PDF(Pubmed)
Abstract：
UNASSIGNED: Up to one-half of adults with congenital heart disease (CHD) experience psychological distress, including anxiety.
UNASSIGNED: This paper sought to: 1) assess the contribution of illness perception in explaining anxiety symptoms beyond sociodemographic and medical variables in adults with CHD; and 2) investigate the potential mediating effect of coping style.
UNASSIGNED: CHD adult patients were recruited at Montreal Heart Institute between June 2019 and April 2021 for this cross-sectional study. Participants responded to self-reported questionnaires (Hospital Anxiety and Depression Scale, Brief Illness Perception Questionnaire, and Brief COPE). Medical characteristics (CHD complexity, NYHA functional class, and cardiac devices) were collected from medical records. We conducted hierarchical multiple linear regression and mediation analyses.
UNASSIGNED: Of the 223 participants (mean age 46 ± 14 years, 59% women), 15% had clinically significant anxiety symptoms. Medical and sociodemographic variables explained 15% of the variation in anxiety symptoms. Adding illness perception explained an additional 18% of the variation in anxiety. This R2 change was significant (F[1,188] = 49.06, P < 0.0001). Illness perception explained more variance (18%) than medical and sociodemographic variables combined. A more threatening perception of illness was associated with greater anxiety symptoms (β = 0.45, P < 0.0001). Furthermore, illness perception was associated with coping, which was linked to reduced anxiety symptoms. Coping response style accounted for 20% of the total effect of illness perception on anxiety.
UNASSIGNED: Illness perception and coping are associated with anxiety in adults with CHD. Future initiatives should assess whether targeting these potentially modifiable factors effectively prevents or mitigates anxious symptoms in adults with CHD.
UNASSIGNED: This paper sought to: 1) assess the contribution of illness perception in explaining anxiety symptoms beyond sociodemographic and medical variables in adults with CHD; and 2) investigate the potential mediating effect of coping style.
UNASSIGNED: CHD adult patients were recruited at Montreal Heart Institute between June 2019 and April 2021 for this cross-sectional study. Participants responded to self-reported questionnaires (Hospital Anxiety and Depression Scale, Brief Illness Perception Questionnaire, and Brief COPE). Medical characteristics (CHD complexity, NYHA functional class, and cardiac devices) were collected from medical records. We conducted hierarchical multiple linear regression and mediation analyses.
UNASSIGNED: Of the 223 participants (mean age 46 ± 14 years, 59% women), 15% had clinically significant anxiety symptoms. Medical and sociodemographic variables explained 15% of the variation in anxiety symptoms. Adding illness perception explained an additional 18% of the variation in anxiety. This R2 change was significant (F[1,188] = 49.06, P < 0.0001). Illness perception explained more variance (18%) than medical and sociodemographic variables combined. A more threatening perception of illness was associated with greater anxiety symptoms (β = 0.45, P < 0.0001). Furthermore, illness perception was associated with coping, which was linked to reduced anxiety symptoms. Coping response style accounted for 20% of the total effect of illness perception on anxiety.
UNASSIGNED: Illness perception and coping are associated with anxiety in adults with CHD. Future initiatives should assess whether targeting these potentially modifiable factors effectively prevents or mitigates anxious symptoms in adults with CHD.
摘要：
■多达一半的先天性心脏病（CHD）成人经历心理困扰，包括焦虑。
■本文旨在：1）评估疾病感知在解释冠心病成年人的社会人口统计学和医学变量以外的焦虑症状中的贡献；2）研究应对方式的潜在中介作用。
■在2019年6月至2021年4月期间在蒙特利尔心脏研究所招募CHD成年患者进行这项横断面研究。参与者对自我报告问卷(医院焦虑和抑郁量表，简短的疾病感知问卷，和简短的COPE）。医学特征(冠心病复杂性，NYHA功能类，和心脏设备）是从医疗记录中收集的。我们进行了分层多元线性回归和中介分析。
■在223名参与者中（平均年龄46±14岁，59％的妇女），15%有临床显著的焦虑症状。医学和社会人口统计学变量解释了焦虑症状变化的15％。增加疾病感知解释了焦虑变化的另外18％。该R2变化是显著的(F[1,188]=49.06,P<0.0001)。与医学和社会人口统计学变量的总和相比，疾病感知解释了更多的方差（18％）。对疾病更具威胁性的感知与更大的焦虑症状相关（β=0.45，P<0.0001）。此外，疾病感知与应对有关，这与减少焦虑症状有关。应对方式占疾病感知对焦虑总影响的20%。
■疾病感知和应对与成人冠心病患者的焦虑有关。未来的措施应该评估是否针对这些潜在的可改变的因素有效地预防或减轻成人冠心病患者的焦虑症状。
■本文旨在：1）评估疾病感知在解释冠心病成年人的社会人口统计学和医学变量以外的焦虑症状中的贡献；2）研究应对方式的潜在中介作用。
■在2019年6月至2021年4月期间在蒙特利尔心脏研究所招募CHD成年患者进行这项横断面研究。参与者对自我报告问卷(医院焦虑和抑郁量表，简短的疾病感知问卷，和简短的COPE）。医学特征(冠心病复杂性，NYHA功能类，和心脏设备）是从医疗记录中收集的。我们进行了分层多元线性回归和中介分析。
■在223名参与者中（平均年龄46±14岁，59％的妇女），15%有临床显著的焦虑症状。医学和社会人口统计学变量解释了焦虑症状变化的15％。增加疾病感知解释了焦虑变化的另外18％。该R2变化是显著的(F[1,188]=49.06,P<0.0001)。与医学和社会人口统计学变量的总和相比，疾病感知解释了更多的方差（18％）。对疾病更具威胁性的感知与更大的焦虑症状相关（β=0.45，P<0.0001）。此外，疾病感知与应对有关，这与减少焦虑症状有关。应对方式占疾病感知对焦虑总影响的20%。
■疾病感知和应对与成人冠心病患者的焦虑有关。未来的措施应该评估是否针对这些潜在的可改变的因素有效地预防或减轻成人冠心病患者的焦虑症状。
