation, Médipôle Hôpital Mutualiste, Lyon-Villeurbanne, France

Jameson, Susan M. (författare): 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

Callus, Edward (författare): Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy

Kutty, Shelby (författare): Adult Congenital Heart Disease Center University of Nebraska Medical Center/ Children's Hospital and Medical Center, NE, Omaha, United States

Oechslin, Erwin (författare): Toronto 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

Van Bulck, Liesbet (författare): KU 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

Moons, Philip, 1968 (författare): Gothenburg 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

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Elsevier Inc. 2024
2024
Engelska.
Ingår i: Journal of the American College of Cardiology. - : Elsevier Inc.. - 0735-1097 .- 1558-3597. ; 83:3, s. 430-441

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

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)

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
SOCIAL SCIENCES -- Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Nyckelord

adult; age distribution; anxiety disorder; Article; clinical feature; congenital heart disease; controlled study; demography; depression; disease classification; distress syndrome; female; health status; Hospital Anxiety and Depression Scale; human; major clinical study; male; New York Heart Association class; patient-reported outcome; prevalence; quality of life assessment; sex difference; social status; symptomatology
Vårdvetenskap
Nursing science
adult congenital heart disease
anxiety
depression
quality of life

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

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Av lärosätet: Högskolan Väst; Umeå universitet; Göteborgs universitet

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