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International Journal of Behavioral Medicine

Erschienen in:

01.09.2011

Parental Overprotection and Heart-Focused Anxiety in Adults with Congenital Heart Disease

verfasst von: Lephuong Ong, Robert P. Nolan, Jane Irvine, Adrienne H. Kovacs

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 3/2011

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Abstract

Background

The care of adult patients with congenital heart disease (CHD) is challenging from a mental health perspective, as these patients continue to face a variety of biopsychosocial issues that may impact emotional functioning. Despite these issues, there are limited data on the psychosocial functioning of adults with CHD, and there are no data on the impact of parental overprotection on heart-focused anxiety in this patient population.

Purpose

The aim of this study was to examine the relationships between patient recollections of parental overprotection and current heart-focused anxiety in adults with CHD.

Method

A cross-sectional sample of 190 adult patients with CHD (51% male; mean age = 32.28, SD = 11.86 years) completed validated measures of perceived parental overprotection (Parental Bonding Instrument) and heart-focused anxiety (Cardiac Anxiety Questionnaire).

Results

The results indicated that perceived parental overprotection (β = 0.19, p = 0.02) and heart defect complexity (β = 0.17, p = 0.03) were significantly related to heart-focused anxiety. Contrary to hypotheses, perceived parental overprotection did not vary as a function of heart defect complexity (F (2, 169) = 0.02, p = 0.98).

Conclusion

Perceived parental overprotection and heart defect complexity are associated with heart-focused anxiety in adults with congenital heart disease. These results can inform the development of clinical interventions aimed at improving the psychosocial adjustment of this patient population.

Hoffman JI, Christianson R. Congenital heart disease in a cohort of 19,502 births with long-term follow-up. Am J Cardiol. 1978;42:641–7.PubMedCrossRef

Botto LD, Correa A, Erickson JD. Racial and temporal variations in the prevalence of heart defects. Pediatrics. 2001;107:E32.PubMedCrossRef

Warnes CA. The adult with congenital heart disease: born to be bad? J Am Coll Cardiol. 2005;46:1–8.PubMedCrossRef

Webb G. Improving the care of Canadian adults with congenital heart disease. Can J Cardiol. 2005;21:833–8.PubMed

Oechslin EN, Harrison DA, Connelly MS, Webb GD, Siu SC. Mode of death in adults with congenital heart disease. Am J Cardiol. 2000;86:1111–6.PubMedCrossRef

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.PubMedCrossRef

Foster E, Graham JTP, Driscoll DJ, Reid GJ, Reiss JG, Russell IA, et al. Task force 2: special health care needs of adults with congenital heart disease. J Am Coll Cardiol. 2001;37:1161–98.CrossRef

Gledhill J, Rangel L, Garralda E. Surviving chronic physical illness: psychosocial outcome in adult life. Arch Dis Child. 2000;83:104–10.PubMedCrossRef

Tayebjee MH, Lip GY. Psychosocial functioning of adults with congenital heart disease: a neglected area. Eur Heart J. 2003;24:2159.PubMedCrossRef

10.

Utens EM, Verhulst FC, Erdman RA, Meijboom FJ, Duivenvoorden HJ, Bos E, et al. Psychosocial functioning of young adults after surgical correction for congenital heart disease in childhood: a follow-up study. J Psychosom Res. 1994;38:745–58.PubMedCrossRef

11.

van Rijen EH, Utens EM, Roos-Hesselink JW, Meijboom FJ, van Domburg RT, Roelandt JR, et al. Psychosocial functioning of the adult with congenital heart disease: a 20-33 years follow-up. Eur Heart J. 2003;24:673–83.PubMedCrossRef

12.

Cox D, Lewis G, Stuart G, Murphy K. A cross-sectional study of the prevalence of psychopathology in adults with congenital heart disease. J Psychosom Res. 2002;52:65–8.PubMedCrossRef

13.

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;19:647–51.PubMedCrossRef

14.

Popelova J, Slavik Z, Skovranek J. Are cyanosed adults with congenital cardiac malformations depressed? Cardiol Young. 2001;11:379–84.PubMedCrossRef

15.

Brandhagen DJ, Feldt RH, Williams DE. Long-term psychologic implications of congenital heart disease: a 25-year follow-up. Mayo Clin Proc. 1991;66:474–9.PubMed

16.

Bromberg JI, Beasley PJ, D'Angelo EJ, Landzberg M, DeMaso DR. Depression and anxiety in adults with congenital heart disease: a pilot study. Heart Lung. 2003;32:105–10.PubMedCrossRef

17.

Horner T, Liberthson R, Jellinek MS. Psychosocial profile of adults with complex congenital heart disease. Mayo Clin Proc. 2000;75:31–6.PubMedCrossRef

18.

Kovacs AH, Saidi AS, Kuhl EA, Sears SF, Silversides C, Harrison JL, et al. Depression and anxiety in adult congenital heart disease: predictors and prevalence. Int J Cardiol. 2009;137:158–64.PubMedCrossRef

19.

Eifert GH, Thompson RN, Zvolensky MJ, Edwards K, Frazer NL, Haddad JW, et al. The Cardiac Anxiety Questionnaire: development and preliminary validity. Behav Res Ther. 2000;38:1039–53.PubMedCrossRef

20.

Eifert GH, Hodson SE, Tracey DR, Seville JL, Gunawardane K. Heart-focused anxiety, illness beliefs, and behavioral impairment: comparing healthy heart-anxious patients with cardiac and surgical inpatients. J Behav Med. 1996;19:385–99.PubMedCrossRef

21.

Hoyer J, Eifert GH, Einsle F, Zimmermann K, Krauss S, Knaut M, et al. Heart-focused anxiety before and after cardiac surgery. J Psychosom Res. 2008;64:291–7.PubMedCrossRef

22.

Zvolensky MJ, Eifert GH, Feldner MT, Leen-Feldner E. Heart-focused anxiety and chest pain in postangiography medical patients. J Behav Med. 2003;26:197–209.PubMedCrossRef

23.

Rietveld S, Karsdorp PA, Mulder BJ. Heartbeat sensitivity in adults with congenital heart disease. Int J Behav Med. 2004;11:203–11.PubMedCrossRef

24.

Abramson LY, Seligman MEP, Teasdale JD. Learned helplessness in humans: critique and reformulation. Journal of Abnormal Psychology. 1978;87:49–74.PubMedCrossRef

25.

Beck AT. Depression: causes and treatment. Philadelphia: University of Pennsylvania Press; 1967.

26.

Ainsworth MDS, Blehar MC, Waters E, Wall S. Patterns of attachment: a psychological study of the strange situation. Hillsdale: Lawrence Erlbaum Associates; 1978.

27.

Bowlby J. Attachment and loss. New York: Basic Books; 1969.

28.

Gantt LT. Growing up heartsick: the experiences of young women with congenital heart disease. Health Care Women Int. 1992;13:241–8.PubMedCrossRef

29.

Parker G, Tupling H, Brown LB. A parental bonding instrument. Br J Med Psychol. 1979;52:1–10.CrossRef

30.

Linde LM, Rasof B, Dunn OJ, Rabb E. Attitudinal factors in congenital heart disease. Pediatrics. 1966;38:92–101.PubMed

31.

Linde LM, Rasof B, Dunn OJ. Longitudinal studies of intellectual and behavioral development in children with congenital heart disease. Acta Paediatr Scand. 1970;59:169–76.PubMedCrossRef

32.

Garson Jr A, Benson RS, Ivler L, Patton C. Parental reactions to children with congenital heart disease. Child Psychiatry Hum Dev. 1978;9:86–94.PubMedCrossRef

33.

Kokkonen J, Paavilainen T. Social adaptation of young adults with congenital heart disease. Int J Cardiol. 1992;36:23–9.PubMedCrossRef

34.

Turgeon L, O'Connor KP, Marchand A, Freeston MH. Recollections of parent–child relationships in patients with obsessive-compulsive disorder and panic disorder with agoraphobia. Acta Psychiatr Scand. 2002;105:310–6.PubMedCrossRef

35.

Bennet A, Stirling J. Vulnerability factors in the anxiety disorders. Br J Med Psychol. 1998;71:311–21.PubMedCrossRef

36.

Silove D, Parker G, Hadzi-Pavlovic D, Manicavasagar V, Blaszczynski A. Parental representations of patients with panic disorder and generalised anxiety disorder. Br J Psychiatry. 1991;159:835–41.PubMedCrossRef

37.

Lieb R, Wittchen HU, Hofler M, Fuetsch M, Stein MB, Merikangas KR. Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry. 2000;57:859–66.PubMedCrossRef

38.

First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute; 2002.

39.

Warnes CA, Liberthson R, Danielson GK, Dore A, Harris L, Hoffman JI, et al. Task force 1: the changing profile of congenital heart disease in adult life. J Am Coll Cardiol. 2001;37:1170–5.PubMedCrossRef

40.

Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI (Form Y). Palo Alto: Mind Garden; 1983.

41.

Wilhelm K, Niven H, Parker G, Hadzi-Pavlovic D. The stability of the Parental Bonding Instrument over a 20-year period. Psychol Med. 2005;35:387–93.PubMedCrossRef

42.

Tabachnick BG, Fidell LS. Using multivariate statistics. 4th ed. Boston: Allyn and Bacon; 2001.

43.

Kovacs AH, Ong L, Lin J, Chessex C. Heart-focused anxiety: the role of socioeconomic status. J Card Rehabil. 2006;26:176–9.CrossRef

44.

Parker G. Parental characteristics in relation to depressive disorders. Br J Psychiatry. 1979;134:138–47.PubMedCrossRef

45.

Claessens P, Moons P, de Casterle BD, Cannaerts N, Budts W, Gewillig M. What does it mean to live with a congenital heart disease? A qualitative study on the lived experiences of adult patients. Eur J Cardiovasc Nurs. 2005;4:3–10.PubMedCrossRef

Titel: Parental Overprotection and Heart-Focused Anxiety in Adults with Congenital Heart Disease
verfasst von: Lephuong Ong
Robert P. Nolan
Jane Irvine
Adrienne H. Kovacs
Publikationsdatum: 01.09.2011
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 3/2011
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-010-9112-y

Springer Medizin

Abstract

Background

Purpose

Method

Results

Conclusion

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