{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:34:23Z","timestamp":1773416063686,"version":"3.50.1"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"commercial"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Adults with congenital heart disease (ACHD) constitute an ever-growing patient population characterized by high risks for cardiovascular- and mental disorders. Personality disorders (PDs) are associated with adverse physical and mental health. Studies assessing PD prevalence in ACHD are lacking.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Personality disorder point prevalence was assessed in 210 ACHD by Structured Clinical Interview for Axis-II Personality Disorders (SCID-II) and compared to meta-analytical data from the general population (GP). Depression and anxiety were measured by self-report (Hospital Anxiety and Depression Scale, HADS) and clinician rating (Montgomery\u2013\u00c5sberg depression rating scale, MADRS). Childhood maltreatment was assessed with the Childhood Trauma Questionnaire and quality-of-life (QOL) with the World Health Organization QOL Scale. PD prevalence was markedly higher in ACHD compared to GP (28.1 vs. 7.7%). Particularly borderline (4.8 vs. 0.9%) and cluster C (i.e. anxious or fearful; 17.1 vs. 3.0%) PDs were overrepresented. PD diagnosis was associated with a surgery age \u226412 years (\u03c7\u00b2(1) = 7.861, \u03d5 = 0.195, P = 0.005) and higher childhood trauma levels (U = 2583.5, Z = \u22123.585, P &amp;lt; 0.001). ACHD with PD reported higher anxiety (HADS-A: U = 2116.0, Z = \u22125.723, P &amp;lt; 0.001) and depression (HADS-D: U = 2254.5, Z = \u22125.392, P &amp;lt; 0.001; MADRS: U = 2645.0, Z = \u22124.554, P &amp;lt; 0.001) levels and lower QOL (U = 2538.5, Z = \u22124.723, P &amp;lt; 0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Personality disorders, particularly borderline- and cluster C, are significantly more frequent in ACHD compared to GP and associated with depression, anxiety, and decreased QOL. Data from the GP suggest an association with adverse cardiometabolic and mental health. To ensure guideline-based treatment, clinicians should be aware of the increased PD risk in ACHD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwae030","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T05:26:08Z","timestamp":1706160368000},"page":"1324-1332","source":"Crossref","is-referenced-by-count":10,"title":["Impact of congenital heart disease on personality disorders in adulthood"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1353-8064","authenticated-orcid":false,"given":"Britta","family":"Stapel","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lotta","family":"Winter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6672-7857","authenticated-orcid":false,"given":"Ivo","family":"Heitland","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friederike","family":"L\u00f6ffler","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9341-117X","authenticated-orcid":false,"given":"Johann","family":"Bauersachs","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mechthild","family":"Westhoff-Bleck","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai G","family":"Kahl","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School , Hannover , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"2024082123514244100_zwae030-B1","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1016\/j.jacc.2011.08.025","article-title":"Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis","volume":"58","author":"van der Linde","year":"2011","journal-title":"J Am Coll 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One"},{"key":"2024082123514244100_zwae030-B59","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1080\/03009734.2018.1526235","article-title":"Personality disorder: a disease in disguise","volume":"123","author":"Ekselius","year":"2018","journal-title":"Ups J Med Sci"},{"key":"2024082123514244100_zwae030-B60","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1007\/s00127-019-01705-x","article-title":"A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders","volume":"54","author":"Hall","year":"2019","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2024082123514244100_zwae030-B61","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s00406-012-0339-2","article-title":"Prevalence of the metabolic syndrome in patients with borderline personality disorder: results from a cross-sectional study","volume":"263","author":"Kahl","year":"2013","journal-title":"Eur Arch Psychiatry Clin 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