Research Center, Montreal Heart Institute, Montréal, Québec, Canada; Department of Psychiatry and Addiction, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
Research Center, Montreal Heart Institute, Montréal, Québec, Canada.
Can J Cardiol. 2024 Nov;40(11):2233-2242. doi: 10.1016/j.cjca.2024.04.022. Epub 2024 May 3.
Patients with congenital heart disease (CHD) and their parents face challenges throughout their lives that can lead to anxiety lasting into adulthood. We aim to assess the association between perceived parenting practices and anxiety beyond paediatric medical-surgical histories in adults with CHD.
A cross-sectional study of adults with CHD was conducted at the Montreal Heart Institute (MHI). Perception of parental practices during childhood was retrospectively assessed with the use of validated self-report questionnaires, and anxiety in adulthood was assessed with the use of the Hospital Anxiety and Depression Scale. Sociodemographic and medical information were collected from a questionnaire and medical records. Hierarchic multiple linear regression was conducted.
Of the 223 participants, the mean age was 46 ± 14 years and 59% were female. Perceived parenting practices explained more variance (11%) in the anxiety score than paediatric medical-surgical history (2%). In our final model, anxiety was significantly associated with age, parental history of anxiety, and positive parenting practices, but not with overprotection.
Parenting practices are associated with anxiety in adults with CHD beyond paediatric medical-surgical history and sociodemographic. Positive parenting practices may be protective against anxiety in adulthood. Longitudinal studies are needed to determine causality.
患有先天性心脏病 (CHD) 的患者及其父母在其一生中都会面临各种挑战，这些挑战可能导致焦虑持续到成年期。我们旨在评估在患有 CHD 的成年人中，感知到的父母养育方式与儿科医疗病史以外的焦虑之间的关联。
在蒙特利尔心脏研究所 (MHI) 进行了一项患有 CHD 的成年人的横断面研究。使用经过验证的自我报告问卷回顾性评估儿童时期对父母养育方式的感知，使用医院焦虑和抑郁量表评估成年期的焦虑。从问卷和病历中收集社会人口统计学和医疗信息。进行层次多重线性回归。
在 223 名参与者中，平均年龄为 46 ± 14 岁，59%为女性。感知到的养育方式比儿科医疗病史（2%）更能解释焦虑评分的更多差异（11%）。在我们的最终模型中，焦虑与年龄、父母焦虑史和积极的养育方式显著相关，但与过度保护无关。
养育方式与 CHD 成年患者的焦虑有关，超出儿科医疗病史和社会人口统计学的范围。积极的养育方式可能对成年期的焦虑有保护作用。需要进行纵向研究以确定因果关系。
