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Prevalence and predictors of psychological distress in congenital heart disease patients
Author(s) -
MartínezQuintana Efrén,
Girolimetti Angela,
JiménezRodríguez Sara,
FraguelaMedina Carla,
RodríguezGonzález Fayna,
Tugores Antonio
Publication year - 2020
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22948
Subject(s) - hospital anxiety and depression scale , anxiety , depression (economics) , psychological distress , medicine , outpatient clinic , heart disease , distress , psychology , psychiatry , clinical psychology , economics , macroeconomics
Objective To determine psychological distress in congenital heart disease (CHD) patients. Methods Cross‐sectional study among consecutive CHD patients recruited from a single hospital outpatient clinic to determine anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS) questionnaire. Results One hundred and sixty‐nine CHD patients [29 (19–39) years old, 100 (59%) males] were studied. A total of 25% and 9% of CHD patients showed anxiety and depression symptoms, respectively. Patients with an HADS score ≥ 8 had a significantly worse New York Heart Association (NYHA) functional class, needed more psychological support, had more mental health history, and took more anxiolytic/antidepressant medication than the CHD patients with an HADS score below 8. A worse NYHA functional class [OR, 1.88 (1.01–3.52)] proved to be a predictor of a borderline/abnormal HADS score. Conclusion Psychological distress has a high prevalence among CHD patients and having an NYHA Class II and III is a significant predictor of an HADS score ≥ 8.