Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms

<i>Introduction</i>: Anxiety and depression are significant mental health concerns for individuals with congenital heart disease (CHD). As group therapy has proven to be a valuable and effective treatment option for managing anxiety and depression, the aim of this study was to determine...

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Main Authors: Efrén Martínez-Quintana, Karen Codana-Alcántara, Hector M. Montesdeoca-Naranjo, Marta Isabel García-Suárez, María Pino Fleitas-Álvarez, María Alcántara-Castellano, Alejandro Ruiz-Castellano, Ana González-Isasi, Fayna Rodríguez-González, Esperanza Bosch-Casañas
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/90
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author Efrén Martínez-Quintana
Karen Codana-Alcántara
Hector M. Montesdeoca-Naranjo
Marta Isabel García-Suárez
María Pino Fleitas-Álvarez
María Alcántara-Castellano
Alejandro Ruiz-Castellano
Ana González-Isasi
Fayna Rodríguez-González
Esperanza Bosch-Casañas
author_facet Efrén Martínez-Quintana
Karen Codana-Alcántara
Hector M. Montesdeoca-Naranjo
Marta Isabel García-Suárez
María Pino Fleitas-Álvarez
María Alcántara-Castellano
Alejandro Ruiz-Castellano
Ana González-Isasi
Fayna Rodríguez-González
Esperanza Bosch-Casañas
author_sort Efrén Martínez-Quintana
collection DOAJ
description <i>Introduction</i>: Anxiety and depression are significant mental health concerns for individuals with congenital heart disease (CHD). As group therapy has proven to be a valuable and effective treatment option for managing anxiety and depression, the aim of this study was to determine its effects on patients with CHD and anxious–depressive symptoms. <i>Methods</i>: We used non-pharmacological psychological group intervention, of six weekly sessions of 90 min each, administered by trained personnel, in adult patients with CHD. Measurement tools included quality of life (Euro quality of life-5D questionnaire), self-esteem (Rosenberg Self-Esteem Scale), anxiety (State–Trait Anxiety Inventory), depression (Beck Depression Inventory-II), and satisfaction surveys. <i>Results</i>: A total of 18 out of 21 CHD patients (mean age 35.8 ± 9.0 years old and 13 (72%) females) completed the program. According to CHD complexity, five (28%) patients had mild, six (33%) moderate, and seven (38%) great defects. Patients with CHD scored significantly higher in the Euro quality of life visual analogue scale (7.83 ± 1.4 vs. 7.14 ± 1.6, <i>p</i> = 0.012) and lower in the Beck Depression Inventory-II (12.3 ± 10.9 vs. 18.1 ± 12.1, <i>p</i> = 0.003) post-program than pre-intervention. Meanwhile, the Rosenberg Self-Esteem Scale score was close to reaching statistical significance (27.4 ± 6.0 vs. 25.1 ± 5.4, <i>p</i> = 0.051), while the State–Trait Anxiety Inventory did not. Finally, participants scored high in the satisfaction questionnaire at the end of the sessions, on a scale from 0 to 3, especially in the questions related to feeling comfortable with others (2.5 ± 0.6), recommending the program (2.3 ± 0.6), or being willing to attend future sessions (2.6 ± 0.8). <i>Conclusions</i>: Group psychological therapy proved to be a useful tool to reduce depressive symptomatology after a 6-week program, providing a comfortable environment to patients with CHD.
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spelling doaj-art-f50c5980525d4c7d9bf082ba25931dc22025-01-24T13:40:33ZengMDPI AGMedicina1010-660X1648-91442025-01-016119010.3390/medicina61010090Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive SymptomsEfrén Martínez-Quintana0Karen Codana-Alcántara1Hector M. Montesdeoca-Naranjo2Marta Isabel García-Suárez3María Pino Fleitas-Álvarez4María Alcántara-Castellano5Alejandro Ruiz-Castellano6Ana González-Isasi7Fayna Rodríguez-González8Esperanza Bosch-Casañas9Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainClinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainClinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainDepartment of Medical and Surgical Sciences, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Avenida, Marítima del Sur s/n, 35016 Las Palmas de Gran Canaria, SpainClinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainDepartment of Medical and Surgical Sciences, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Avenida, Marítima del Sur s/n, 35016 Las Palmas de Gran Canaria, SpainClinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainClinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainHospital Universitario de Gran Canaria Dr. Negrín, Barranco de la Ballena, s/n, 35010 Las Palmas de Gran Canaria, SpainPsychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, Spain<i>Introduction</i>: Anxiety and depression are significant mental health concerns for individuals with congenital heart disease (CHD). As group therapy has proven to be a valuable and effective treatment option for managing anxiety and depression, the aim of this study was to determine its effects on patients with CHD and anxious–depressive symptoms. <i>Methods</i>: We used non-pharmacological psychological group intervention, of six weekly sessions of 90 min each, administered by trained personnel, in adult patients with CHD. Measurement tools included quality of life (Euro quality of life-5D questionnaire), self-esteem (Rosenberg Self-Esteem Scale), anxiety (State–Trait Anxiety Inventory), depression (Beck Depression Inventory-II), and satisfaction surveys. <i>Results</i>: A total of 18 out of 21 CHD patients (mean age 35.8 ± 9.0 years old and 13 (72%) females) completed the program. According to CHD complexity, five (28%) patients had mild, six (33%) moderate, and seven (38%) great defects. Patients with CHD scored significantly higher in the Euro quality of life visual analogue scale (7.83 ± 1.4 vs. 7.14 ± 1.6, <i>p</i> = 0.012) and lower in the Beck Depression Inventory-II (12.3 ± 10.9 vs. 18.1 ± 12.1, <i>p</i> = 0.003) post-program than pre-intervention. Meanwhile, the Rosenberg Self-Esteem Scale score was close to reaching statistical significance (27.4 ± 6.0 vs. 25.1 ± 5.4, <i>p</i> = 0.051), while the State–Trait Anxiety Inventory did not. Finally, participants scored high in the satisfaction questionnaire at the end of the sessions, on a scale from 0 to 3, especially in the questions related to feeling comfortable with others (2.5 ± 0.6), recommending the program (2.3 ± 0.6), or being willing to attend future sessions (2.6 ± 0.8). <i>Conclusions</i>: Group psychological therapy proved to be a useful tool to reduce depressive symptomatology after a 6-week program, providing a comfortable environment to patients with CHD.https://www.mdpi.com/1648-9144/61/1/90congenital heart diseaseanxietydepressionadultpsychological
spellingShingle Efrén Martínez-Quintana
Karen Codana-Alcántara
Hector M. Montesdeoca-Naranjo
Marta Isabel García-Suárez
María Pino Fleitas-Álvarez
María Alcántara-Castellano
Alejandro Ruiz-Castellano
Ana González-Isasi
Fayna Rodríguez-González
Esperanza Bosch-Casañas
Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
Medicina
congenital heart disease
anxiety
depression
adult
psychological
title Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
title_full Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
title_fullStr Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
title_full_unstemmed Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
title_short Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious–Depressive Symptoms
title_sort group psychological therapy program in adult patients with congenital heart disease and anxious depressive symptoms
topic congenital heart disease
anxiety
depression
adult
psychological
url https://www.mdpi.com/1648-9144/61/1/90
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