Psychological distress in adults with congenital heart disease: focus beyond depression
Adults with congenital heart disease face psychological challenges although an understanding of depression vs. anxiety symptoms is unclear. We analyzed the prevalence of elevated symptoms of anxiety and depression and explored associations with demographic and medical factors as well as quality of l...
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| Veröffentlicht in: | Cardiology in the young 2019-02, Vol.29 (2), p.185-189 |
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| creator | Gleason, Lacey P. Deng, Lisa X. Khan, Abigail M. Drajpuch, David Fuller, Stephanie Ludmir, Jonathan Mascio, Christopher E. Partington, Sara L. Tobin, Lynda Kim, Yuli Y. Kovacs, Adrienne H. |
| description | Adults with congenital heart disease face psychological challenges although an understanding of depression vs. anxiety symptoms is unclear. We analyzed the prevalence of elevated symptoms of anxiety and depression and explored associations with demographic and medical factors as well as quality of life.
Adults with congenital heart disease enrolled from an outpatient clinic completed the Hospital Anxiety and Depression Scale and two measures of quality of life: the Linear Analogue Scale and the Satisfaction with Life Scale. Medical data were obtained by chart review.
Of 130 patients (median age = 32 years; 55% female), 55 (42%) had elevated anxiety symptoms and 16 (12%) had elevated depression symptoms on subscales of the Hospital Anxiety and Depression Scale. Most patients with elevated depression symptoms also had elevated anxiety symptoms (15/16; 94%). Of 56 patients with at least one elevated subscale, 37 (66%) were not receiving mental health treatment. Compared to patients with 0 or 1 elevated subscales, patients with elevations in both (n=15) were less likely to be studying or working (47% vs. 81%; p=0.016) and reported lower scores on the Linear Analogue Scale (60 vs. 81, p |
| doi_str_mv | 10.1017/S1047951118002068 |
| format | Article |
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Adults with congenital heart disease enrolled from an outpatient clinic completed the Hospital Anxiety and Depression Scale and two measures of quality of life: the Linear Analogue Scale and the Satisfaction with Life Scale. Medical data were obtained by chart review.
Of 130 patients (median age = 32 years; 55% female), 55 (42%) had elevated anxiety symptoms and 16 (12%) had elevated depression symptoms on subscales of the Hospital Anxiety and Depression Scale. Most patients with elevated depression symptoms also had elevated anxiety symptoms (15/16; 94%). Of 56 patients with at least one elevated subscale, 37 (66%) were not receiving mental health treatment. Compared to patients with 0 or 1 elevated subscales, patients with elevations in both (n=15) were less likely to be studying or working (47% vs. 81%; p=0.016) and reported lower scores on the Linear Analogue Scale (60 vs. 81, p<0.001) and the Satisfaction with Life Scale (14 vs. 28, p<0.001).
Among adults with congenital heart disease, elevated anxiety symptoms are common and typically accompany elevated depressive symptoms. The combination is associated with unemployment and lower quality of life. Improved strategies to provide psychosocial care and support appropriate engagement in employment are required.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951118002068</identifier><identifier>PMID: 30698116</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adaptation, Psychological ; Adult ; Adults ; Anxiety ; Anxiety - epidemiology ; Anxiety - etiology ; Anxiety - psychology ; Cardiovascular disease ; Cardiovascular diseases ; Congenital diseases ; Coronary artery disease ; Demographics ; Depression - epidemiology ; Depression - etiology ; Depression - psychology ; Employment ; Female ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - epidemiology ; Heart Defects, Congenital - psychology ; Heart diseases ; Humans ; Male ; Mental depression ; Mental disorders ; Mental health ; Original Article ; Patients ; Prevalence ; Quality of life ; Quality of Life - psychology ; Severity of Illness Index ; Signs and symptoms ; Stress, Psychological - complications ; Stress, Psychological - psychology ; Surveys and Questionnaires ; United States - epidemiology</subject><ispartof>Cardiology in the young, 2019-02, Vol.29 (2), p.185-189</ispartof><rights>Cambridge University Press 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-2f4ef9720f6b08e7939e79fd20dc9b9eabc7bb63610bf2cc36f0033ccfc4a6cd3</citedby><cites>FETCH-LOGICAL-c373t-2f4ef9720f6b08e7939e79fd20dc9b9eabc7bb63610bf2cc36f0033ccfc4a6cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951118002068/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,778,782,27907,27908,55611</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30698116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gleason, Lacey P.</creatorcontrib><creatorcontrib>Deng, Lisa X.</creatorcontrib><creatorcontrib>Khan, Abigail M.</creatorcontrib><creatorcontrib>Drajpuch, David</creatorcontrib><creatorcontrib>Fuller, Stephanie</creatorcontrib><creatorcontrib>Ludmir, Jonathan</creatorcontrib><creatorcontrib>Mascio, Christopher E.</creatorcontrib><creatorcontrib>Partington, Sara L.</creatorcontrib><creatorcontrib>Tobin, Lynda</creatorcontrib><creatorcontrib>Kim, Yuli Y.</creatorcontrib><creatorcontrib>Kovacs, Adrienne H.</creatorcontrib><title>Psychological distress in adults with congenital heart disease: focus beyond depression</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>Adults with congenital heart disease face psychological challenges although an understanding of depression vs. anxiety symptoms is unclear. We analyzed the prevalence of elevated symptoms of anxiety and depression and explored associations with demographic and medical factors as well as quality of life.
Adults with congenital heart disease enrolled from an outpatient clinic completed the Hospital Anxiety and Depression Scale and two measures of quality of life: the Linear Analogue Scale and the Satisfaction with Life Scale. Medical data were obtained by chart review.
Of 130 patients (median age = 32 years; 55% female), 55 (42%) had elevated anxiety symptoms and 16 (12%) had elevated depression symptoms on subscales of the Hospital Anxiety and Depression Scale. Most patients with elevated depression symptoms also had elevated anxiety symptoms (15/16; 94%). Of 56 patients with at least one elevated subscale, 37 (66%) were not receiving mental health treatment. Compared to patients with 0 or 1 elevated subscales, patients with elevations in both (n=15) were less likely to be studying or working (47% vs. 81%; p=0.016) and reported lower scores on the Linear Analogue Scale (60 vs. 81, p<0.001) and the Satisfaction with Life Scale (14 vs. 28, p<0.001).
Among adults with congenital heart disease, elevated anxiety symptoms are common and typically accompany elevated depressive symptoms. The combination is associated with unemployment and lower quality of life. Improved strategies to provide psychosocial care and support appropriate engagement in employment are required.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Adults</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Anxiety - psychology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Congenital diseases</subject><subject>Coronary artery disease</subject><subject>Demographics</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Employment</subject><subject>Female</subject><subject>Heart Defects, Congenital - complications</subject><subject>Heart Defects, Congenital - epidemiology</subject><subject>Heart Defects, Congenital - psychology</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Severity of Illness Index</subject><subject>Signs and symptoms</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>United States - epidemiology</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kF1LHDEUhkOxdK3tD-iNDHjjzdRzJrPJjHciWgVBwZZeDvk42c0yO1mTGWT_fbO4rWDxJgmc531PeBj7hvAdAeXZI0It2zkiNgAViOYDO8RayBIR5EF-53G5m8_Y55RWAMg5wic24yDaBlEcst8PaWuWoQ8Lb1RfWJ_GSCkVfiiUnfoxFc9-XBYmDAsa_JiRJak47kBSic4LF8yUCk3bMNjC0maX9mH4wj461Sf6ur-P2K_rq5-XN-Xd_Y_by4u70nDJx7JyNblWVuCEhoZky9t8OFuBNa1uSWkjtRZcIGhXGcOFA-DcGGdqJYzlR-z0pXcTw9NEaezWPhnqezVQmFJXYRZUz-VcZPTkDboKUxzy7zLVcFlnjTJT-EKZGFKK5LpN9GsVtx1Ct7Pe_Wc9Z473zZNek_2X-Ks5A3xfqtY6erug193v1_4BXIGM6w</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Gleason, Lacey P.</creator><creator>Deng, Lisa X.</creator><creator>Khan, Abigail M.</creator><creator>Drajpuch, David</creator><creator>Fuller, Stephanie</creator><creator>Ludmir, Jonathan</creator><creator>Mascio, Christopher E.</creator><creator>Partington, Sara L.</creator><creator>Tobin, Lynda</creator><creator>Kim, Yuli Y.</creator><creator>Kovacs, Adrienne H.</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201902</creationdate><title>Psychological distress in adults with congenital heart disease: focus beyond depression</title><author>Gleason, Lacey P. ; Deng, Lisa X. ; Khan, Abigail M. ; Drajpuch, David ; Fuller, Stephanie ; Ludmir, Jonathan ; Mascio, Christopher E. ; Partington, Sara L. ; Tobin, Lynda ; Kim, Yuli Y. ; Kovacs, Adrienne H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-2f4ef9720f6b08e7939e79fd20dc9b9eabc7bb63610bf2cc36f0033ccfc4a6cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Adults</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - etiology</topic><topic>Anxiety - psychology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Congenital diseases</topic><topic>Coronary artery disease</topic><topic>Demographics</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Employment</topic><topic>Female</topic><topic>Heart Defects, Congenital - complications</topic><topic>Heart Defects, Congenital - epidemiology</topic><topic>Heart Defects, Congenital - psychology</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Original Article</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Severity of Illness Index</topic><topic>Signs and symptoms</topic><topic>Stress, Psychological - 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Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gleason, Lacey P.</au><au>Deng, Lisa X.</au><au>Khan, Abigail M.</au><au>Drajpuch, David</au><au>Fuller, Stephanie</au><au>Ludmir, Jonathan</au><au>Mascio, Christopher E.</au><au>Partington, Sara L.</au><au>Tobin, Lynda</au><au>Kim, Yuli Y.</au><au>Kovacs, Adrienne H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological distress in adults with congenital heart disease: focus beyond depression</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2019-02</date><risdate>2019</risdate><volume>29</volume><issue>2</issue><spage>185</spage><epage>189</epage><pages>185-189</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>Adults with congenital heart disease face psychological challenges although an understanding of depression vs. anxiety symptoms is unclear. We analyzed the prevalence of elevated symptoms of anxiety and depression and explored associations with demographic and medical factors as well as quality of life.
Adults with congenital heart disease enrolled from an outpatient clinic completed the Hospital Anxiety and Depression Scale and two measures of quality of life: the Linear Analogue Scale and the Satisfaction with Life Scale. Medical data were obtained by chart review.
Of 130 patients (median age = 32 years; 55% female), 55 (42%) had elevated anxiety symptoms and 16 (12%) had elevated depression symptoms on subscales of the Hospital Anxiety and Depression Scale. Most patients with elevated depression symptoms also had elevated anxiety symptoms (15/16; 94%). Of 56 patients with at least one elevated subscale, 37 (66%) were not receiving mental health treatment. Compared to patients with 0 or 1 elevated subscales, patients with elevations in both (n=15) were less likely to be studying or working (47% vs. 81%; p=0.016) and reported lower scores on the Linear Analogue Scale (60 vs. 81, p<0.001) and the Satisfaction with Life Scale (14 vs. 28, p<0.001).
Among adults with congenital heart disease, elevated anxiety symptoms are common and typically accompany elevated depressive symptoms. The combination is associated with unemployment and lower quality of life. Improved strategies to provide psychosocial care and support appropriate engagement in employment are required.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>30698116</pmid><doi>10.1017/S1047951118002068</doi><tpages>5</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adult Adults Anxiety Anxiety - epidemiology Anxiety - etiology Anxiety - psychology Cardiovascular disease Cardiovascular diseases Congenital diseases Coronary artery disease Demographics Depression - epidemiology Depression - etiology Depression - psychology Employment Female Heart Defects, Congenital - complications Heart Defects, Congenital - epidemiology Heart Defects, Congenital - psychology Heart diseases Humans Male Mental depression Mental disorders Mental health Original Article Patients Prevalence Quality of life Quality of Life - psychology Severity of Illness Index Signs and symptoms Stress, Psychological - complications Stress, Psychological - psychology Surveys and Questionnaires United States - epidemiology |
| title | Psychological distress in adults with congenital heart disease: focus beyond depression |
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