Psychosocial Factors Influencing Mental Health in Adults With Congenital Heart Disease
Psychosocial Factors Influencing Mental Health in Adults With Congenital Heart Disease
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DOI：
10.1253/circj.cj-12-0716
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发表时间：
2013-03-01
影响因子：
3.3
通讯作者：
Niwa, Koichiro
中科院分区：
文献类型：
--
作者：
Enomoto, Junko;Nakazawa, Jun;Niwa, Koichiro
背景资料：虽然成人先天性心脏病（ACHD）患者面临着与社会适应和心理健康相关的独特挑战，但在日本ACHD患者中对此功能进行的研究很少。目标。本研究的目的是描述ACHD患者的心理社会功能，并确定影响其心理健康的心理社会因素。72例ACHD患者（18-39岁）和86名对照参与者（18-39岁）完成了36项简明健康调查，这是一项衡量心理健康的指标，和4份自我报告问卷，测量心理社会功能的各个方面：独立意识、解决问题、控制点和自尊。与对照组相比，ACHD患者的独立性，解决问题和自尊得分显着降低，而他们对父母的依赖得分较高。为探讨影响心理健康的社会心理因素，采用结构方程模型。心理社会因素问题解决被认为对心理健康有最直接的影响。结论：日本ACHD患者存在心理社会困难，影响患者心理健康的心理社会因素是社会问题解决、独立性和自尊。患者在所有这些方面的能力都比对照组差，因此，他们有可能发展出不良的心理健康状况。(Circ J 2013; 77：749-755）
Background: Although adult congenital heart disease (ACHD) patients encounter unique challenges related to social adaptation and mental health, only minimal research has been conducted on this functioning in Japanese ACHD patients. The aims. of this study were to describe aspects' of the psychosocial functioning of ACHD patients and to determine the psychosocial factors influencing their mental health.Methods and Results: Seventy-two ACHD patients (aged 18-39 years) and 86 control participants (aged 18-39 years) completed the 36-item Short Form Health Survey, a measure of mental health, and 4 self-report questionnaires measuring aspects of psychosocial functioning: Independent-Consciousness, Problem-solving, Locus of Control, and Self-esteem. Compared to the control group, ACHD patients had significantly lower scores for Independence, Problem-solving, and Self-esteem; whereas they had higher scores for Dependence on Parents. To examine the psychosocial factors influencing mental health, a structural equation model was used. The psychosocial factor Problem-solving was found to have the most direct influence on mental health. This factor was associated with Independence and Self-esteem.Conclusions: ACHD patients in Japan have psychosocial difficulties, and the psychosocial factors influencing patients' mental health are social problem-solving, independence, and self-esteem. The patients have poorer abilities than the control group in all of these areas and hence, they run the risk of developing poor mental health. (Circ J 2013; 77: 749-755)