Presentation Abstract

Session: AOS.204.01-Impaired Cognition and Mental Health of Patients and Families
Presentation: 11312 - Psychosocial Factors Influencing Mental Health in Adults with Congenital Heart Disease in Japan
Pres Time: Monday, Nov 14, 2011, 9:15 AM - 9:30 AM
Location: Room W311ef
Pres. Time: Monday, Nov 14, 2011, 9:15 AM - 9:30 AM
Specialty: +204. Psychosocial and Behavioral Aspects
Keywords: Adult congenital heart disease; Patient education/teaching psychosocial aspects; Quality of life; Behavioral aspects
Authors: Junko Enomoto, Toyo Univ, Tokyo, Japan; Jun Nakazawa, Chiba Univ, Chiba, Japan; Yoshiko Mizuno, Chiba Cardiovascular Ctr, Chiba, Japan; Takeaki Shirai, St Luke's Intl Hosp, Tokyo, Japan; Junko Ogawa, Shukutoku Univ, Chiba, Japan; Koichiro Niwa, St Luke's Intl Hosp, Tokyo, Japan
Abstract: Background: Adults with congenital heart disease (ACHD) patients face unique social challenges that are related to psychosocial adjustment and mental health. Despite this, studies specifically examining psychosocial issues and the mental health of ACHD patients are few in Japan and we do not have any knowledge about the psychosocial mechanism related to the mental health of patients. The aim of this study was (1) to compare the psychosocial aspects of ACHD with that of a control group, (2) to determine psychosocial factors influencing the mental health of patients.
Method: Seventy-two ACHD patients (aged 18-39 years; 57% male) and 86 control participants (aged 18-39 years; 48% male) completed SF36 which measures mental health and self-report questionnaires composed of 4 psychosocial measures including Independency-dependency on parents, Social problem solving, Locus of control and Self-esteem.
Result: ANOVAs (sex ×ACHD•control) revealed that patients showed significantly lower scores in “ Independence”, “Social problem solving”, and “ Self-esteem” as well as higher scores in “Dependence on parents” compared to the control group. A finding related to gender was that females in both groups scored higher than males on “Dependence on parents”. In addition, in order to determine psychosocial factors influencing mental health, covariance structure analysis was performed. Result of the best model fit is presented in Figure1.
Conclusion:ACHD patients in Japan have psychosocial difficulties. The psychosocial mechanism showed that the factor that has the greatest influence on their mental health is their inability regarding social problem-solving. This is because they lack a sense of independence and typically have low self-esteem. This study concludes that both independence and self-esteem are essential for a patient’s healthy mental condition. Medical care professionals should consider the possible need for psychosocial interventions for ACHD patients.
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Disclosures:  J. Enomoto: None. J. Nakazawa: None. Y. Mizuno: None. T. Shirai: None. J. Ogawa: None. K. Niwa: None.



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