Psychosocial functioning and quality of life in adults with congenital heart disease and heart failure.

Complex congenital heart disease (CHD) is a chronic medical condition to which patients are expected to adapt throughout their lives. Many patients are at risk of developing heart failure in adulthood and their comprehensive care requires an interdisciplinary approach. North American studies indicate that adults with CHD are at increased risk of psychosocial difficulties. Research suggests that adults with heart failure caused by acquired heart disease are also likely to experience impaired psychosocial functioning and quality of life (QOL). Thus, adults with CHD who develop heart failure are a particularly vulnerable group with regard to psychosocial functioning and QOL.