@Article{chd.12452,
AUTHOR = {Bahareh Eslami},
TITLE = {Correlates of posttraumatic stress disorder in adults with congenital heart disease},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {12},
YEAR = {2017},
NUMBER = {3},
PAGES = {357--363},
URL = {http://www.techscience.com/schd/v12n3/39121},
ISSN = {3071-1738},
ABSTRACT = {<b>Objective:</b> The aims of this study were to compare the level of posttraumatic stress disorder
between adults with and without congenital heart disease, and to examine the correlates of posttraumatic stress disorder (e.g., sociodemographics).<br/>
<b>Design:</b> Cross-sectional.<br/>
<b>Setting:</b> Two university-affiliated heart hospitals in Tehran, Iran.<br/>
<b>Patients:</b> A sample of 347 adults with congenital heart disease aged 18–64 years (52% women),
and 353 adults without congenital heart disease matched by sex and age (±2 years) was recruited.
Outcome Measures: The PTSD Scale: Self-report version was used to assess the diagnosis and
severity of posttraumatic stress disorder. Hierarchical multivariate logistic regression analyses
were performed to explore correlates of likely posttraumatic stress disorder diagnosis among each
group of participants.<br/>
<b>Results:</b> The posttraumatic stress disorder in the patients was comparable to those of the control
group, except for increased arousal (P = .027) which was scored higher among the patients. Over
52% of adults with congenital heart disease met the criteria for a likely posttraumatic stress disorder diagnosis compared with 48% of adults without congenital heart disease. The regression
analyses among patients revealed that elevated depressive symptoms (OR = 1.27) and a positive
history of cardiac surgery (OR = 2.02) were significantly associated with posttraumatic stress disorder. The model could explain 29% of the variance in posttraumatic stress disorder.<br/>
<b>Conclusions:</b> The high and comparable prevalence of posttraumatic stress disorder among
patients and nonpatients highlight the significance of the context in which adults with congenital
heart disease may face other/additional stressors than disease-related ones, an issue that clinicians
need also take into account. Furthermore, the association of posttraumatic stress disorder with
elevated depressive symptoms warrant a comprehensive psychological assessment and management of adults with congenital heart disease, in particular among those with a history of invasive
procedures.},
DOI = {10.1111/chd.12452}
}