Risk for first onset depression in adults with congenital heart disease

Nielsen, Susanne; Dellborg, Mikael; Wærn, Margda; Mandalenakis, Zacharias; Giang, Kok Wai

doi:10.1016/j.ijcchd.2022.100410

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…Our data are congruent with previous work reporting that severity of the underlying heart condition and present symptoms of heart disease are not predictive of depression in cardiovascular patient populations including ACHD patients ( 24 ). However, an increased long-term risk for depression has been described for patients with complex lesions ( 51 ). This discrepancy might be explained by the included high proportion of patients with complex cardiac lesions.…”

Section: Discussionmentioning

confidence: 99%

Remission from depression is associated with improved quality of life and preserved exercise capacity in adults with congenital heart disease

Fillies,

Stapel,

Lemke

et al. 2024

Front. Cardiovasc. Med.

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AimsImproved long-term survival has widened the treatment goals for adults with congenital heart disease (ACHD) by addressing parameters that impact mental well-being and exercise capacity. Depression, a frequent co-morbidity in ACHD, is linked to both. Whether successful treatment of depression also affects cardiac parameters is a matter of debate.MethodsThis prospective, cross-sectional, longitudinal study included N = 150 ACHD (mean age 35.2 ± 11.3 years, 57% male) at baseline (t0) and N = 114 at follow-up (mean follow-up: 4.8 ± 0.6 years; t1). Patients were interviewed using a structured clinical interview, and severity of depression was assessed using the Montgomery-Asperg Depression Scale (MADRS). Additional testing was performed using self-rating questionnaires concerning depression, anxiety and quality of life (QoL). Exercise capacity (VO2max) was assessed by symptom limited exercise testing.ResultsOf N = 33 patients diagnosed with depression at t0, N = 18 patients remitted and N = 15 were non-remitters. Remitters displayed significantly decreased anxiety (P = 0.013), improved global QoL (P = 0.002), and preserved VO2max (P = 0.958) at t1 compared to t0. This was associated with favourable health behaviour at t1 and stable body-mass-index. Contrarily, non-remitters reported further increased anxiety (P = 0.021) and no significant improvement in QoL (P = 0.405). VO2max declined significantly (P = 0.006) and body-mass-index increased (P = 0.004). Never-depressed patients showed no significant changes in anxiety (P = 0.415) or QoL (P = 0.211). VO2max decreased significantly (P < 0.001).ConclusionIn ACHD, remission from depression is associated with better physical functioning, mental health, and QoL. The assessment and treatment of depression in ACHD emerges as an important clinical goal that should be included in a comprehensive multimodal treatment plan.

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Section: Discussionmentioning

confidence: 99%

Remission from depression is associated with improved quality of life and preserved exercise capacity in adults with congenital heart disease

Fillies,

Stapel,

Lemke

et al. 2024

Front. Cardiovasc. Med.

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Health-promoting lifestyle and life satisfaction in full-time employed adults with congenital heart disease: grit as a mediator

Liu,

Lu,

Chung

et al. 2023

European Journal of Cardiovascular Nursing

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Aims Enhancing life satisfaction is vital for adults with congenital heart disease (ACHD). Life satisfaction potentially correlates with a health-promoting lifestyle and grit. However, the mediating role of grit—a trait marked by perseverance and long-term goal-oriented passion—between a health-promoting lifestyle and life satisfaction in ACHD remains unverified. This study aimed to examine the relationships between health-promoting lifestyle, grit, and life satisfaction in full-time employed ACHD and to confirm the mediating role of grit. Methods and results A total of 181 full-time employed ACHD aged 20–59 years with patient-reported New York Heart Association class I-IV were recruited from two medical centers in northern Taiwan. Participants completed questionnaires, including the short version of the Chinese Health-Promoting Lifestyle Profile scale, Grit-10 scale, and Satisfaction with Life Scale between February and December 2022. Data analysis employed the Hayes PROCESS macro. Health-promoting lifestyle, grit, and life satisfaction were discovered to be positively correlated. Overall grit score was a partial mediator between a health-promoting lifestyle and life satisfaction, accounting for 20% of the total variation. Of the grit domains, perseverance served as a partial mediator between a health-promoting lifestyle and life satisfaction, accounting for 32% of the total variation, whereas passion had a nonsignificant mediation effect. Conclusion A health-promoting lifestyle boosts ACHD individuals’ life satisfaction through grit, particularly perseverance. Integrating grit into such a lifestyle could benefit from comprehending support systems and influential factors aiding grit development for enhanced life satisfaction.

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Risk for first onset depression in adults with congenital heart disease

Cited by 2 publications

References 25 publications

Remission from depression is associated with improved quality of life and preserved exercise capacity in adults with congenital heart disease

Remission from depression is associated with improved quality of life and preserved exercise capacity in adults with congenital heart disease

Health-promoting lifestyle and life satisfaction in full-time employed adults with congenital heart disease: grit as a mediator

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