PMID- 24139784
OWN - NLM
STAT- MEDLINE
DCOM- 20140812
LR  - 20131118
IS  - 1874-1754 (Electronic)
IS  - 0167-5273 (Linking)
VI  - 170
IP  - 1
DP  - 2013 Dec 5
TI  - The mental health and quality of life of adult patients with congenital heart 
      disease.
PG  - 49-53
LID - S0167-5273(13)01817-2 [pii]
LID - 10.1016/j.ijcard.2013.10.003 [doi]
AB  - BACKGROUND: The quality of life (QoL) of adults with congenital heart disease 
      (CHD) has gained significant interest. In addition to medical problems, many 
      patients with CHD face psychosocial, educational, and behavioral challenges. 
      However, few studies have examined the relationship between disease severity and 
      QoL in adults with CHD. METHODS: Eighty-five patients (50 men, 35 women) aged 
      20-52 years (median, 26.5 years) were enrolled. Patients underwent a QoL, Beck 
      Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) survey. The scores 
      were compared with those of age- and gender-matched population data according to 
      the degree of underlying CHD. Disease severity was classified in relation to 
      initial diagnosis, illness course, and current functional status (New York Heart 
      Association [NYHA] class, ability index, CHD functional index, ventricular 
      ejection fraction, and peak VO2). RESULTS: There was no significant correlation 
      between disease severity and current functional status assessed by BDI and BAI. 
      Patients who stated that they were religious had better scores for resilience 
      (p=0.031), physical QoL (p=0.008), and environmental QoL (p=0.025). Environmental 
      QoL scores were higher in patients who fully understood their disease (p=0.004). 
      Current NYHA functional class was associated with scores for psychological 
      resilience. CONCLUSIONS: CHD severity had a detrimental impact on resilience only 
      when measured in terms of poor functional status. The initial diagnosis and 
      course of the illness influence QoL and perceived health. Good psychosocial 
      adaptation could be the result of close family relationships and involvement, 
      making mental adjustment easier.
CI  - (c) 2013.
FAU - Bang, Ji Seok
AU  - Bang JS
AD  - Department of Pediatrics, Seoul National University Children's Hospital, 101 
      Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea.
FAU - Jo, Seongwoo
AU  - Jo S
FAU - Kim, Gi Beom
AU  - Kim GB
FAU - Kwon, Bo Sang
AU  - Kwon BS
FAU - Bae, Eun Jung
AU  - Bae EJ
FAU - Noh, Chung Il
AU  - Noh CI
FAU - Choi, Jung Yun
AU  - Choi JY
LA  - eng
PT  - Journal Article
DEP - 20131011
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Defects, Congenital/diagnosis/*psychology
MH  - Humans
MH  - Male
MH  - *Mental Health
MH  - Middle Aged
MH  - *Psychiatric Status Rating Scales
MH  - Quality of Life/*psychology
MH  - Young Adult
OTO - NOTNLM
OT  - Adult congenital heart disease
OT  - Anxiety
OT  - Depression
OT  - Quality of life
EDAT- 2013/10/22 06:00
MHDA- 2014/08/13 06:00
CRDT- 2013/10/22 06:00
PHST- 2013/01/18 00:00 [received]
PHST- 2013/07/28 00:00 [revised]
PHST- 2013/10/05 00:00 [accepted]
PHST- 2013/10/22 06:00 [entrez]
PHST- 2013/10/22 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
AID - S0167-5273(13)01817-2 [pii]
AID - 10.1016/j.ijcard.2013.10.003 [doi]
PST - ppublish
SO  - Int J Cardiol. 2013 Dec 5;170(1):49-53. doi: 10.1016/j.ijcard.2013.10.003. Epub 
      2013 Oct 11.