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The impact of actual and perceived disease severity on pre-operative psychological well-being and illness behaviour in adult congenital heart disease patients

  • Edward Callus (a1), Elisabeth M. W. J. Utens (a2), Emilia Quadri (a1), Cristian Ricci (a3), Mario Carminati (a1), Alessandro Giamberti (a4) and Massimo Chessa (a1)...

Abstract

Objectives: The purpose of this study was to investigate whether the objective medical parameters related to congenital heart disease and patients’ ratings of cardiac disease severity were related to psychological well-being and illness behaviour during the pre-operative period. Methods: A total of 143 patients (63 male patients; 16–73 years old) with congenital heart disease evaluated the severity of their cardiac condition using a numerical rating scale ranging from 0, indicating the least severe condition, to 100, indicating the most severe condition. Psychological well-being was assessed using the Psychological General Well-Being Index (total score ≤60 indicating severe distress) and illness behaviour using the Illness Behavior Questionnaire. Results: Pre-operative psychological well-being was not related to the objective medical parameters reflecting cardiac disease severity. In contrast, total psychological well-being scores correlated significantly with patients’ subjective ratings of disease severity (p < 0.001). When compared with the reference values from the Italian population, the mean scores of the patients on psychological well-being were similar. As regards the Illness Behavior Questionnaire, the scores on denial were higher and those on hypochondria were lower compared with other hospitalised patients. Conclusions: This study shows that the perception of cardiac disease severity, and not the medical parameters in congenital heart disease, is related to the patients’ pre-operative psychological state. Thus, more importance needs to be given to assessing the patients’ pre-operative perception and psychological state independently of cardiac severity. Targeted interventions with regard to the cardiac condition are recommended.

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Corresponding author

Correspondence to: Dr E. Callus, Department of Pediatric Cardiology and Adult with Congenital Heart Defect, IRCCS Policlinico San Donato, Via Morandi, 30, 20097 San Donato M.se, Milan, Italy. Tel: +3902527744707; Fax: +390252774912; E-mail: edward.callus@grupposandonato.com

References

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1. Warnes, CA. The adult with congenital heart disease: born to be bad? J Am Coll Cardiol 2005; 46: 18.
2. Oechslin, EN, Harrison, DA, Connelly, MS, Webb, GD, Siu, SC. Mode of death in adults with congenital heart disease. Am J Cardiol 2000; 86: 11111116.
3. Kovacs, AH, Silversides, C, Saidi, A, Sears, SF. The role of the psychologist in adult congenital heart disease. Cardiol Clin 2006; 24: 607618, vi.
4. Kools, S, Tong, EM, Hughes, R, et al. Hospital experiences of young adults with congenital heart disease: divergence in expectations and dissonance in care. Am J Crit Care 2002; 11: 115125; quiz 126–117.
5. Verstappen, A, Pearson, D, Kovacs, AH. Adult congenital heart disease: the patient's perspective. Cardiol Clin 2006; 24: 515529.
6. Bromberg, JI, Beasley, PJ, D'Angelo, EJ, Landzberg, M, DeMaso, DR. Depression and anxiety in adults with congenital heart disease: a pilot study. Heart Lung 2003; 32: 105110.
7. Horner, T, Liberthson, R, Jellinek, MS. Psychosocial profile of adults with complex congenital heart disease. Mayo Clin Proc 2000; 75: 3136.
8. Kovacs, AH, Saidi, AS, Kuhl, EA, et al. Depression and anxiety in adult congenital heart disease: predictors and prevalence. Int J Cardiol 2008; 137: 158164.
9. Brandhagen, DJ, Feldt, RH, Williams, DE. Long-term psychologic implications of congenital heart disease: a 25-year follow-up. Mayo Clin Proc 1991; 66: 474479.
10. Utens, EM, Verhulst, FC, Erdman, RA, et al. Psychosocial functioning of young adults after surgical correction for congenital heart disease in childhood: a follow-up study. J Psychosom Res 1994; 38: 745758.
11. Popelova, J, Slavik, Z, Skovranek, J. Are cyanosed adults with congenital cardiac malformations depressed? Cardiol Young 2001; 11: 379384.
12. van Rijen, EH, Utens, EM, Roos-Hesselink, JW, et al. Medical predictors for psychopathology in adults with operated congenital heart disease. Eur Heart J 2004; 25: 16051613.
13. Kovacs, AH, Sears, SF, Saidi, AS. Biopsychosocial experiences of adults with congenital heart disease: review of the literature. Am Heart J 2005; 150: 193201.
14. van Rijen, EH, Utens, EM, Roos-Hesselink, JW, et al. Psychosocial functioning of the adult with congenital heart disease: a 20–33 years follow-up. Eur Heart J 2003; 24: 673683.
15. Moons, P, Van Deyk, K, De Geest, S, Gewillig, M, Budts, W. Is the severity of congenital heart disease associated with the quality of life and perceived health of adult patients? Heart 2005; 91: 11931198.
16. Chessa, M, De Rosa, G, Pardeo, M, et al. Illness understanding in adults with congenital heart disease. Ital Heart J 2005; 6: 895899.
17. Gratz, A, Hess, J, Hager, A. Self-estimated physical functioning poorly predicts actual exercise capacity in adolescents and adults with congenital heart disease. Eur Heart J 2009; 30: 497504.
18. Badia, X, Monserrat, S, Roset, M, Herdman, M. Feasibility, validity and test–retest reliability of scaling methods for health states: the visual analogue scale and the time trade-off. Qual Life Res 1999; 8: 303310.
19. Moons, P Van Deyk, K De Bleser, L, et al. Quality of life and health status in adults with congenital heart disease: a direct comparison with healthy counterparts. Eur J Cardiovasc Prev Rehabil 2006; 13: 407413.
20. Grossi, E, Mosconi, P, Groth, N, Niero, M, Apolone, G. Questionario ‘Psychological General Well-Being Index’. Istituto di Ricerche Farmacologiche Mario Negri Milan, Versione Italiana, 2005.
21. Fava, GA, Bernardi, M, Pilowsky, I, Spence, ND. Versione Italiana dell'Illness Behavior Questionnaire (I.B.Q.) di Pilowsky e Spence. In: Canestrari R (ed.). Nuovi Metodi in Psicometria. Organizzazioni Speciali, Firenze, 1982, pp 6576.
22. Blom, G. Statistical Estimates and Transformed Beta-Variables. John Wiley & Sons, New York, 1958.
23. Fisher, RA. Frequency distribution of the values of the correlation coefficient in samples of an indefinitely large population. Biometrika (Biometrika Trust) 1915; 10: 507521.
24. Fisher, RA. On the ‘probable error’ of a coefficient of correlation deduced from a small sample. Metron 1921; 1: 332.
25. Kramer, CY. Extension of multiple range tests to group means with unequal numbers of replications. Biometrics 1956; 12: 307310.
26. SAS Institute Inc. SAS 9.1.3 Help and Documentation. SAS Institute Inc., Cary, NC, 2000–2004.
27. Shewan, LG, Coats, AJ. Ethics in the authorship and publishing of scientific articles. Int J Cardiol 2010; 144: 12.
28. Webb, GD Williams, RG. Care of the Adult with Congenital Heart Disease. Presented at the 32nd Bethesda Conference, Bethesda, Maryland, October 2–3, 2000. J Am Coll Cardiol 2001; 37: 11611198.
29. DeMaso, DR, Gonzalez-Heydrich, J, Erickson, JD, Grimes, VP, Strohecker, C. The experience journal: a computer-based intervention for families facing congenital heart disease. J Am Acad Child Adolesc Psychiatry 2000; 39: 727734.
30. van Rijen, EH, Utens, EM, Roos-Hesselink, JW, et al. Longitudinal development of psychopathology in an adult congenital heart disease cohort. Int J Cardiol 2005; 99: 315323.

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The impact of actual and perceived disease severity on pre-operative psychological well-being and illness behaviour in adult congenital heart disease patients

  • Edward Callus (a1), Elisabeth M. W. J. Utens (a2), Emilia Quadri (a1), Cristian Ricci (a3), Mario Carminati (a1), Alessandro Giamberti (a4) and Massimo Chessa (a1)...

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