The Prevalence and Predictors of Anxiety and Depression in Adolescents with Heart Disease

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• 作者：QiFeng Wang ; MB ; PhD¹ ; Margaret Hay ; PhD² ; David Clarke ; MB ; MPM ; PhD ; FRACGP ; FRANZCP¹ ; Samuel Menahem ; MD ; MEd ; MPM ; FRACP ; FACC ; FCANZ¹ ; ³ ; ⁴ ; ^{samuel.menahem@southernhealth.org.au}
• 关键词：CHD ; Congenital heart disease ; HADS ; Hospital Anxiety and Depression Scale ; LOTR ; Life Orientation Test-Revised ; MSPSS ; Multidimensional Scale of Perceived Social Support ; SOC-13 ; Sense of Coherence-13
• 刊名：The Journal of Pediatrics
• 出版年：2012
• 出版时间：November, 2012
• 年：2012
• 卷：161
• 期：5
• 页码：943-946.e1
• 全文大小：108 K

文摘

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Objective

To evaluate the prevalence and contributory factors of depression and anxiety in adolescents with heart disease.

Study design

A cohort of adolescents was recruited from an ambulatory cardiology clinic at a tertiary center and from such clinics run privately. Questionnaires included the Hospital Anxiety and Depression Scale, Multidimensional Scale of Perceived Social Support, Life Orientation Test-Revised, and Sense of Coherence-13.

Results

A total of 119 adolescents aged 12-20 years were recruited. Most of the participants (90 % ) had congenital heart disease. Nearly all (98 % ) were in New York Heart Association Functional Classification class I. Approximately one-half of the participants had had previous surgeries and/or catheter interventions. Eleven patients (9 % ) were above the cut-off score for likely depression, and 32 (27 % ) had likely anxiety. A feeling of optimism was the most significant?factor in reducing anxiety and depression, followed by good social support and a strong sense of coherence (multiple regressions, ¦Â = ?0.38, ?0.2, ?0.17, respectively).

Conclusions

Depression and anxiety were found to be common in a relatively well adolescent population with heart disease. None of those affected had been clinically assessed and appropriately treated by a mental health professional. Protective factors against depression and anxiety need be developed as well as appropriate assessment and intervention.