Adults with congenital heart disease

Psychological needs and treatment preferences

Adrienne Kovacs, Katherine L. Bendell, Jack Colman, Jeanine L. Harrison, Erwin Oechslin, Candice Silversides

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective. Approximately one-third of adult congenital heart disease (ACHD) patients have mood or anxiety disorders, the majority of which go untreated. The extent to which this group of patients is interested in psychological services is, however, unknown. This study investigated the perceived psychological needs of patients and their mental health treatment preferences. Design. Participants completed an anonymous survey with items regarding mental health treatment history, preferences for future treatment, Internet use, and interest in peer support. Results. A total of 155 ACHD patients completed study questionnaires (mean age = 39 years; 50% female). Forty percent of patients reported previous mental health treatment. Some 51% of patients (73/142) indicated significant interest in at least 1 of 7 defined areas of psychological treatment (managing mood and/or anxiety, coping with a cardiac condition, stress management, anger management, relationship difficulties, substance use, and smoking cessation). Patients were most interested in stress management and coping with heart disease; one-third of patients (48/141 and 47/141, respectively) expressed high interest in these 2 topics. There was a consistent preference for psychological treatment to be provided over the Internet vs. in person or over the telephone; 94% of the patients had Internet access. In total, 35% of patients (51/145) were interested in receiving peer support. Conclusions. It is not only health providers who recognize the importance of psychological care for ACHD patients. As a group, patients are also interested in psychological treatment and peer support. Programs are encouraged to provide psychological services and maximize opportunities for interactions with other patients.

Original languageEnglish (US)
Pages (from-to)139-146
Number of pages8
JournalCongenital Heart Disease
Volume4
Issue number3
DOIs
StatePublished - Jun 12 2009
Externally publishedYes

Fingerprint

Heart Diseases
Psychology
Therapeutics
Internet
Mental Health
Smoking Cessation
Anxiety Disorders
Mood Disorders
Telephone
Anxiety
History

Keywords

  • Adult Congenital Heart Disease
  • Anxiety
  • Depression
  • Internet
  • Psychological

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Adults with congenital heart disease : Psychological needs and treatment preferences. / Kovacs, Adrienne; Bendell, Katherine L.; Colman, Jack; Harrison, Jeanine L.; Oechslin, Erwin; Silversides, Candice.

In: Congenital Heart Disease, Vol. 4, No. 3, 12.06.2009, p. 139-146.

Research output: Contribution to journalArticle

Kovacs, Adrienne ; Bendell, Katherine L. ; Colman, Jack ; Harrison, Jeanine L. ; Oechslin, Erwin ; Silversides, Candice. / Adults with congenital heart disease : Psychological needs and treatment preferences. In: Congenital Heart Disease. 2009 ; Vol. 4, No. 3. pp. 139-146.
@article{f7e8b1a896e548dd8325803d2020411d,
title = "Adults with congenital heart disease: Psychological needs and treatment preferences",
abstract = "Objective. Approximately one-third of adult congenital heart disease (ACHD) patients have mood or anxiety disorders, the majority of which go untreated. The extent to which this group of patients is interested in psychological services is, however, unknown. This study investigated the perceived psychological needs of patients and their mental health treatment preferences. Design. Participants completed an anonymous survey with items regarding mental health treatment history, preferences for future treatment, Internet use, and interest in peer support. Results. A total of 155 ACHD patients completed study questionnaires (mean age = 39 years; 50{\%} female). Forty percent of patients reported previous mental health treatment. Some 51{\%} of patients (73/142) indicated significant interest in at least 1 of 7 defined areas of psychological treatment (managing mood and/or anxiety, coping with a cardiac condition, stress management, anger management, relationship difficulties, substance use, and smoking cessation). Patients were most interested in stress management and coping with heart disease; one-third of patients (48/141 and 47/141, respectively) expressed high interest in these 2 topics. There was a consistent preference for psychological treatment to be provided over the Internet vs. in person or over the telephone; 94{\%} of the patients had Internet access. In total, 35{\%} of patients (51/145) were interested in receiving peer support. Conclusions. It is not only health providers who recognize the importance of psychological care for ACHD patients. As a group, patients are also interested in psychological treatment and peer support. Programs are encouraged to provide psychological services and maximize opportunities for interactions with other patients.",
keywords = "Adult Congenital Heart Disease, Anxiety, Depression, Internet, Psychological",
author = "Adrienne Kovacs and Bendell, {Katherine L.} and Jack Colman and Harrison, {Jeanine L.} and Erwin Oechslin and Candice Silversides",
year = "2009",
month = "6",
day = "12",
doi = "10.1111/j.1747-0803.2009.00280.x",
language = "English (US)",
volume = "4",
pages = "139--146",
journal = "Congenital Heart Disease",
issn = "1747-079X",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Adults with congenital heart disease

T2 - Psychological needs and treatment preferences

AU - Kovacs, Adrienne

AU - Bendell, Katherine L.

AU - Colman, Jack

AU - Harrison, Jeanine L.

AU - Oechslin, Erwin

AU - Silversides, Candice

PY - 2009/6/12

Y1 - 2009/6/12

N2 - Objective. Approximately one-third of adult congenital heart disease (ACHD) patients have mood or anxiety disorders, the majority of which go untreated. The extent to which this group of patients is interested in psychological services is, however, unknown. This study investigated the perceived psychological needs of patients and their mental health treatment preferences. Design. Participants completed an anonymous survey with items regarding mental health treatment history, preferences for future treatment, Internet use, and interest in peer support. Results. A total of 155 ACHD patients completed study questionnaires (mean age = 39 years; 50% female). Forty percent of patients reported previous mental health treatment. Some 51% of patients (73/142) indicated significant interest in at least 1 of 7 defined areas of psychological treatment (managing mood and/or anxiety, coping with a cardiac condition, stress management, anger management, relationship difficulties, substance use, and smoking cessation). Patients were most interested in stress management and coping with heart disease; one-third of patients (48/141 and 47/141, respectively) expressed high interest in these 2 topics. There was a consistent preference for psychological treatment to be provided over the Internet vs. in person or over the telephone; 94% of the patients had Internet access. In total, 35% of patients (51/145) were interested in receiving peer support. Conclusions. It is not only health providers who recognize the importance of psychological care for ACHD patients. As a group, patients are also interested in psychological treatment and peer support. Programs are encouraged to provide psychological services and maximize opportunities for interactions with other patients.

AB - Objective. Approximately one-third of adult congenital heart disease (ACHD) patients have mood or anxiety disorders, the majority of which go untreated. The extent to which this group of patients is interested in psychological services is, however, unknown. This study investigated the perceived psychological needs of patients and their mental health treatment preferences. Design. Participants completed an anonymous survey with items regarding mental health treatment history, preferences for future treatment, Internet use, and interest in peer support. Results. A total of 155 ACHD patients completed study questionnaires (mean age = 39 years; 50% female). Forty percent of patients reported previous mental health treatment. Some 51% of patients (73/142) indicated significant interest in at least 1 of 7 defined areas of psychological treatment (managing mood and/or anxiety, coping with a cardiac condition, stress management, anger management, relationship difficulties, substance use, and smoking cessation). Patients were most interested in stress management and coping with heart disease; one-third of patients (48/141 and 47/141, respectively) expressed high interest in these 2 topics. There was a consistent preference for psychological treatment to be provided over the Internet vs. in person or over the telephone; 94% of the patients had Internet access. In total, 35% of patients (51/145) were interested in receiving peer support. Conclusions. It is not only health providers who recognize the importance of psychological care for ACHD patients. As a group, patients are also interested in psychological treatment and peer support. Programs are encouraged to provide psychological services and maximize opportunities for interactions with other patients.

KW - Adult Congenital Heart Disease

KW - Anxiety

KW - Depression

KW - Internet

KW - Psychological

UR - http://www.scopus.com/inward/record.url?scp=66649088300&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=66649088300&partnerID=8YFLogxK

U2 - 10.1111/j.1747-0803.2009.00280.x

DO - 10.1111/j.1747-0803.2009.00280.x

M3 - Article

VL - 4

SP - 139

EP - 146

JO - Congenital Heart Disease

JF - Congenital Heart Disease

SN - 1747-079X

IS - 3

ER -