Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T12:08:30.408Z Has data issue: false hasContentIssue false
  • English
  • Français

Longitudinal development of psychopathology and subjective health status in CHD adults: a 30- to 43-year follow-up in a unique cohort

Published online by Cambridge University Press:  16 June 2015

Petra Opić ,
Jolien W. Roos-Hesselink ,
Judith A. A. C. Cuypers ,
Maarten Witsenburg ,
Annemien van den Bosch ,
Ron T. van Domburg ,
Ad J. J. C. Bogers  and
Elisabeth M. W. J. Utens
Petra Opić
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Jolien W. Roos-Hesselink
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Judith A. A. C. Cuypers
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Maarten Witsenburg
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Annemien van den Bosch
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Ron T. van Domburg
Affiliation:
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
Ad J. J. C. Bogers
Affiliation:
Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
Elisabeth M. W. J. Utens*
Affiliation:
Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children’s Hospital, Rotterdam, The Netherlands
*
Correspondence to: Dr E. M. W. J. Utens, Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children’s Hospital, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands. Tel: +3110 704 020 9; Fax: +3110 703 680 3; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To determine longitudinal changes in psychopathology in a cohort of patients 30–43 years after their first cardiac surgery for Congenital Heart Disease (CHD) in childhood, to compare outcomes of the 30- to 43-year follow-up with normative data, and to identify medical predictors for psychopathology.

Methods

This study is the third follow-up of this cohort. The first and second follow-ups of this same cohort were conducted in 1990 and 2001, respectively. At all three follow-ups, psychopathology was assessed with standardised, parallel questionnaires. In 2011, subjective health status was assessed by the Short Form-36. Medical predictor variables were derived from medical examinations and medical records.

Results

In this third follow-up, a total of 252 patients participated. Of these, 152 patients participated in all three follow-ups. Over a 30-year period, proportions of patients showing psychopathology decreased significantly.

At the 30- to 43-year follow-up, overall outcomes on psychopathology for the CHD sample were similar or even better compared with normative groups. Subjective health status was also better compared with normative data.

No differences were found between cardiac diagnostic groups. Medical variables that predicted the course of psychopathology over time were as follows: the scar, as judged by the patient, results of the first cardiac surgery, and the number of hospitalisations.

Conclusions

Over a 30-year period, psychopathology decreased in patients with CHD. Levels of psychopathology in these patients, who are now aged between 30 and 54 years, were comparable or even better than normative data.

Keywords

CHDpsychopathologylong-term follow-upquality of lifelongitudinal
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 547 - 555
Check for updates
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. van der Linde, D, Konings, EE, Slager, MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58: 2241–2247.CrossRefGoogle ScholarPubMed
2. Brickner, ME, Hillis, LD, Lange, RA. Congenital heart disease in adults. First of two parts. N Engl J Med 2000; 342: 256–263.Google Scholar
3. 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: 745–758.Google Scholar
4. 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: 315–323.Google Scholar
5. Kovacs, AH, Sears, SF, Saidi, AS. Biopsychosocial experiences of adults with congenital heart disease: review of the literature. Am Heart J 2005; 150: 193–201.Google Scholar
6. 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: 407–413.Google Scholar
7. Marino, BS, Lipkin, PH, Newburger, JW, et al. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management: a scientific statement from the American Heart Association. Circulation 2012; 126: 1143–1172.Google Scholar
8. Utens, EM, Verhulst, FC, Meijboom, FJ, et al. Behavioural and emotional problems in children and adolescents with congenital heart disease. Psychol Med 1993; 23: 415–424.Google Scholar
9. 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: 673–683.Google Scholar
10. 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: 1605–1613.Google Scholar
11. Roos-Hesselink, J, Perlroth, MG, McGhie, J, Spitaels, S. Atrial arrhythmias in adults after repair of tetralogy of Fallot. Correlations with clinical, exercise, and echocardiographic findings. Circulation 1995; 91: 2214–2219.Google Scholar
12. Roos-Hesselink, JW, Meijboom, FJ, Spitaels, SE, et al. Decline in ventricular function and clinical condition after mustard repair for transposition of the great arteries (a prospective study of 22–29 years). Eur Heart J 2004; 25: 1264–1270.CrossRefGoogle ScholarPubMed
13. Warnes, CA, Williams, RG, Bashore, TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008; 52: e143–e263.Google Scholar
14. Achenbach, TM. Manual for the Youth Self-Report and 1991 Profile. Department of Psychiatry, University of Vermont, Burlington, VT, 1991.Google Scholar
15. Achenbach, TM. Manual for the Child Behavior Checklist. Department of Psychiatry, University of Vermont, Burlington, VT, 1991.Google Scholar
16. Achenbach, TM. Manual for the Young Adult Self-Report and Young Adult Behavior Checklist. Department of Psychiatry, University of Vermont, Burlington, VT, 1997.Google Scholar
17. Achenbach, TM, Rescorla, L. Manual for the ASEBA Adult Forms & Profiles: For Ages 18–59: Adult Self-Report and Adult Behavior Checklist. ASEBA, Burlington, VT, 2003.Google Scholar
18. Ware, JE, Sherbourne, CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473–483.Google Scholar
19. Cohen, J. Statistical Power Analysis for the Behavioral Sciences. L. Erlbaum Associates, Hillsdale, NJ, 1988.Google Scholar
20. Maxwell, AE. Comparing the classification of subjects by two independent judges. Br J Psychiatry 1970; 116: 651–655.CrossRefGoogle ScholarPubMed
21. Opić, P, Roos-Hesselink, JW, Cuypers, JA, et al. Psychosocial functioning of adults with congenital heart disease: outcomes of a 30–43 year longitudinal follow-up. Clin Res Cardiol 2015; 104: 388–400.Google Scholar
22. Zomer, AC, Vaartjes, I, Uiterwaal, CS, et al. Social burden and lifestyle in adults with congenital heart disease. Am J Cardiol 2012; 109: 1657–1663.Google Scholar
23. Moons, P. Quality of life in adults with congenital heart disease: beyond the quantity of life, doctoral dissertation. Katholieke Universiteit Leuven, Belgium, 2004.Google Scholar
24. Utens, EM, Bieman, HJ, Verhulst, FC, Meijboom, FJ, Erdman, RA, Hess, J. Psychopathology in young adults with congenital heart disease. Follow-up results. Eur Heart J 1998; 19: 647–651.Google Scholar
25. Kańtoch, MJ, Eustace, J, Collins-Nakai, RL, Taylor, DA, Bolsvert, JA, Lysak, PS. The significance of cardiac surgery scars in adult patients with congenital heart disease. Kardiol Pol 2006; 64: 51–56; discussion 57–58.Google Scholar
26. Horner, T, Liberthson, R, Jellinek, MS. Psychosocial profile of adults with complex congenital heart disease. Mayo Clin Proc 2000; 75: 31–36.CrossRefGoogle ScholarPubMed
27. Cyranowski, JM, Frank, E, Young, E, Shear, MK. Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Arch Gen Psychiatry 2000; 57: 21–27.Google Scholar
28. DeMaso, DR, Campis, LK, Wypij, D, Bertram, S, Lipshitz, M, Freed, M. The impact of maternal perceptions and medical severity on the adjustment of children with congenital heart disease. J Pediatr Psychol 1991; 16: 137–149.Google Scholar
29. Ong, L, Nolan, RP, Irvine, J, Kovacs, AH. Parental overprotection and heart-focused anxiety in adults with congenital heart disease. Int J Behav Med 2011; 18: 260–267.Google Scholar
30. Aaronson, NK, Muller, M, Cohen, PD, et al. Translation, validation, and norming of the Dutch language version of the SF-36 health survey in community and chronic disease populations. J Clin Epidemiol 1998; 51: 1055–1068.Google Scholar