ArticleJACC. Advances2023
The Influence of Illness Perception and Coping on Anxiety in Adults With Congenital Heart Disease.
Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mapping the Biopsychosocial and Lifestyle Portrait of Adults With Congenital Heart Disease: A Comparative Study Across Sex and Age.CJC pediatric and congenital heart disease · 2026Article
- Illness perception and psychosocial adjustment in young and middle-aged liver transplant recipients during the early postoperative period: the serial mediating roles of perceived social support and quality of life.Frontiers in psychology · 2026Article
- A longitudinal study of changes in depressive symptoms and risk factors for congestive heart failure.BJPsych open · 2025Article
- Influence of illness perception on depression and anxiety in individuals with schizophrenia during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Unraveling Anxiety in Adults With Congenital Heart Disease: Untrodden Paths.JACC. Advances · 2023Article
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Authors and funding
14 authors.
Funding
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Abstract
Background: Up to one-half of adults with congenital heart disease (CHD) experience psychological distress, including anxiety. Objectives: This paper sought to: 1) assess the contribution of illness perception in explaining anxiety symptoms beyond sociodemographic and medical variables in adults with CHD; and 2) investigate the potential mediating effect of coping style. Methods: CHD adult patients were recruited at Montreal Heart Institute between June 2019 and April 2021 for this cross-sectional study. Participants responded to self-reported questionnaires (Hospital Anxiety and Depression Scale, Brief Illness Perception Questionnaire, and Brief COPE). Medical characteristics (CHD complexity, NYHA functional class, and cardiac devices) were collected from medical records. We conducted hierarchical multiple linear regression and mediation analyses. Results: Of the 223 participants (mean age 46 ± 14 years, 59% women), 15% had clinically significant anxiety symptoms. Medical and sociodemographic variables explained 15% of the variation in anxiety symptoms. Adding illness perception explained an additional 18% of the variation in anxiety. This R Conclusions: Illness perception and coping are associated with anxiety in adults with CHD. Future initiatives should assess whether targeting these potentially modifiable factors effectively prevents or mitigates anxious symptoms in adults with CHD.
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