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Sense of coherence as a predictor of quality of life in adolescents with congenital heart defects: A register-based 1-year follow-up study

Published online by Cambridge University Press:  16 April 2020

B. Neuner
Affiliation:
Department of Epidemiology and Social Medicine, University of Muenster, Münster, Germany
M. Busch
Affiliation:
Department of Epidemiology and Health Reporting, Robert Koch Institute, Berlin, Germany
J. Wellmann
Affiliation:
Department of Epidemiology and Social Medicine, University of Muenster, Münster, Germany
U. Nowak-Göttl
Affiliation:
Pediatric Haematology/Oncology, University of Muenster, Münster, Germany
H.-W. Hense
Affiliation:
Department of Epidemiology and Social Medicine, University of Münster, Münster, Germany

Abstract

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Objective

Sense of coherence (SOC) is a resource for health and quality of life (QoL) in adults. Aim of this investigation was to evaluate the association of SOC and QoL in adolescents with congenital heart defects (CHD).

Method

Observational study among 770 adolescents aged 14 – 17 years from a national CHD register. SOC was measured at baseline with the SOC-L9 questionnaire. At baseline and at 12-months follow-up, QoL was measured with the KINDL-R questionnaire, evaluating overall well-being and six subscales. The association of SOC with QoL was evaluated in multi-level linear models separately for overall well-being and KINDL-R subscales. Initial models comprised SOC as only fixed effect while the final models were adjusted for age, gender, medical and socioeconomic status and behavioral factors.

Results

Overall well-being, self-esteem and school-related well-being was significantly higher at follow-up compared with baseline. SOC at baseline (median 50 [range: 16 – 63] points) was positively associated with overall well-being and all KINDL-R subscales. There were significant negative interactions between SOC at baseline and time to follow-up for overall well-being and all KINDL-R subscales except psychological well-being. But even in fully adjusted models associations of SOC at baseline with overall well-being and all KINDL-R subscales at follow-up remained significant.

Conclusion

SOC is an independent predictor of QoL in adolescents with CHD. Except for psychological well-being, this effect attenuates over one year but remains positive inoverall QoL and sub-dimensions. Further studies should evaluate whether interventions aimed to increase SOC in children with CHD improve QoL.

Type
P01-556
Copyright
Copyright © European Psychiatric Association2011
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