PMID- 37163661
OWN - NLM
STAT- MEDLINE
DCOM- 20240115
LR  - 20240511
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Print)
IS  - 1474-5151 (Linking)
VI  - 23
IP  - 1
DP  - 2024 Jan 12
TI  - Age moderates change in disease-related stress among congenital heart disease 
      survivors: a 6-year follow-up.
PG  - 62-68
LID - 10.1093/eurjcn/zvad045 [doi]
AB  - AIMS: As congenital heart disease (CHD) survivors age, they are confronted with 
      elevated risk of cardiovascular morbidity and increasingly complex disease 
      self-management demands. Given that stress is associated with poor physical and 
      psychosocial outcomes, it is crucial to examine how disease-related stress 
      changes over time in this population. However, this outcome has received little 
      research attention to date. This study aimed to identify demographic and clinical 
      predictors of change in disease-related stress over 6 years among CHD survivors. 
      METHODS AND RESULTS: Congenital heart disease survivors (N = 252, Mage = 25.6 +/- 
      7.1, 52.9% female) completed the first 13 items of the Responses to Stress 
      Questionnaire, adapted for use among CHD survivors, to assess disease-related 
      stressors at study entry (T1) and 6-year follow-up (T2). Age, gender, estimated 
      family income, and New York Heart Association (NYHA) functional class at T1 were 
      entered into mixed linear models to determine their impact on change in 
      disease-related stress. Older age (P < 0.001), lower income (P < 0.001), and 
      presence of functional limitations (NYHA >/= II) (P < 0.001) predicted greater 
      increases in disease-related stress. When controlling for NYHA, functional class, 
      and income, a significant time by age interaction was identified such that 
      disease-related stress increased over time among those who were adolescents at T1 
      [b = 4.20, P = 0.010, 95% confidence interval (1.01, 7.40)], but remained stable 
      among young adults. CONCLUSION: The transition from adolescence to adulthood may 
      be a period of increasing disease-related stress. Healthcare providers should 
      consider screening adolescents for elevated disease-related stress during 
      transition education and provide resources to bolster resilience.
CI  - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the 
      European Society of Cardiology. All rights reserved. For permissions, please 
      e-mail: journals.permissions@oup.com.
FAU - Swenski, Taylor N
AU  - Swenski TN
AUID- ORCID: 0000-0003-1808-0654
AD  - Department of Psychology, DePaul University, 2219 N. Kenmore Ave., Chicago, IL 
      60614, USA.
FAU - Fox, Kristen R
AU  - Fox KR
AUID- ORCID: 0000-0001-5400-3619
AD  - Center for Biobehavioral Health, Nationwide Children's Hospital, 700 Children's 
      Dr., Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.
FAU - Udaipuria, Shivika
AU  - Udaipuria S
AUID- ORCID: 0000-0003-3037-2000
AD  - Center for Biobehavioral Health, Nationwide Children's Hospital, 700 Children's 
      Dr., Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.
FAU - Korth, Christina X
AU  - Korth CX
AUID- ORCID: 0000-0002-9935-3740
AD  - Department of Psychological Sciences, Kent State University, 600 Hilltop Drive, 
      Kent, OH 44242, USA.
FAU - Daniels, Curt J
AU  - Daniels CJ
AUID- ORCID: 0000-0003-4201-6337
AD  - Department of Pediatrics, The Ohio State University, 370 W. 9th Ave., Columbus, 
      OH 43210, USA.
AD  - The Heart Center, Nationwide Children's Hospital, 700 Children's Dr., Columbus, 
      OH 43205, USA.
FAU - Jackson, Jamie L
AU  - Jackson JL
AUID- ORCID: 0000-0002-1752-1377
AD  - Center for Biobehavioral Health, Nationwide Children's Hospital, 700 Children's 
      Dr., Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.
AD  - Department of Pediatrics, The Ohio State University, 370 W. 9th Ave., Columbus, 
      OH 43210, USA.
LA  - eng
GR  - T32 HL098039/HL/NHLBI NIH HHS/United States
GR  - T32HL-098039/NH/NIH HHS/United States
PT  - Journal Article
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Adolescent
MH  - Young Adult
MH  - Humans
MH  - Female
MH  - Male
MH  - Follow-Up Studies
MH  - *Heart Defects, Congenital/psychology
MH  - Surveys and Questionnaires
MH  - Survivors/psychology
PMC - PMC10783978
OTO - NOTNLM
OT  - Adolescents
OT  - Adults
OT  - Cohort study
OT  - Congenital heart disease
OT  - Patient-reported outcomes
OT  - Stress
COIS- Conflict of interest: None declared.
EDAT- 2023/05/10 18:41
MHDA- 2024/01/15 12:42
PMCR- 2024/05/10
CRDT- 2023/05/10 14:52
PHST- 2022/09/16 00:00 [received]
PHST- 2023/05/05 00:00 [revised]
PHST- 2023/05/09 00:00 [accepted]
PHST- 2024/01/15 12:42 [medline]
PHST- 2023/05/10 18:41 [pubmed]
PHST- 2023/05/10 14:52 [entrez]
PHST- 2024/05/10 00:00 [pmc-release]
AID - 7159324 [pii]
AID - zvad045 [pii]
AID - 10.1093/eurjcn/zvad045 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2024 Jan 12;23(1):62-68. doi: 10.1093/eurjcn/zvad045.