All issues > Volume 49(5); 2006

Original Article

Korean J Pediatr. 2006;49(5):523-528. Published online May 15, 2006.

Relationship between depression and resilience in adolescents with congenital heart disease

Ju Ryoung JR Moon¹, Yoen Yi YY Jung¹, June J Huh², I-Seok IS Kang², Seung Woo SW Park³, Ji-Hyuk JH Yang⁴, Tae-Gook TG Jun⁴, Myung Ja MJ Kim⁵, Heung Jae HJ Lee²

¹Grown-Up Congenital Heart(GUCH) Clinic, Cardiac & Vascular Center, Samsung Medical Center, Sungkyunk
²Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seou
³Department of Division of Cardiology, Samsung Medical Center, Sungkyunkwan University, College of Me
⁴Department of Thoracic & Cardiovascular Surgery¡×, Samsung Medical Center, Sungkyunkwan University,
⁵College of Nursing, Catholic University∥, Seoul, Korea

Correspondence Heung Jae HJ Lee ,Email: hjlee@smc.samsung.co.kr

Abstract

Purpose
: The purpose of this study was to investigate the relationship between depression and resilience in adolescents with congenital heart disease(CHD) and to identify the variables associated with depression.
Methods
: The Resilience Scale(cronbach’s α=0.92), Children's Depression Inventory(cronbach’s α= 0.72) and Maternal Behavior Research Instrument(cronbach’s α=0.88) were applied and analyzed to assess depression and resilience among 231 adolescents after surgery for CHD from three major cardiac centers in Korea. This group consist of 114 males and 117 females. The mean age was 15.8 years(range : 13-18 years). The clinical severity of illness was rated by CHD functional index and NYHA functional class.
Results
: The mean score for depression and resilience was 16.74(range : 0-49) and 115.84(range : 70- 132) respectively. Depression was significantly related to age(r=0.25, P<0.001) and NYHA functional class(r=0.35, P<0.001), as well as being negatively correlated with oxygen saturation(r=-0.39, P< 0.001), academic achievement(r=-0.41, P<0.001), parental attitude(r=-0.49, P<0.001) and resilience (r= -0.59, P<0.001). The results of multiple regression analysis showed that parental attitude(β=-0.48, P<0.01) and resilience(β=-0.62, P<0.01) were related to depression.
Conclusion
: This study demonstrated that adolescents with CHD had a higher resilience and were less depressed with an affectionate parent. With respect to medical and nursing intervention programs, it is essential to identify strengths of adolescents with CHD in order to increase their resilience. Additionally, it is also important that parenting and counseling programs be implemented for the parents of adolescents with CHD.

Keywords :Congenital heart disease , Adolescent , Depression , Resilience