Anxiety, depressive and somatic symptoms in adults with congenital heart disease

Eslami, Bahareh; Sundin, Örjan; Macassa, Glória; Khankeh, Hamid Reza; Soares, Joaquim

doi:10.1016/j.jpsychores.2012.10.006

Cited by 57 publications

(59 citation statements)

References 44 publications

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“…Inclusion of more variables in the model was limited by sample size and their interactions as shown above. This is in contrast with the previous reports showing significantly higher state-anxiety [4] or total anxiety and associated symptoms in adults with CHD [3]. We identified two studies comparing anxiety between different CHD subgroups [4], [5], but only one found significant differences.…”

Section: Discussioncontrasting

confidence: 93%

“…These patients require tailored care in highly specialized centers, that incorporate various medical specialties to ensure the comprehensiveness of high quality treatment [2]. The socioeconomic status and mental health issues in this group has been largely neglected in this complexity of medical care, and only a few reports exist that address the anxiety and other determinants of stress among grown-ups with CHD [3]- [5]. Some of the reports suggest increased anxiety levels [3], while others claim no difference with controls [4].…”

Section: Introductionmentioning

confidence: 99%

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Stress in adults with congenital heart disease – preliminary results on anxiety, life events, coping and socioeconomic factors (RCD code: IV)

Iwaszczuk

Tomkiewicz‐Pająk

Knap

et al. 2014

Journal of Rare Cardiovascular Diseases

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We performed pilot analysis of the anxiety level, frequency of life events and their interactions among adults with congenital heart disease (CHD), and evaluated their coping strategies and socioeconomic functioning. In a cross-sectional questionnaire study on 30 consecutive ambulatory patients with CHD we addressed these issues by a custom-designed tool incorporating state-anxiety scale of the State-Trait Anxiety Inventory, the brief-COPE questionnaire (Polish versions) and 10 selected life events. We found that state-anxiety level adjusted for sex, age and life events differed by CHD defect category (R2 = 0,51; p<0,001). Other factors are characterized and briefly discussed. JRCD 2014; 1 (6): 10-14

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Section: Discussioncontrasting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Stress in adults with congenital heart disease – preliminary results on anxiety, life events, coping and socioeconomic factors (RCD code: IV)

Iwaszczuk

Tomkiewicz‐Pająk

Knap

et al. 2014

Journal of Rare Cardiovascular Diseases

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“…Eslami et al [3] found increased problems with anxiety but depressive symptoms were similar to matched control population in 347 Swedish adults with CHD. In another Swedish cohort of 1274 patients (with a mean age of 33 years) 29.8% of the participants self-reported symptoms of anxiety or depression [4] .…”

Section: Introductionmentioning

confidence: 79%

“…The impact of physical symptoms on quality of life and depression is somewhat unclear: One study in 53 patients with Fontan for single ventricle hearts also found an increased incidence of depressive symptoms [8] . In a German study 8.6% of 767 patients with CHD (median age 26 years old) exhibited depressive symptoms when they presented for a formal exercise stress test [3] . The authors concluded that the effect of physical limitations on quality of life was relatively smaller than that of depression, highlighting the complex interactions between physical and psychological well being [9] .…”

Section: Introductionmentioning

confidence: 99%

Depression in adults with congenital heart disease-public health challenge in a rapidly expanding new patient population

Pauliks¹

2013

WJC

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There is a growing population of adults with congenital heart disease (CHD) due to improved survival beyond childhood. It has been suggested that adults with CHD may be at increased risk for mental health problems, particularly depression. The reported incidence of depression in CHD varies from 9% to 30%. This review examines the evidence for a higher depression rate in CHD vs general population. Possible explanations are offered from a variety of disease models, ranging from brain injury to the psychoanalytical approach. Risk factors for an abnormal emotional adjustment and depression include early exposure to stress from illness and medical interventions in infancy, separation from the parents during hospitalizations and brain organic syndromes. Later in life, patients often have to cope with physical limitations. Recent improvements in care may be protective. Current patients may benefit from an earlier age at first surgical intervention, fewer reoperations and inclusion to the mainstream schooling, among other factors. At this point, there is little systematic knowledge about evidence-based therapeutic interventions for depression in adults with CHD. Health care providers of patients with CHD should be aware of mental health challenges and may take a more proactive approach to identifying patients at risk for depression.

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“…Psychiatric illness is common in ACHD, perhaps secondary to the myriad psychosocial challenges related to CHD and its treatment [24,25]. Up to one-third of North American ACHD patients have low mood or anxiety disorders, many of which are unrecognized by health care providers [25].…”

Section: Neuropsychiatricmentioning

confidence: 99%

Extra-cardiac manifestations of adult congenital heart disease

Gaeta

Ward

Krasuski

2016

Trends in Cardiovascular Medicine

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a b s t r a c tAdvancement in correction or palliation of congenital cardiac lesions has greatly improved the lifespan of congenital heart disease patients, resulting in a rapidly growing adult congenital heart disease (ACHD) population. As this group has increased in number and age, emerging science has highlighted the systemic nature of ACHD. Providers caring for these patients are tasked with long-term management of multiple neurologic, pulmonary, hepatic, renal, and endocrine manifestations that arise as syndromic associations with congenital heart defects or as sequelae of primary structural or hemodynamic abnormalities. In this review, we outline the current understanding and recent research into these extra-cardiac manifestations.Key words: Cardiovascular disease, Adult congenital heart disease, Pulmonary hypertension. Advances in the diagnosis and management of congenital heart disease (CHD) over the past several decades have greatly improved longevity and quality of life in the CHD population. Palliative or corrective interventions are now available for nearly every type of congenital cardiac lesion, and approximately 90% of affected children now survive to adulthood [1]. Adults with CHD (ACHD) already outnumber pediatric CHD patients, and this population is expected to grow by 5% per year [1,2]. Strikingly, the median age of severe CHD patients has increased from 11 years in 1985 to 25 years in 2010 [3]. Continued improvement in CHD interventions means that new (and more complex) populations will likely reach adulthood in the coming years.Practitioners who take care of adults with CHD are often charged with the delivery or coordination of comprehensive care for these complex patients, including the management of manifestations and complications that arise later in life. ACHD has many extra-cardiac effects, both as syndromic associations with congenital heart defects, or more commonly, as sequelae of primary structural or hemodynamic abnormalities. The role of genetic predilection remains undefined for nearly all extra-cardiac complications, though their incidence has clearly risen over the past decades. Indeed, more than a third of hospital admissions for ACHD patients are now for noncardiovascular reasons [4]. Optimal care of ACHD patients, therefore, mandates a thorough understanding of its multiorgan system manifestations. Herein, we will review current understanding of the most common manifestations of ACHD organized by the affected organ systems. Neurologic/neuropsychiatric Cerebrovascular complicationsA recent study quantified the strikingly high rates of stroke in ACHD [5]. Among nearly 30,000 ACHD patients, 8.9% of men http://dx

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Anxiety, depressive and somatic symptoms in adults with congenital heart disease

Cited by 57 publications

References 44 publications

Stress in adults with congenital heart disease – preliminary results on anxiety, life events, coping and socioeconomic factors (RCD code: IV)

Stress in adults with congenital heart disease – preliminary results on anxiety, life events, coping and socioeconomic factors (RCD code: IV)

Depression in adults with congenital heart disease-public health challenge in a rapidly expanding new patient population

Extra-cardiac manifestations of adult congenital heart disease

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