Associations among Depression Symptoms with Alcohol and Smoking Tobacco Use in Adult Patients with Congenital Heart Disease.

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Citation: Congenital Heart Disease. 10(5):E243-9, 2015 Sep-Oct.PMID: 26108339Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Alcohol Drinking/px [Psychology] | *Depression/px [Psychology] | *Heart Defects, Congenital/px [Psychology] | *Smoking/px [Psychology] | Adult | Age Factors | Chi-Square Distribution | Cross-Sectional Studies | Depression/di [Diagnosis] | District of Columbia | Female | Heart Defects, Congenital/co [Complications] | Heart Defects, Congenital/di [Diagnosis] | Humans | Logistic Models | Male | Odds Ratio | Retrospective Studies | Risk Factors | Self Report | Surveys and Questionnaires | Young AdultYear: 2015ISSN:
  • 1747-079X
Name of journal: Congenital heart diseaseAbstract: BACKGROUND: Adult congenital heart disease (ACHD) patients have high rates of untreated depression and anxiety disorders. We evaluated associations among self-reported depression symptoms and alcohol/smoking tobacco use.CONCLUSION: Self-reported depressive symptoms are associated with increased alcohol and smoking tobacco use by ACHD patients. Alcohol use may be a means of self-medicating for untreated depression, but further investigation is needed. Risk factors, including depressive symptoms and substance use, should be routinely assessed and addressed in ACHD patients.Copyright © 2015 Wiley Periodicals, Inc.METHODS: From 2009 to 2013, 202 ACHD patients (45% male) completed questionnaires on depressive symptoms, anxiety symptoms, and substance use as part of routine clinical care. Data were collected by retrospective chart review.RESULTS: Mean age was 31 +/- 10 years, 21% reported often feeling depressed and 33% reported feeling nervous or anxious. Sixty-one percent of patients reported some alcohol intake; 25% reported current or previous smoking tobacco use. Patients with depressive symptoms were 3x as likely to report drinking alcohol (OR 2.89; 95% CI 1.29-6.5) and 5x more likely to report smoking tobacco use (OR 5.17; 95% CI 1.49-17.87). Fourteen percent of patients were prescribed antidepressant/antianxiety medications; 43% of patients on medication reported depressive symptoms. In patients reporting symptoms, those who consumed alcohol were less likely to be on antidepressant/antianxiety medications (21%) than those who did not consume alcohol (56%).All authors: John AS, Khan M, Klein N, Monaghan M, Ruiz GFiscal year: FY2016Digital Object Identifier: Date added to catalog: 2016-09-07
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Journal Article MedStar Authors Catalog Article 26108339 Available 26108339

BACKGROUND: Adult congenital heart disease (ACHD) patients have high rates of untreated depression and anxiety disorders. We evaluated associations among self-reported depression symptoms and alcohol/smoking tobacco use.

CONCLUSION: Self-reported depressive symptoms are associated with increased alcohol and smoking tobacco use by ACHD patients. Alcohol use may be a means of self-medicating for untreated depression, but further investigation is needed. Risk factors, including depressive symptoms and substance use, should be routinely assessed and addressed in ACHD patients.Copyright © 2015 Wiley Periodicals, Inc.

METHODS: From 2009 to 2013, 202 ACHD patients (45% male) completed questionnaires on depressive symptoms, anxiety symptoms, and substance use as part of routine clinical care. Data were collected by retrospective chart review.

RESULTS: Mean age was 31 +/- 10 years, 21% reported often feeling depressed and 33% reported feeling nervous or anxious. Sixty-one percent of patients reported some alcohol intake; 25% reported current or previous smoking tobacco use. Patients with depressive symptoms were 3x as likely to report drinking alcohol (OR 2.89; 95% CI 1.29-6.5) and 5x more likely to report smoking tobacco use (OR 5.17; 95% CI 1.49-17.87). Fourteen percent of patients were prescribed antidepressant/antianxiety medications; 43% of patients on medication reported depressive symptoms. In patients reporting symptoms, those who consumed alcohol were less likely to be on antidepressant/antianxiety medications (21%) than those who did not consume alcohol (56%).

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