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March 9, 2020Journal of Clinical Psychology

Prevalence and predictors of psychological distress in congenital heart disease patients

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Key result

In patients with congenital heart disease, having a New York Heart Association functional class of II or III was a significant predictor of psychological distress (HADS score ≥ 8) with an OR of 1.88.

Why the study?

The study was conducted to determine psychological distress in congenital heart disease (CHD) patients.

Design

Single-center cross-sectional study

Authors

EMEfrén Martínez‐QuintanaAdult Congenital Heart DiseaseAGAngela GirolimettiUniversidad de Las Palmas de Gran CanariaSJSara Jiménez‐RodríguezUniversidad de Las Palmas de Gran Canaria

Discussion

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Implication

May support psychological screening in CHD clinics; cross-sectional data leave causal links and intervention effects open.

Study Design

Type

Cross-Sectional (n=169)

Multicenter

No

Structured PICO

P
Population
169 adolescent and adult patients over 14 years of age with structural congenital heart disease evaluated in a cross-sectional study to determine the prevalence and predictors of psychological distress.
O
Outcome
Anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS) questionnairepatient reported

Main Result

Odds Ratio: 1.88 (95% CI 1.01–3.52)

p-value: p=<0.05

Psychological distress is highly prevalent in congenital heart disease patients, with worse NYHA functional class being a significant predictor of anxiety and depression.

Limitations

  • Self-assessment scales are only valid for screening purposes and definitive diagnosis must rest on clinical examination.
  • NYHA class may underestimate the degree of limitation in some CHD patients.
  • Difficult to establish causal relationships from cross-sectional analysis.

Cite This Study

Martínez‐Quintana et al. (2020) conducted a cross-sectional in Congenital heart disease (CHD) (n=169). NYHA functional class II and III vs. NYHA functional class I was evaluated on Borderline or abnormal Hospital Anxiety and Depression Scale (HADS) score (≥ 8) (OR 1.88, 95% CI 1.01-3.52, p=<0.05). In patients with congenital heart disease, having a New York Heart Association functional class of II or III was a significant predictor of psychological distress (HADS score ≥ 8) with an OR of 1.88.

synapsesocial.com/papers/6a548cd8de81827feda45349https://doi.org/10.1002/jclp.22948

Topics

Congenital heart disease adults
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Also Consider

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  1. 1The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice2005 · 591 citations
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