Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States of America; Department of Pediatrics, The Ohio State University, Columbus, OH, United States of America.
Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States of America.
Prog Cardiovasc Dis. 2018 Sep-Oct;61(3-4):294-299. doi: 10.1016/j.pcad.2018.07.015. Epub 2018 Jul 20.
Over 1.4 million adults in the United States are living with congenital heart disease (CHD), which can vary widely in disease burden and risk for future cardiovascular complications. As a result, some CHD survivors may experience greater emotional distress, including symptoms of depression and anxiety. This review summarizes the developing research literature on the prevalence, health impact, as well as screening and treatment of depressive and anxiety symptoms among adult CHD survivors. Additionally, the review will highlight findings from the acquired heart disease literature, a well-studied area that can inform research and clinical care practices for CHD survivors with depressive and/or anxiety symptoms. The review concludes with considerations for depression and anxiety screening in medical settings and identifying referral resources for treatment.
超过 140 万美国成年人患有先天性心脏病 (CHD)，其疾病负担和未来心血管并发症的风险差异很大。因此，一些 CHD 幸存者可能会经历更大的情绪困扰，包括抑郁和焦虑症状。本综述总结了关于成人 CHD 幸存者中抑郁和焦虑症状的患病率、健康影响以及筛查和治疗的发展研究文献。此外，该综述还将重点介绍获得性心脏病文献中的发现，这是一个研究充分的领域，可以为有抑郁和/或焦虑症状的 CHD 幸存者的研究和临床护理实践提供信息。该综述最后考虑了在医疗环境中进行抑郁和焦虑筛查以及确定治疗转介资源的问题。
