Grown-Up Congenital Heart Clinic, Cardiac and Vascular Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Heart Lung. 2009 Sep-Oct;38(5):419-26. doi: 10.1016/j.hrtlng.2008.11.005. Epub 2009 Jan 21.
This study was designed to identify variables associated with depression in adolescents who underwent operation for congenital heart disease (CHD).
Data were collected from 231 adolescents, aged 13 to 18 years with CHD, during outpatient clinic follow-up after open heart surgery in 3 major cardiac centers in Korea. Adolescents completed measures of resilience, depression, and parental attitude. Their New York Heart Association functional class, CHD functional index, and noninvasive saturation of arterial oxygen were also measured.
There were significantly positive relations between depression and the 3 variables: older age, worse New York Heart Association functional class, and higher CHD functional index. Negative relations were found between depression and higher saturation of arterial oxygen, higher academic achievements, affectionate parental attitude, and higher resilience. The multiple regression analysis also showed that 62% of the variance in depression in adolescents with CHD could be explained by resilience and parental attitude.
This study demonstrated that adolescents with higher resilience and an affectionate parent were less depressed.
本研究旨在确定与接受先天性心脏病（CHD）手术的青少年抑郁相关的变量。
在韩国 3 家主要心脏中心进行心脏直视手术后的门诊随访期间，共收集了 231 名年龄在 13 至 18 岁的 CHD 青少年的数据。青少年完成了关于韧性、抑郁和父母态度的测量。还测量了他们的纽约心脏协会功能分级、CHD 功能指数和动脉血氧饱和度的无创性。
抑郁与 3 个变量呈显著正相关：年龄较大、纽约心脏协会功能分级较差和 CHD 功能指数较高。抑郁与动脉血氧饱和度较高、学业成绩较高、父母深情的态度和韧性较高呈负相关。多元回归分析还表明，CHD 青少年抑郁的 62%可以用韧性和父母态度来解释。
本研究表明，韧性较高和父母深情的青少年抑郁程度较低。
