{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:36:30Z","timestamp":1759970190157,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Colegio Oficial de M\u00e9dicos de Las Palmas","award":["I02\/23"],"award-info":[{"award-number":["I02\/23"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Introduction: Anxiety and depression are significant mental health concerns for individuals with congenital heart disease (CHD). As group therapy has proven to be a valuable and effective treatment option for managing anxiety and depression, the aim of this study was to determine its effects on patients with CHD and anxious\u2013depressive symptoms. Methods: We used non-pharmacological psychological group intervention, of six weekly sessions of 90 min each, administered by trained personnel, in adult patients with CHD. Measurement tools included quality of life (Euro quality of life-5D questionnaire), self-esteem (Rosenberg Self-Esteem Scale), anxiety (State\u2013Trait Anxiety Inventory), depression (Beck Depression Inventory-II), and satisfaction surveys. Results: A total of 18 out of 21 CHD patients (mean age 35.8 \u00b1 9.0 years old and 13 (72%) females) completed the program. According to CHD complexity, five (28%) patients had mild, six (33%) moderate, and seven (38%) great defects. Patients with CHD scored significantly higher in the Euro quality of life visual analogue scale (7.83 \u00b1 1.4 vs. 7.14 \u00b1 1.6, p = 0.012) and lower in the Beck Depression Inventory-II (12.3 \u00b1 10.9 vs. 18.1 \u00b1 12.1, p = 0.003) post-program than pre-intervention. Meanwhile, the Rosenberg Self-Esteem Scale score was close to reaching statistical significance (27.4 \u00b1 6.0 vs. 25.1 \u00b1 5.4, p = 0.051), while the State\u2013Trait Anxiety Inventory did not. Finally, participants scored high in the satisfaction questionnaire at the end of the sessions, on a scale from 0 to 3, especially in the questions related to feeling comfortable with others (2.5 \u00b1 0.6), recommending the program (2.3 \u00b1 0.6), or being willing to attend future sessions (2.6 \u00b1 0.8). Conclusions: Group psychological therapy proved to be a useful tool to reduce depressive symptomatology after a 6-week program, providing a comfortable environment to patients with CHD.<\/jats:p>","DOI":"10.3390\/medicina61010090","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T07:42:19Z","timestamp":1736235739000},"page":"90","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Group Psychological Therapy Program in Adult Patients with Congenital Heart Disease and Anxious\u2013Depressive Symptoms"],"prefix":"10.3390","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1289-7279","authenticated-orcid":false,"given":"Efr\u00e9n","family":"Mart\u00ednez-Quintana","sequence":"first","affiliation":[{"name":"Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"},{"name":"Department of Medical and Surgical Sciences, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Avenida, Mar\u00edtima del Sur s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Codana-Alc\u00e1ntara","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hector M.","family":"Montesdeoca-Naranjo","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta Isabel","family":"Garc\u00eda-Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Avenida, Mar\u00edtima del Sur s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Pino","family":"Fleitas-\u00c1lvarez","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Alc\u00e1ntara-Castellano","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Avenida, Mar\u00edtima del Sur s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Ruiz-Castellano","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Gonz\u00e1lez-Isasi","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fayna","family":"Rodr\u00edguez-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Gran Canaria Dr. Negr\u00edn, Barranco de la Ballena, s\/n, 35010 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esperanza","family":"Bosch-Casa\u00f1as","sequence":"additional","affiliation":[{"name":"Psychiatry Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Mar\u00edtima del Sur, s\/n, 35016 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Conversano, C. 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