Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease

Background: Adverse childhood experiences (ACEs) are associated with poorer health outcomes, including a higher risk of acquired cardiovascular disease. This was the first investigation of ACEs in adults with congenital heart disease (CHD). Methods: Adults with CHD completed the following surveys in...

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Autores principales:	Marshall Taunton, Lidija McGrath, Craig Broberg, Sheldon Levy, Adrienne H. Kovacs, Abigail Khan
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Adult congenital heart disease Quality of life Adverse childhood experiences Attachment style Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/5d53654fb41b44548bad95ad8dd73061
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spelling	oai:doaj.org-article:5d53654fb41b44548bad95ad8dd730612021-11-06T04:38:03ZAdverse childhood experience, attachment style, and quality of life in adult congenital heart disease2666-668510.1016/j.ijcchd.2021.100217https://doaj.org/article/5d53654fb41b44548bad95ad8dd730612021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666668521001415https://doaj.org/toc/2666-6685Background: Adverse childhood experiences (ACEs) are associated with poorer health outcomes, including a higher risk of acquired cardiovascular disease. This was the first investigation of ACEs in adults with congenital heart disease (CHD). Methods: Adults with CHD completed the following surveys in the outpatient setting: ACE questionnaire, measure of attachment style, and linear analogue measure of quality of life. We performed Chi-square tests and t-tests to explore relationships between ACE scores with other surveys as well as demographic and clinical characteristics. Results: A total of 100 patients participated in the study (age 40 ± 13 years; 60% female); 90% had CHD of moderate or great complexity. The total number of reported ACEs ranged from 0 to 9 out of a possible total of 10, with a mean of 2.6 ± 2.5.30% of participants reported ≥ 4 ACEs, which is higher than the reported prevalence in the general population. The most frequently reported ACEs were parental divorce (46%), emotional abuse (42%), and parental substance abuse (32%). ACE scores did not differ as a function of age, sex or CHD defect complexity. Total ACE scores were significantly associated with two attachment styles (preoccupied: p < 0.001; fearful: p = 0.002). Quality of life scores were lower among those with ≥4 ACEs, although this did not reach statistical significance (68.6 vs. 75.7, p = 0.07). Conclusion: ACEs appear to be common in adults with CHD and are associated with negative attachment styles. Further research is needed to determine the impact of ACEs on long-term outcomes.Marshall TauntonLidija McGrathCraig BrobergSheldon LevyAdrienne H. KovacsAbigail KhanElsevierarticleAdult congenital heart diseaseQuality of lifeAdverse childhood experiencesAttachment styleDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Cardiology Congenital Heart Disease, Vol 5, Iss , Pp 100217- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adult congenital heart disease Quality of life Adverse childhood experiences Attachment style Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Adult congenital heart disease Quality of life Adverse childhood experiences Attachment style Diseases of the circulatory (Cardiovascular) system RC666-701 Marshall Taunton Lidija McGrath Craig Broberg Sheldon Levy Adrienne H. Kovacs Abigail Khan Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
description	Background: Adverse childhood experiences (ACEs) are associated with poorer health outcomes, including a higher risk of acquired cardiovascular disease. This was the first investigation of ACEs in adults with congenital heart disease (CHD). Methods: Adults with CHD completed the following surveys in the outpatient setting: ACE questionnaire, measure of attachment style, and linear analogue measure of quality of life. We performed Chi-square tests and t-tests to explore relationships between ACE scores with other surveys as well as demographic and clinical characteristics. Results: A total of 100 patients participated in the study (age 40 ± 13 years; 60% female); 90% had CHD of moderate or great complexity. The total number of reported ACEs ranged from 0 to 9 out of a possible total of 10, with a mean of 2.6 ± 2.5.30% of participants reported ≥ 4 ACEs, which is higher than the reported prevalence in the general population. The most frequently reported ACEs were parental divorce (46%), emotional abuse (42%), and parental substance abuse (32%). ACE scores did not differ as a function of age, sex or CHD defect complexity. Total ACE scores were significantly associated with two attachment styles (preoccupied: p < 0.001; fearful: p = 0.002). Quality of life scores were lower among those with ≥4 ACEs, although this did not reach statistical significance (68.6 vs. 75.7, p = 0.07). Conclusion: ACEs appear to be common in adults with CHD and are associated with negative attachment styles. Further research is needed to determine the impact of ACEs on long-term outcomes.
format	article
author	Marshall Taunton Lidija McGrath Craig Broberg Sheldon Levy Adrienne H. Kovacs Abigail Khan
author_facet	Marshall Taunton Lidija McGrath Craig Broberg Sheldon Levy Adrienne H. Kovacs Abigail Khan
author_sort	Marshall Taunton
title	Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
title_short	Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
title_full	Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
title_fullStr	Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
title_full_unstemmed	Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
title_sort	adverse childhood experience, attachment style, and quality of life in adult congenital heart disease
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/5d53654fb41b44548bad95ad8dd73061
work_keys_str_mv	AT marshalltaunton adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease AT lidijamcgrath adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease AT craigbroberg adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease AT sheldonlevy adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease AT adriennehkovacs adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease AT abigailkhan adversechildhoodexperienceattachmentstyleandqualityoflifeinadultcongenitalheartdisease
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Adverse childhood experience, attachment style, and quality of life in adult congenital heart disease

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