PMID- 18377495
OWN - NLM
STAT- MEDLINE
DCOM- 20080513
LR  - 20151119
IS  - 1747-0803 (Electronic)
IS  - 1747-079X (Linking)
VI  - 1
IP  - 6
DP  - 2006 Nov
TI  - The influence of congenital heart disease on psychological conditions in 
      adolescents and adults after corrective surgery.
PG  - 282-8
LID - 10.1111/j.1747-0803.2006.00048.x [doi]
AB  - OBJECTIVE: The present study was designed to examine psychological 
      characteristics of adolescents and adults with operated congenital heart disease 
      (ACHD). Particularly it was to be examined whether cardiological parameters may 
      be associated with subjectively perceived impairments and measures of 
      psychological distress. PATIENTS: A total of 361 men (209) and women (152) 
      between 14 and 45 years underwent medical checkups and an interview on 
      psychological and sociological issues. SETTING: The medical part consisted of a 
      complete cardiological examination including the classification of residual 
      symptoms according to the New York Heart Association (NYHA), and spiroergometry. 
      The Brief Symptom Inventory was used for depicting current psychological and 
      somatic symptoms. These were assessed on 9 subscales: somatization, 
      obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, 
      phobic anxiety, paranoid ideation, and psychoticism. RESULTS: The analyses 
      revealed statistically significant associations between the degree of NYHA class 
      and psychological symptoms. These findings could not be reproduced for physical 
      fitness as measured by peak oxygen consumption. No gender differences emerged. 
      CONCLUSIONS: Our results suggest that psychological measures of ACHD are not 
      directly dependent on their physical fitness or on the severity of residual 
      symptoms. Instead, patients' subjective appraisal of their disease severity and 
      the conviction to what degree one can depend on the operated heart may be 
      important determinants of psychological states.
FAU - Norozi, Kambiz
AU  - Norozi K
AD  - Department of Pediatric Cardiology and Intensive Care Medicine, Medical School 
      Hannover, Hannover, Germany. norozi.kambiz@mh-hannover.de
FAU - Zoege, Monika
AU  - Zoege M
FAU - Buchhorn, Reiner
AU  - Buchhorn R
FAU - Wessel, Armin
AU  - Wessel A
FAU - Geyer, Siegfried
AU  - Geyer S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Congenit Heart Dis
JT  - Congenital heart disease
JID - 101256510
SB  - IM
MH  - Adaptation, Psychological
MH  - Adolescent
MH  - Adult
MH  - Attitude to Health
MH  - Cardiac Surgical Procedures/*psychology
MH  - Exercise Test
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Defects, Congenital/physiopathology/*psychology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*psychology
MH  - Psychometrics
MH  - Sick Role
MH  - Somatoform Disorders/diagnosis
MH  - Stress, Psychological/*diagnosis/physiopathology
MH  - Surveys and Questionnaires
EDAT- 2008/04/02 09:00
MHDA- 2008/05/14 09:00
CRDT- 2008/04/02 09:00
PHST- 2008/04/02 09:00 [pubmed]
PHST- 2008/05/14 09:00 [medline]
PHST- 2008/04/02 09:00 [entrez]
AID - CHD048 [pii]
AID - 10.1111/j.1747-0803.2006.00048.x [doi]
PST - ppublish
SO  - Congenit Heart Dis. 2006 Nov;1(6):282-8. doi: 10.1111/j.1747-0803.2006.00048.x.