Depression and anxiety in adult congenital heart disease: Predictors and prevalence

Kovacs, Adrienne H.; Saïdi, A.; Kuhl, Emily A.; Sears, Samuel F.; Silversides, Candice K.; Harrison, Jeanine; Ong, Lephuong; Colman, Jack M.; Oechslin, Erwin; Nolan, Robert P.

doi:10.1016/j.ijcard.2008.06.042

Cited by 287 publications

(254 citation statements)

References 32 publications

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“…Several other tendencies in coping strategies were noted, but inconclusive due the violation of assumptions for parametric testing. These were roughly in line with previous reports [10], but further investigation is needed in this field.…”

Section: Discussionsupporting

confidence: 92%

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: Discussionsupporting

confidence: 92%

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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“…6,7 The neurodevelopmental and psychosocial morbidity related to CHD and its treatment often limit ultimate educational achievements, employability, lifelong earnings, insurability, and quality of life (QOL) for many patients. [7][8][9][10][11][12][13][14] A significant proportion of patients with complex CHD may need specialized services into adulthood. 12,13 Incorporation of a new stratification method and clinical algorithm may result in increased surveillance, screening, evaluation, diagnosis, and management of developmental disorders or disabilities (DDs) in the complex CHD population and consequent improvement in neurodevelopmental and behavioral outcomes in this high-risk population.…”

Section: Table Of Contentsmentioning

confidence: 99%

Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Marino¹,

Lipkin²,

Newburger³

et al. 2012

Circulation

1,249

1,156

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Background— The goal of this statement was to review the available literature on surveillance, screening, evaluation, and management strategies and put forward a scientific statement that would comprehensively review the literature and create recommendations to optimize neurodevelopmental outcome in the pediatric congenital heart disease (CHD) population. Methods and Results— A writing group appointed by the American Heart Association and American Academy of Pediatrics reviewed the available literature addressing developmental disorder and disability and developmental delay in the CHD population, with specific attention given to surveillance, screening, evaluation, and management strategies. MEDLINE and Google Scholar database searches from 1966 to 2011 were performed for English-language articles cross-referencing CHD with pertinent search terms. The reference lists of identified articles were also searched. The American College of Cardiology/American Heart Association classification of recommendations and levels of evidence for practice guidelines were used. A management algorithm was devised that stratified children with CHD on the basis of established risk factors. For those deemed to be at high risk for developmental disorder or disabilities or for developmental delay, formal, periodic developmental and medical evaluations are recommended. A CHD algorithm for surveillance, screening, evaluation, reevaluation, and management of developmental disorder or disability has been constructed to serve as a supplement to the 2006 American Academy of Pediatrics statement on developmental surveillance and screening. The proposed algorithm is designed to be carried out within the context of the medical home. This scientific statement is meant for medical providers within the medical home who care for patients with CHD. Conclusions— Children with CHD are at increased risk of developmental disorder or disabilities or developmental delay. Periodic developmental surveillance, screening, evaluation, and reevaluation throughout childhood may enhance identification of significant deficits, allowing for appropriate therapies and education to enhance later academic, behavioral, psychosocial, and adaptive functioning.

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“…31 The incidence of depression is reported to be higher in patients with repaired CHD, which may be underestimated by the difficulty of selecting appropriate diagnosis instruments. 32,33 In addition, undertreatment is common in these patients. 33 In Asian populations with traditional cultures, depression is typically underdiagnosed and undertreated.…”

Section: Importance Of Unnatural Deathsmentioning

confidence: 99%

“…32,33 In addition, undertreatment is common in these patients. 33 In Asian populations with traditional cultures, depression is typically underdiagnosed and undertreated. 34,35 These observations strongly indicate that the provision of integrated care remains far from adequate to meet the complicated requirements of patients with CHD, especially in Asian populations.…”

Section: Importance Of Unnatural Deathsmentioning

confidence: 99%

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

Chiu

Wang

Chen

et al. 2012

Circ: Cardiovascular Quality and Outcomes

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Background— Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease in Taiwan. This study investigates the long-term survival and risks of TOF in an Asian cohort. Methods and Results— This study enrolled 819 consecutive patients with TOF (61.1% male), who received total correction between 1970 and 2002, as participants. Patient medical records were reviewed, and the survival status of those out of contact was confirmed by death records retrieved from the National Health database. The mean (±SD) patient age at cardiac repair was 6.5±7.6 years, and a prior shunt operation was performed in 119 (14.5%) of the patients. At cardiac repair, a transannular patch for right ventricle outlet reconstruction was required in 444 (54.2%) of the patients. After 13 808 patient-years of follow-up, the 30-year survival rate was 90.5%. The annual mortality rate increased from 0.123% in the initial 15 years after repair to 0.395% thereafter ( P <0.05). The presence of major aortopulmonary collateral arteries, older operative age, and previous shunt operation are independent risks of late cardiac deaths. Secondary to cardiac mortality, unnatural deaths (accident and suicide) accounted for 27.6% of late deaths, significantly higher compared with that of the general population (odds ratio, 2.18; P =0.028). Conclusions— In this Asian TOF cohort, except for a late decrease after 15 years, long-term survival after cardiac repair was satisfactory. Although cardiac death was the most common cause of late death, accidents or suicide may also be associated with late mortality, suggesting a potential role for psychosocial support.

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Depression and anxiety in adult congenital heart disease: Predictors and prevalence

Cited by 287 publications

References 32 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)

Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

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