Depression and Anxiety in Adolescents with Congenital Heart Disease

Awaad, Mona I.; Darahim, Khaled E.

doi:10.1016/s0924-9338(15)31916-7

Cited by 8 publications

(11 citation statements)

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“…Similarly, a study from Ethiopia revealed that the presence of medical illness increased the risk of depression [ 4 ], and a study in Cameroon [ 33 ] reported that the presence of chronic diseases increased the risk of depression. Awaad et al [ 40 ] also reported that adolescents with chronic heart disease were at increased risk of depression. This might be because health problems not only affect daily activities but also school attendance, which in turn affects the psychological well-being of children and adolescents.…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study

et al. 2020

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Background Orphans and vulnerable adolescents (OVAs) living in child care homes (CCHs) are vulnerable to depressive symptoms due to a poor environment and a lack of receiving good care and love from their parents. This study aimed to estimate the presence of depressive symptoms and determine factors associated with it among OVAs living in CCHs in Nepal. Methods A cross-sectional study was conducted to collect the information from OVAs aged 13–17 years living in 22 CCHs from five districts of Nepal. The CCHs were selected by a simple random method. A validated questionnaire and the Beck Depression Inventory-II (BDI-II) were used to assess depressive symptoms among the participants. Those with mild to severe BDI-II scores were defined as having clinically relevant depressive symptoms. Logistic regression was used to detect associations between variables at the significance level α = 0.05. Results A total of 602 adolescents participated in the study; 51.0% were females, the average age was 14.7 years, and 32.2% were members of indigenous groups. The overall presence of clinically relevant depressive symptoms was 33.2%. After controlling for all potential confounding factors, five factors were found to be associated with depress among OVAs. Females were 1.96 times more likely to develop depressive symptoms than males (95% CI = 1.36–2.83). Those adolescents who used alcohol were 3.42 times more likely to develop depressive symptoms than those who did not (95% CI = 1.16–10.12). Those who had health problems were 2.00 times more likely to develop depressive symptoms than those who did not (95% CI = 1.36–2.94). Those who had low social support were 1.81 times more likely to develop depressive symptoms than those who had high social support (95% CI = 1.08–3.03), and those who had been bullied were 1.97 times more likely to develop depressive symptoms than those who were not bullied (95% CI = 1.23–3.15). Conclusion The magnitude of clinically relevant depressive symptoms in adolescents living in CCHs was found to be high in Nepal. There is an urgent need for effective intervention to curtail this problem among OVAs in CCHs in Nepal, with a focus on females, alcohol users, those with physical health problems and with less social support, and those who are bullied.

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Section: Discussionmentioning

confidence: 99%

Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study

et al. 2020

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“…Anxiety and depression have deleterious effects on physical and psychological health of children and adolescents with CHDs, especially in the presence of low levels of education and severe cardiac ailments. 15 In the last decade, due to progress in overall management there are increased number of teenagers with CHD who achieve adulthood. In developing countries like Pakistan, we even encounter adolescents with unrepaired CHDs.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies show higher rates of behavior disorders whereas others failed to prove so. [15][16][17] Etiology of anxiety and depression is multifactorial. In a developing country like Pakistan along with the main disease, accessibility and affordability of health services is also a contributory factor.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depression in Children and Adolescents With Congenital Heart Disease Before and After Surgical Intervention Period

Azim

Sheikh

Khokhar³

et al. 2021

PAFMJ

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Objective: To evaluate the level of anxiety and depression in children and adolescents with congenital heart disease in pre and post-surgical intervention period. Study Design: Quasi experimental study. Place and Duration of Study: Rawalpindi Institute of Cardiology, Rawalpindi Pakistan, from Jan to Dec 2019. Methodology: After written informed consent from parents and approval of hospital ethical committee 152 children and adolescents with congenital heart disease were included in the study. Demographic and clinical data was recorded on relevant proforma. In addition to clinical assessment the level of anxiety and depression were objectively measured with the help of Urdu version of Hospital Anxiety and Depression Scale by the mental health specialist a day before and 15 days after surgery. Results: The mean age of participants was 14.5 ± 3.3 years. Out of 152 participants, 80 (52.6%) were females, while 72 (47.4%) were males. Level of anxiety and depression was found higher in the preoperative period being 44 (28.9%) and 52 (34.2%) which dropped significantly in the postoperative period to 16 (10.5%) and 8 (5.3%) respectively. Majority of the patients had Tetralogy of Fallot i.e., 52 (34.2%) followed by Ventricular Septal Defect in 24 (15.7%) and Atrial Septal Defect in 18 (11.2%). Females were more likely to have depression than males (p-value=0.01). Conclusion: We found significant decrease in anxiety and depression in the postoperative period.

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“…The prevalence of anxiety disorders has been found to range from 5 to 50% in children with chronic medical conditions such as asthma, epilepsy, and diabetes 4 and 26 to 30% in children with CHD. [5][6][7] Increased anxiety symptoms and diagnoses in these populations compared to the general population may be related to childhood medical trauma as a result of separation from parents, long and frequent hospitalisations, exposure to painful procedures shortly after birth, and potential modifiable aspects of parental mental health (e.g., anxiety). 8,9 The consequences of anxiety in childhood are significant, have long-term effects on individuals' lives, and contribute to preventable hospital and societal costs.…”

mentioning

confidence: 99%

“…13 Other studies have found the presence of anxiety symptoms in older children, adolescents, and adults with CHD in 26-30% of patients. [5][6][7]14 Thus, at younger ages and throughout the lifespan,…”

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confidence: 99%

Anxiety symptoms and associated functional impairment in children with CHD in a neurodevelopmental follow-up clinic

Cunningham¹,

Campbell²,

Miller³

et al. 2022

Cardiol Young

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Objectives: To examine the prevalence of anxiety symptoms and associated functional impairment to adaptive skills among elementary-aged children with CHD and to determine the need for anxiety screening in this high-risk population. Study design: In a single-centre retrospective, cohort design, caregivers reported anxiety symptoms using Conner’s scales and functional impairment to adaptive skills using the Adaptive Behavior Assessment System. A total of 194 children were stratified across two cohorts: early elementary (ages 3–6 years) and late elementary (ages 6–14 years). Descriptive statistics summarised the frequency of anxiety symptoms and functional impairment. Spearman’s correlations compared anxiety symptoms to functional impairment of adaptive functioning. Univariable logistic regressions examined demographic and clinical characteristics associated with anxiety symptoms. Results: The majority of patients presented with anxiety, early elementary (63%), and late elementary cohorts (78%). Functional impairment was moderately correlated with anxiety symptoms in the early elementary cohort (rs = −.42, 95% CI [−0.58, −0.21], p = <.001). Greater anxiety symptoms were associated with lower cardiac complexity at primary age of surgery in the late elementary cohort (OR = 12.15, p = 0.019). Lesser anxiety symptoms were associated with having private insurance (OR = 0.25, p = 0.014). Conclusion: This study demonstrates anxiety symptoms are common and associated with functional impairment to adaptive functioning in younger children with CHD. No clear clinical predictors exist for anxiety symptoms or functional impairment; therefore, screening for anxiety symptoms may need to be added to standard clinical assessment of all children with CHD participating in neurodevelopmental follow-up.

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Depression and Anxiety in Adolescents with Congenital Heart Disease

Cited by 8 publications

References 0 publications

Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study

Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study

Anxiety and Depression in Children and Adolescents With Congenital Heart Disease Before and After Surgical Intervention Period

Anxiety symptoms and associated functional impairment in children with CHD in a neurodevelopmental follow-up clinic

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