Abstract 2681: Relationship between Depression and Resilience in Adolescents with Congenital Heart Disease
Introduction: As a result of dramatic advance in medical and surgical management, the majority of infants with cardiac anomalies can be expected to reach adolescent period and adulthood. The purpose of this study was to examine the relationship between depression and resilience and to identify the variables associated with depression among adolescents with congenital heart disease (CHD).
Method: Data was collected from 231 adolescents with CHD aged 13±18 years, under observation following open-heart surgery in three major cardiac center in Korea, from December 20, 2004 to February 25, 2005. Adolescents completed measures of resilience(cronbach’s α=.92), depression(cronbach’s α=.72), parental attitude (cronbach’s α=.88). Also, NYHA functional class, CHD functional index and percutanous oxygen saturation checked.
Results: The mean score for depression was 16.74 (range: 0–54) and for resilience, 115.84 (range: 32–128). There was a significant positive relationship between depression and three variables: age (r=.25, p<.001), NYHA functional class (r=.45, p<.001), and CHD functional index (r=.28, p<0.05). A negative relationship was found between depression and oxygen saturation (r=-.39, p<0.001) as well as academic achievement (r=-.41, p<.001), parental attitude (r=-.49, p<.001), and resilience (r=-.59, p<.001). The multiple regression analysis also showed that depression of adolescents with CHD was explained by 54 % of resilience (β=-.62, p<0.05) and parental attitude(β=-.48, p<0.05).
Conclusion: This study demonstrated that adolescents with higher resilience together with an affectionate parent were less depressed. With respect to nursing intervention programs, it is essential to identify the strengths of adolescent with CHD in order to increase for resilience. Additionally, it is important that parenting and counseling programs be implemented for the parents of these adolescents.