RecruitingNCT06952933

Psychological Trauma, Post-Traumatic Stress Disorder, and Resilience in Adults With Congenital Heart Disease


Sponsor

Dartmouth-Hitchcock Medical Center

Enrollment

1,000 participants

Start Date

Sep 1, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study, entitled "Psychological trauma, post-traumatic stress disorder, and resilience in adults with congenital heart disease in a large population sample", is to evaluate for exposures during a lifetime with congenital heart disease that may be associated with higher likelihood of developing PTSD. Primary aim: \- Identify individual patient characteristics (medical, psychosocial, socioeconomic, etc.) that are associated with a diagnosis of PTSD. Secondary aims: * Calculate the prevalence of those meeting PTSD criteria in the ACHD population using the "gold standard" diagnostic clinician interview, while using the same data to validate a PTSD screening self-report survey in the ACHD population. * Determine the role of resilience in ACHD patients using a validated screening survey to assess its protective role toward PTSD. Hypotheses: * There are certain exposures (e.g. post-surgical pain, ICU delirium, bullying due to CHD) that are associated with a higher incidence and odds of meeting PTSD criteria. * "Gold standard" diagnostic interviews will most accurately estimate the prevalence of PTSD in ACHD which has been overestimated on prior screening-based studies, although the scope of the problem is still great. * Patients with a higher resilience score will show an association with a lower risk of PTSD.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Congenital heart disease diagnosis, age \>= 18 years
  • Enrolled in CHI registry
  • English proficiency for survey completion
  • Access to an internet connection. Can be via computer or handheld device.

Exclusion Criteria4

  • Any who opt out
  • Age \< 18 years
  • No diagnosis of congenital heart disease
  • Not enrolled in CHI registry/unable to access Internet

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Interventions

BEHAVIORALOther

Surveys will be distributed for data collection. A subset of patients will participate in diagnostic clinician interviews. No interventions will be tested.


Locations(3)

Children's National Medical Center

Washington D.C., District of Columbia, United States

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Nationwide Children's Hospital

Columbus, Ohio, United States

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NCT06952933


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