Hopelessness among adults with congenital heart disease: Cause for despair or hope?

Bahareh Eslami, Adrienne Kovacs, Philip Moons, Kyomars Abbasi, Jamie L. Jackson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Adults with congenital heart disease (CHD) face unique life courses and challenges that may negatively influence their psychological functioning. The aims of this study were to (1) examine the level of hopelessness among adults with CHD in comparison with non-CHD participants and (2) identify correlates of elevated hopelessness among adults with CHD. Methods We enrolled 347 patients with CHD (18–64 years, 52.2% female) and 353 matched (by sex/age) non-CHD persons in this cross-sectional study. Hopelessness was assessed by Beck Hopelessness Scale. Hierarchical multiple logistic regression analyses were performed to explore correlates of elevated hopelessness. Results The mean total hopelessness score did not significantly differ between the CHD and non-CHD groups. Twenty-eight percent of CHD patients had elevated hopelessness scores. Within the CHD patient sample, regression analyses revealed that being male (odds ratio = 2.62), not having children (odds ratio = 3.57), being unemployed (odds ratio = 2.27), and elevated depressive symptoms (odds ratio = 1.21) were significantly associated with hopelessness. Regular physical activity (odds ratio = 0.36) emerged as a protective factor and all CHD disease parameters were unrelated to hopelessness. The final model explained 43% of the variance in hopelessness. Conclusions Adult CHD teams are encouraged to continue to explore strategies to support patients to live as rich and full as lives as possible by pursuing relationships, employment and physical activity, as well as managing depression and hopelessness.

Original languageEnglish (US)
Pages (from-to)64-69
Number of pages6
JournalInternational Journal of Cardiology
Volume230
DOIs
StatePublished - Mar 1 2017

Fingerprint

Hope
Heart Diseases
Odds Ratio
Regression Analysis
Exercise
Depression

Keywords

  • Depression
  • Grown up
  • Loneliness
  • Physical activity
  • Psychosocial

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Hopelessness among adults with congenital heart disease : Cause for despair or hope? / Eslami, Bahareh; Kovacs, Adrienne; Moons, Philip; Abbasi, Kyomars; Jackson, Jamie L.

In: International Journal of Cardiology, Vol. 230, 01.03.2017, p. 64-69.

Research output: Contribution to journalArticle

Eslami, Bahareh ; Kovacs, Adrienne ; Moons, Philip ; Abbasi, Kyomars ; Jackson, Jamie L. / Hopelessness among adults with congenital heart disease : Cause for despair or hope?. In: International Journal of Cardiology. 2017 ; Vol. 230. pp. 64-69.
@article{7e5debcdd960478eadd873fef7dddc72,
title = "Hopelessness among adults with congenital heart disease: Cause for despair or hope?",
abstract = "Background Adults with congenital heart disease (CHD) face unique life courses and challenges that may negatively influence their psychological functioning. The aims of this study were to (1) examine the level of hopelessness among adults with CHD in comparison with non-CHD participants and (2) identify correlates of elevated hopelessness among adults with CHD. Methods We enrolled 347 patients with CHD (18–64 years, 52.2{\%} female) and 353 matched (by sex/age) non-CHD persons in this cross-sectional study. Hopelessness was assessed by Beck Hopelessness Scale. Hierarchical multiple logistic regression analyses were performed to explore correlates of elevated hopelessness. Results The mean total hopelessness score did not significantly differ between the CHD and non-CHD groups. Twenty-eight percent of CHD patients had elevated hopelessness scores. Within the CHD patient sample, regression analyses revealed that being male (odds ratio = 2.62), not having children (odds ratio = 3.57), being unemployed (odds ratio = 2.27), and elevated depressive symptoms (odds ratio = 1.21) were significantly associated with hopelessness. Regular physical activity (odds ratio = 0.36) emerged as a protective factor and all CHD disease parameters were unrelated to hopelessness. The final model explained 43{\%} of the variance in hopelessness. Conclusions Adult CHD teams are encouraged to continue to explore strategies to support patients to live as rich and full as lives as possible by pursuing relationships, employment and physical activity, as well as managing depression and hopelessness.",
keywords = "Depression, Grown up, Loneliness, Physical activity, Psychosocial",
author = "Bahareh Eslami and Adrienne Kovacs and Philip Moons and Kyomars Abbasi and Jackson, {Jamie L.}",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.ijcard.2016.12.090",
language = "English (US)",
volume = "230",
pages = "64--69",
journal = "International Journal of Cardiology",
issn = "0167-5273",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Hopelessness among adults with congenital heart disease

T2 - Cause for despair or hope?

AU - Eslami, Bahareh

AU - Kovacs, Adrienne

AU - Moons, Philip

AU - Abbasi, Kyomars

AU - Jackson, Jamie L.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Background Adults with congenital heart disease (CHD) face unique life courses and challenges that may negatively influence their psychological functioning. The aims of this study were to (1) examine the level of hopelessness among adults with CHD in comparison with non-CHD participants and (2) identify correlates of elevated hopelessness among adults with CHD. Methods We enrolled 347 patients with CHD (18–64 years, 52.2% female) and 353 matched (by sex/age) non-CHD persons in this cross-sectional study. Hopelessness was assessed by Beck Hopelessness Scale. Hierarchical multiple logistic regression analyses were performed to explore correlates of elevated hopelessness. Results The mean total hopelessness score did not significantly differ between the CHD and non-CHD groups. Twenty-eight percent of CHD patients had elevated hopelessness scores. Within the CHD patient sample, regression analyses revealed that being male (odds ratio = 2.62), not having children (odds ratio = 3.57), being unemployed (odds ratio = 2.27), and elevated depressive symptoms (odds ratio = 1.21) were significantly associated with hopelessness. Regular physical activity (odds ratio = 0.36) emerged as a protective factor and all CHD disease parameters were unrelated to hopelessness. The final model explained 43% of the variance in hopelessness. Conclusions Adult CHD teams are encouraged to continue to explore strategies to support patients to live as rich and full as lives as possible by pursuing relationships, employment and physical activity, as well as managing depression and hopelessness.

AB - Background Adults with congenital heart disease (CHD) face unique life courses and challenges that may negatively influence their psychological functioning. The aims of this study were to (1) examine the level of hopelessness among adults with CHD in comparison with non-CHD participants and (2) identify correlates of elevated hopelessness among adults with CHD. Methods We enrolled 347 patients with CHD (18–64 years, 52.2% female) and 353 matched (by sex/age) non-CHD persons in this cross-sectional study. Hopelessness was assessed by Beck Hopelessness Scale. Hierarchical multiple logistic regression analyses were performed to explore correlates of elevated hopelessness. Results The mean total hopelessness score did not significantly differ between the CHD and non-CHD groups. Twenty-eight percent of CHD patients had elevated hopelessness scores. Within the CHD patient sample, regression analyses revealed that being male (odds ratio = 2.62), not having children (odds ratio = 3.57), being unemployed (odds ratio = 2.27), and elevated depressive symptoms (odds ratio = 1.21) were significantly associated with hopelessness. Regular physical activity (odds ratio = 0.36) emerged as a protective factor and all CHD disease parameters were unrelated to hopelessness. The final model explained 43% of the variance in hopelessness. Conclusions Adult CHD teams are encouraged to continue to explore strategies to support patients to live as rich and full as lives as possible by pursuing relationships, employment and physical activity, as well as managing depression and hopelessness.

KW - Depression

KW - Grown up

KW - Loneliness

KW - Physical activity

KW - Psychosocial

UR - http://www.scopus.com/inward/record.url?scp=85009237718&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009237718&partnerID=8YFLogxK

U2 - 10.1016/j.ijcard.2016.12.090

DO - 10.1016/j.ijcard.2016.12.090

M3 - Article

C2 - 28038812

AN - SCOPUS:85009237718

VL - 230

SP - 64

EP - 69

JO - International Journal of Cardiology

JF - International Journal of Cardiology

SN - 0167-5273

ER -