PMID- 34381388
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240403
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 12
DP  - 2021
TI  - Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its 
      Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac 
      Function.
PG  - 686169
LID - 10.3389/fpsyt.2021.686169 [doi]
LID - 686169
AB  - Background: The prevalence of child maltreatment in adults with congenital heart 
      disease (ACHD) has not been assessed so far. Child maltreatment is a major risk 
      factor for unfavorable behavioral, mental, and physical health outcomes and has 
      been associated with decreased quality of life. Given the increased survival time 
      of ACHD, it is essential to assess factors that may worsen the quality of life 
      and interact with classical cardiovascular risk factors and mental well-being. 
      Methods: In a cross-sectional study, 196 ACHD (mean age 35.21 +/- 11.24 y, 44,4% 
      female, 55.6% male) completed a thorough psychiatric and cardiac evaluation. 
      Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ) 
      and rates were compared to already existing data from the German general 
      population. Further psychological measurements included the WHO Quality of Life 
      Questionnaire, Hospital Anxiety and Depression Scale (HADS) and assessment of 
      lifestyle factors (exercise, smoking, alcohol consumption, body mass index). To 
      identify a relationship between current cardiac function and child maltreatment, 
      we used logistic regression. Results: ACHD reported significantly higher rates of 
      emotional neglect and emotional abuse and sexual abuse and lower rates of 
      physical neglect when compared to the general German population. In addition, 
      total CTQ-scores, emotional abuse, emotional neglect, physical abuse, and sexual 
      abuse correlated with symptoms of depression, anxiety, and negatively correlated 
      with QoL. Furthermore, CTQ scores contributed significantly in predicting higher 
      New York Heart Association (NYHA) scores (p = 0.009). Conclusion: Child 
      maltreatment is more common in ACHD and associated with decreased quality of life 
      and depression and anxiety. Furthermore, we found evidence that self-reported 
      child maltreatment is associated with decreased cardiac function. Given the 
      longer survival time of patients with ACHD, identifying factors that may 
      negatively influence the disease course is essential. The negative consequences 
      of child maltreatment may be the subject of psychosocial interventions that have 
      demonstrated efficacy in treating posttraumatic stress disorders.
CI  - Copyright (c) 2021 Proskynitopoulos, Heitland, Glahn, Bauersachs, Westhoff-Bleck 
      and Kahl.
FAU - Proskynitopoulos, Phileas J
AU  - Proskynitopoulos PJ
AD  - Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical 
      School, Hanover, Germany.
FAU - Heitland, Ivo
AU  - Heitland I
AD  - Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical 
      School, Hanover, Germany.
FAU - Glahn, Alexander
AU  - Glahn A
AD  - Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical 
      School, Hanover, Germany.
FAU - Bauersachs, Johann
AU  - Bauersachs J
AD  - Department of Cardiology and Angiology, Hannover Medical School, Adult Congenital 
      Heart Centre, Hanover, Germany.
FAU - Westhoff-Bleck, Mechthild
AU  - Westhoff-Bleck M
AD  - Department of Cardiology and Angiology, Hannover Medical School, Adult Congenital 
      Heart Centre, Hanover, Germany.
FAU - Kahl, Kai G
AU  - Kahl KG
AD  - Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical 
      School, Hanover, Germany.
LA  - eng
PT  - Journal Article
DEP - 20210726
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC8350035
OTO - NOTNLM
OT  - ACHD
OT  - CTQ
OT  - NYHA
OT  - adults with congenital heart disease
OT  - childhood maltreatment
OT  - childhood trauma questionnaire
OT  - congenital heart disease
OT  - quality of life
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/08/13 06:00
MHDA- 2021/08/13 06:01
PMCR- 2021/07/26
CRDT- 2021/08/12 06:32
PHST- 2021/03/26 00:00 [received]
PHST- 2021/06/28 00:00 [accepted]
PHST- 2021/08/12 06:32 [entrez]
PHST- 2021/08/13 06:00 [pubmed]
PHST- 2021/08/13 06:01 [medline]
PHST- 2021/07/26 00:00 [pmc-release]
AID - 10.3389/fpsyt.2021.686169 [doi]
PST - epublish
SO  - Front Psychiatry. 2021 Jul 26;12:686169. doi: 10.3389/fpsyt.2021.686169. 
      eCollection 2021.