Peculiarities of emotional state in adults with congenital heart disease
AbstractForasmuch the high risk of psycho-emotional disorders in adults with congenital heart disease (ACHD) and the need to develop a comprehensive system of medical and psychological support to this cohort of patients in Ukraine, we decided to conduct screening of anxiety and depression in young ACHD and identify medical and psychological targets for treatment.The study was conducted at the Kyiv-based state-run Scientific and Practical Medical Children’s Cardiology and Cardiosurgery Center of the Ukrainian Health Ministry. 178 ACHD after cardiac surgery interventions were invited to take part in the confidential study. ACHD age was 22,6±3,1 years.Subclinical and clinical signs of anxiety were found in 41 (23%) patients, depression in 10 (5.62%) patients, anxiety, and depression at one time in 17 (9.56%) respondents. Anxiety and/or depressive disorders were found more often in women than men at a ratio of 45% to 32,65%, (p ≤ 0,05). Five targets of medical and psychological treatment for ACHD were highlighted in the study, namely: 1) anxiety and depression; 2) fears of death and medical complications; 3) loneliness and difficulties in interpersonal relationships; 4) fears about sexuality, family, motherhood and pregnancy 5) body image, appearance and self-esteem.
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