TY  - CHAP
M1  - Book, Section
TI  - Psychosocial Profiles in Adult Congenital Heart Disease and Transition to Adulthood
A1  - Moons, Philip
A2  - Fuster, Valentin
A2  - Narula, Jagat
A2  - Vaishnava, Prashant
A2  - Leon, Martin B.
A2  - Callans, David J.
A2  - Rumsfeld, John S.
A2  - Poppas, Athena
PY  - 2022
T2  - Fuster and Hurst's The Heart, 15e
AB  - Chapter  SummaryThis  chapter  discusses  different  aspects  of  psychosocial  functioning  of  adults  with  congenital  heart  disease  (ACHD).  Mental  health  issues,  such  as  depression,  anxiety,  and  posttraumatic  stress  disorder  are  common  in  ACHD  (see  Fuster  and  Hurst’s  Central  Illustration).  Intercountry  variations  have  been  found,  with  higher  levels  in  Asia  compared  to  North  America  or  Europe.  Patients  generally  have  higher  levels  of  depression,  and  equal  levels  of  anxiety  than  people  from  the  general  population.  Hence,  adequate  mental  health  care  is  pivotal  in  ACHD.  Another  important  aspect  in  the  counseling  of  ACHD  patients  is  physical  exercise.  Exercise  capacity  is  reduced  and  skeletal  muscle  function  is  compromised  in  patients  with  congenital  heart  disease  (CHD)  compared  to  healthy  individuals.  Nonetheless,  it  is  strongly  advised  that  ACHD  engage  in  physical  activities,  because  it  yields  significant  improvements  in  exercise  capacity  and  psychological  functioning.  Social  areas  of  concern  are  employability  and  insurability,  both  of  which  are  jeopardized  in  ACHD.  Because  CHD  is  a  lifelong  disease,  young  persons  with  CHD  who  are  transitioning  into  adulthood  are  assumed  to  transfer  from  pediatric  to  adultfocused  care.  Yet,  discontinuity  of  care  is  prevalent.  End-of-life  discussions  should  be  part  of  standard  practice  in  ACHD.  Indeed,  even  when  in  good  health,  patients  prefer  to  have  discussions  about  advance  care  planning  and  advance  directives.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1202452782
ER  -