Mediation role of health behaviours in the relation between mental resilience and cardiovascular risk in young adults with a diagnosed congenital heart defect

Abstract

Introduction. With age, patients with a congenital heart defect are under higher risk of cardiovascular diseases and more complex selfcare requirements. Aim of the study. The analysis of the mediation role of health-oriented behaviours in the relation between mental resilience and the cardiovascular risk in young adults with congenital heart defects. Material and methods. The research was based on the examination of 201 patients with congenital heart defects using the medical record analysis, the method of estimating and the diagnostic survey method. The other examination tools included the Cardiovascular Disease Risk Factors Scale, the Resilience Assessment Scale (SPP-25) and the Health Behaviour Inventory (HBI). Results. The examination confirmed that every second patient was susceptible to a cardiovascular disease due to the prevalence of three risk factors. The general indicator of the intensity of health-related behaviours amounted to 83.16 ± 12.94. The lowest intensity of all health behaviours was observed for eating habits (3.14 ± 0.83). The highest score of mental resilience was reported in terms of openness to new experience and sense of humour (15.31 ± 3.05), whereas the lowest was related to optimism and mobilization capability in difficult situations (12.97 ± 3.46). The higher the perseverance and determination (β = -0.16; p < 0.001), openness and sense of humour (β = -0.09; p < 0.01), tolerance to failure and perceiving life as a challenge (β = -0.09; p < 0.01), optimism and the mobilization capability in difficult situations (β = -0.08; p < 0.01) and overall mental resilience scale measurement (β = -0.11; p < 0.001), the lower the cardiovascular risk. In short, higher psychological resilience was associated with higher intensity of health-related behaviours. Conclusions. Health-related behaviours play a mediation role between mental resilience and the cardiovascular risk in the group of young adults with congenital heart defects. Psychological resilience as a preventive and promotional factor of mental health appears to be of a very essential value while developing health promoting programmes aimed at decreasing the cardiovascular risk in patients with a congenital heart defect. The evaluation of mental resilience may provide better understanding of the patient and ensure proper health care.