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Cardiac Denial and Expectations Associated With Depression in Adults With Congenital Heart Disease

Geoffrey D Huntley1, Kristen M Tecson2, Sandeep Sodhi3

  • 1Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.

The American Journal of Cardiology
|April 11, 2019
PubMed

Insights

Depression is common in adults with congenital heart disease (ACHD). Cardiac denial and negative expectations are linked to increased depression symptoms, not clinical factors.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Depression is prevalent in adults with congenital heart disease (ACHD).
  • Managing depression risk factors may improve ACHD patient outcomes.
  • Understanding depression's predictors in ACHD is crucial for targeted interventions.

Purpose of the Study:

  • To identify clinical and psychosocial variables associated with depression in ACHD patients.
  • To determine the predictive power of these variables on depression status.
  • To inform strategies for mitigating depression in this vulnerable population.

Main Methods:

  • A cross-sectional study of 78 ACHD patients was conducted.
  • Retrospective clinical data and self-assessed psychosocial functioning were analyzed.
  • A stepwise multivariate model identified key predictors of depression.

Main Results:

  • The prevalence of depression in the ACHD sample was 26%.
  • The developed model explained approximately 67% of the variability in depression scores.
  • Cardiac Denial of Impact Scale, Barriers to Care (expectations), and Rand 36-Item domains (energy, social) were significant predictors; clinical variables were not.

Conclusions:

  • Psychosocial factors, specifically cardiac denial and negative healthcare expectations, are strongly associated with depression in ACHD.
  • Clinical variables did not predict depression in this cohort.
  • Interventions addressing psychological and social aspects may be key to managing depression in ACHD.

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