Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function
Background: The prevalence of child maltreatment in adults with congenital heart disease (ACHD) has not been assessed so far. Child maltreatment is a major risk factor for unfavorable behavioral, mental, and physical health outcomes and has been associated with decreased quality of life. Given the i...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-07-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686169/full |
| _version_ | 1818921048385519616 |
|---|---|
| author | Phileas J. Proskynitopoulos Ivo Heitland Alexander Glahn Johann Bauersachs Mechthild Westhoff-Bleck Kai G. Kahl |
| author_facet | Phileas J. Proskynitopoulos Ivo Heitland Alexander Glahn Johann Bauersachs Mechthild Westhoff-Bleck Kai G. Kahl |
| author_sort | Phileas J. Proskynitopoulos |
| collection | DOAJ |
| description | Background: The prevalence of child maltreatment in adults with congenital heart disease (ACHD) has not been assessed so far. Child maltreatment is a major risk factor for unfavorable behavioral, mental, and physical health outcomes and has been associated with decreased quality of life. Given the increased survival time of ACHD, it is essential to assess factors that may worsen the quality of life and interact with classical cardiovascular risk factors and mental well-being.Methods: In a cross-sectional study, 196 ACHD (mean age 35.21 ± 11.24 y, 44,4% female, 55.6% male) completed a thorough psychiatric and cardiac evaluation. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ) and rates were compared to already existing data from the German general population. Further psychological measurements included the WHO Quality of Life Questionnaire, Hospital Anxiety and Depression Scale (HADS) and assessment of lifestyle factors (exercise, smoking, alcohol consumption, body mass index). To identify a relationship between current cardiac function and child maltreatment, we used logistic regression.Results: ACHD reported significantly higher rates of emotional neglect and emotional abuse and sexual abuse and lower rates of physical neglect when compared to the general German population. In addition, total CTQ-scores, emotional abuse, emotional neglect, physical abuse, and sexual abuse correlated with symptoms of depression, anxiety, and negatively correlated with QoL. Furthermore, CTQ scores contributed significantly in predicting higher New York Heart Association (NYHA) scores (p = 0.009).Conclusion: Child maltreatment is more common in ACHD and associated with decreased quality of life and depression and anxiety. Furthermore, we found evidence that self-reported child maltreatment is associated with decreased cardiac function. Given the longer survival time of patients with ACHD, identifying factors that may negatively influence the disease course is essential. The negative consequences of child maltreatment may be the subject of psychosocial interventions that have demonstrated efficacy in treating posttraumatic stress disorders. |
| first_indexed | 2024-12-20T01:31:27Z |
| format | Article |
| id | doaj.art-78a4ca356c1d40328ac9a1a087c35467 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-20T01:31:27Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-78a4ca356c1d40328ac9a1a087c354672022-12-21T19:58:06ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-07-011210.3389/fpsyt.2021.686169686169Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac FunctionPhileas J. Proskynitopoulos0Ivo Heitland1Alexander Glahn2Johann Bauersachs3Mechthild Westhoff-Bleck4Kai G. Kahl5Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hanover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hanover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hanover, GermanyDepartment of Cardiology and Angiology, Hannover Medical School, Adult Congenital Heart Centre, Hanover, GermanyDepartment of Cardiology and Angiology, Hannover Medical School, Adult Congenital Heart Centre, Hanover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hanover, GermanyBackground: The prevalence of child maltreatment in adults with congenital heart disease (ACHD) has not been assessed so far. Child maltreatment is a major risk factor for unfavorable behavioral, mental, and physical health outcomes and has been associated with decreased quality of life. Given the increased survival time of ACHD, it is essential to assess factors that may worsen the quality of life and interact with classical cardiovascular risk factors and mental well-being.Methods: In a cross-sectional study, 196 ACHD (mean age 35.21 ± 11.24 y, 44,4% female, 55.6% male) completed a thorough psychiatric and cardiac evaluation. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ) and rates were compared to already existing data from the German general population. Further psychological measurements included the WHO Quality of Life Questionnaire, Hospital Anxiety and Depression Scale (HADS) and assessment of lifestyle factors (exercise, smoking, alcohol consumption, body mass index). To identify a relationship between current cardiac function and child maltreatment, we used logistic regression.Results: ACHD reported significantly higher rates of emotional neglect and emotional abuse and sexual abuse and lower rates of physical neglect when compared to the general German population. In addition, total CTQ-scores, emotional abuse, emotional neglect, physical abuse, and sexual abuse correlated with symptoms of depression, anxiety, and negatively correlated with QoL. Furthermore, CTQ scores contributed significantly in predicting higher New York Heart Association (NYHA) scores (p = 0.009).Conclusion: Child maltreatment is more common in ACHD and associated with decreased quality of life and depression and anxiety. Furthermore, we found evidence that self-reported child maltreatment is associated with decreased cardiac function. Given the longer survival time of patients with ACHD, identifying factors that may negatively influence the disease course is essential. The negative consequences of child maltreatment may be the subject of psychosocial interventions that have demonstrated efficacy in treating posttraumatic stress disorders.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686169/fullcongenital heart diseasechildhood maltreatmentquality of lifechildhood trauma questionnaireadults with congenital heart diseaseACHD |
| spellingShingle | Phileas J. Proskynitopoulos Ivo Heitland Alexander Glahn Johann Bauersachs Mechthild Westhoff-Bleck Kai G. Kahl Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function Frontiers in Psychiatry congenital heart disease childhood maltreatment quality of life childhood trauma questionnaire adults with congenital heart disease ACHD |
| title | Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function |
| title_full | Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function |
| title_fullStr | Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function |
| title_full_unstemmed | Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function |
| title_short | Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function |
| title_sort | prevalence of child maltreatment in adults with congenital heart disease and its relationship with psychological well being health behavior and current cardiac function |
| topic | congenital heart disease childhood maltreatment quality of life childhood trauma questionnaire adults with congenital heart disease ACHD |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686169/full |
| work_keys_str_mv | AT phileasjproskynitopoulos prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction AT ivoheitland prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction AT alexanderglahn prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction AT johannbauersachs prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction AT mechthildwesthoffbleck prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction AT kaigkahl prevalenceofchildmaltreatmentinadultswithcongenitalheartdiseaseanditsrelationshipwithpsychologicalwellbeinghealthbehaviorandcurrentcardiacfunction |