Medical predictors for psychopathology in adults with operated congenital heart disease
| Autor: | E. H. M. van Rijen, A.J.J.C. Bogers, Folkert J. Meijboom, J. R. T. C. Roelandt, J.W. Roos-Hesselink, R.T. van Domburg, Frank C. Verhulst, Elisabeth M. W. J. Utens |
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| Přispěvatelé: | Academic Medical Center |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Heart Defects Congenital Male Reoperation Pacemaker Artificial medicine.medical_specialty Heart disease Cohort Studies Sex Factors medicine Humans Affective Symptoms Medical diagnosis Young adult Psychiatry Life Style Analysis of Variance Exercise Tolerance business.industry Mental Disorders Middle Aged medicine.disease Checklist Test (assessment) Hospitalization Great arteries Cohort Female Cardiology and Cardiovascular Medicine business Psychopathology |
| Zdroj: | European heart journal, 25(18), 1605-1613. Oxford University Press |
| ISSN: | 0195-668X |
| DOI: | 10.1016/j.ehj.2004.06.025 |
| Popis: | Aims To test the predictive value of medical variables, covering the complete medical course from birth until the present, for long-term behavioural and emotional problems in adulthood, in patients operated for congenital heart disease in childhood. Methods and results This study concerns the second psychological and medical follow-up of a cohort of patients operated for congenital heart disease ( n =362; age 20–46 years). Behavioural and emotional problems were assessed with the Young Adult Self-Report and the Young Adult Behavior Checklist. Medical prediction variables were derived from medical examination and file search. Being female, having low exercise capacity and restrictions imposed by physicians are significant predictors for behavioural and emotional problems as reported by patients themselves. Regarding the scar, personal experiences of patients form a better predictor for later problems than judgement of aesthetical aspects by physicians. Early hospitalisations with reoperations are predictive for behavioural and emotional problems as reported by other informants. The cardiac diagnoses of ventricular septal defect and transposition of the great arteries are associated with higher levels of behavioural and emotional problems. Conclusion Recent experiences concerning the scar, physical condition and imposed restrictions are the strongest predictors for behavioural and emotional problems as reported by patients themselves. |
| Databáze: | OpenAIRE |
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