{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:11:43Z","timestamp":1788966703359,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Advances in cardiac surgery and medicine have resulted in congenital heart disease (CHD) not being limited to children. CHD has been linked to emotional disorders, and untreated psychiatric disorders can worsen adult CHD patients\u2019 morbidity and mortality. This study sought to assess rates and predictors of depression and anxiety in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A cross-sectional study involving 378 adult outpatients with CHD aged 18\u00a0years or older was conducted. Cluster sampling was performed at cardiac center clinics in Riyadh, Saudi Arabia, and data were collected through questionnaires that included demographic information, the Generalized Anxiety Disorder Scale (GAD-7), and the Patient Health Questionnaire (PHQ-9), both of the latter validated in Arabic. Clinical characteristics were assessed using physician-rated New York Heart Association (NYHA) functional class for CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Demographic findings revealed a diverse population with the majority aged 18-24 (56.9%), 52.6% women, and 97.1% Saudi nationals. The clinical characteristics of CHD patients indicated that 63.2% were classified as NYHA Class I and 54.0% had simple CHD. A total of 14.6% of participants reported moderate or severe anxiety and 18.3% indicated moderate or severe depression. Significant associations were found between demographic factors and PHQ-9 and GAD-7 scores. Higher PHQ-9 scores were associated with age \u226535, female gender, and NYHA Class II\u2013IV. Similar associations were observed for GAD-7 scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Depression and anxiety symptoms are relatively common in this population, underscoring the need for comprehensive mental health support for adult patients with CHD. The association between negative emotions and certain demographic and clinical factors emphasizes the importance of providing personalized care to these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00912174251395848","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T04:53:26Z","timestamp":1762836806000},"page":"603-614","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Correlates of Depression and Anxiety in Adult Congenital Heart Disease Patients in Riyadh, Saudi Arabia"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8983-7004","authenticated-orcid":false,"given":"Afnan A","family":"Alwabili","sequence":"first","affiliation":[{"name":"Qassim University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Alomrani","sequence":"additional","affiliation":[{"name":"King Abdulaziz Cardiac Center"},{"name":", King Abdulaziz Medical City, Ministry of National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulraouf","family":"Jijeh","sequence":"additional","affiliation":[{"name":"King Abdulaziz Cardiac Center"},{"name":", King Abdulaziz Medical City, Ministry of National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawaf","family":"Alamer","sequence":"additional","affiliation":[{"name":"King Fahad Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawan","family":"Bin Saab","sequence":"additional","affiliation":[{"name":"King Abdulaziz Cardiac Center"},{"name":", King Abdulaziz Medical City, Ministry of National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatimah","family":"Kashkash","sequence":"additional","affiliation":[{"name":"Pediatric medical surgical department, Royal commission hospital, Jubil, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohannad A","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joud","family":"Alqathlan","sequence":"additional","affiliation":[{"name":"Qassim Health Cluster"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hind","family":"Alyousef","sequence":"additional","affiliation":[{"name":"Suliman Alrajhi University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.02.083"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.4274\/balkanmedj.2017.0910"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020593"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.07.023"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/aam.aam_57_20"},{"key":"e_1_3_6_8_2","unstructured":"World Health Organization. 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