Sense of coherence, rather than exercise capacity, is the stronger predictor to obtain health-related quality of life in adults with congenital heart disease

Jan Müller, John Hess, Alfred Hager

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

Objective: Irrespective of their cardiovascular findings, quality of life in patients with congenital heart disease (CHD) is good or even Superior to that in healthy controls. The sense of coherence (SOC), a psychological resource that focuses on factors that Support human health and well-being, was suggested to act as a potential pathway for maintaining and improving quality of life independently from the disease status. Patients and methods: From April 2010 to May 2011, we consecutively included 546 young adults (236 female, median age 26.9 years, aged from 16 to 71 years) with various CHD into the study. Patients completed the SOC-13 questionnaire and the health-related quality of life questionnaire SF-36. Afterwards they performed a cardiopulmonary exercise test. Results: In adults with CHD, SOC was slightly enhanced compared with reference values (CHD: median 74.0 [IQR: 63.8;81.0] vs. reference value: 69.7 [68.5;69.7]; p<0.001) corresponding to 106.1% [91.8;116.7%] of predicted reference value. SOC was not associated with the underlying heart defect (Kruskal-Wallis test, p=0.565) or heart defect severity (Spearman =0.044; p=0.301). It was moderately related to all dimensions of quality of life (=0.260 to =0.686; p<0.001) except to health transition. It was only poorly associated with exercise capacity (=0.098; p=0.023) and age (=0.097; p=0.023). Conclusions: Adults with CHD have an enhanced SOC. SOC is moderately correlated with quality of life, and seems to be a stronger predictor of health-related life quality than exercise capacity. SOC might explain the rather good quality of life in patients with CHD despite their reduction in exercise capacity.

Original languageEnglish
Pages (from-to)949-955
Number of pages7
JournalEuropean Journal of Preventive Cardiology
Volume21
Issue number8
DOIs
StatePublished - Aug 2014

Keywords

  • Congenital heart disease
  • exercise capacity
  • quality of life
  • sense of coherence

Fingerprint

Dive into the research topics of 'Sense of coherence, rather than exercise capacity, is the stronger predictor to obtain health-related quality of life in adults with congenital heart disease'. Together they form a unique fingerprint.

Cite this