Psychosocial Factors Influencing Mental Health in Adults With Congenital Heart Disease
| Autor: | Takeaki Shirai, Jun Nakazawa, Yoshiko Mizuno, Junko Enomoto, Junko Ogawa, Koichiro Niwa |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Adolescent Heart Diseases Heart disease Cross-sectional study Self-concept Young Adult Asian People Japan Humans Psychology Medicine Young adult Psychiatry Problem Solving business.industry Case-control study General Medicine medicine.disease Health Surveys Mental health Self Concept Cross-Sectional Studies Mental Health Locus of control Case-Control Studies Female Independent Living Cardiology and Cardiovascular Medicine business Psychosocial |
| Zdroj: | Circulation Journal. 77:749-755 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.cj-12-0716 |
| Popis: | Background: Although adult congenital heart disease (ACHD) patients encounter unique challenges related to social adaptation and mental health, only minimal research has been conducted on this functioning in Japanese ACHD patients. The aims of this study were to describe aspects of the psychosocial functioning of ACHD patients and to determine the psychosocial factors influencing their mental health. Methods and Results: Seventy-two ACHD patients (aged 18–39 years) and 86 control participants (aged 18–39 years) completed the 36-item Short Form Health Survey, a measure of mental health, and 4 self-report questionnaires measuring aspects of psychosocial functioning: Independent-Consciousness, Problem-solving, Locus of Control, and Self-esteem. Compared to the control group, ACHD patients had significantly lower scores for Independence, Problem-solving, and Self-esteem; whereas they had higher scores for Dependence on Parents. To examine the psychosocial factors influencing mental health, a structural equation model was used. The psychosocial factor Problem-solving was found to have the most direct influence on mental health. This factor was associated with Independence and Self-esteem. Conclusions: ACHD patients in Japan have psychosocial difficulties, and the psychosocial factors influencing patients’ mental health are social problem-solving, independence, and self-esteem. The patients have poorer abilities than the control group in all of these areas and hence, they run the risk of developing poor mental health. (Circ J 2013; 77: 749–755) |
| Databáze: | OpenAIRE |
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