NDLI: Mediation role of health behaviours in the relation between mental resilience and cardiovascular risk in young adults with a diagnosed congenital heart defect

Content Provider	Springer Nature : BioMed Central
Author	Mroczkowska, Renata Szlenk-Czyczerska, Elżbieta Szwamel, Katarzyna Fiszer, Roland
Abstract	Introduction With age, patients with a congenital heart defect are under higher risk of cardiovascular diseases and more complex selfcare requirements. Aim of the study The analysis of the mediation role of health-oriented behaviours in the relation between mental resilience and the cardiovascular risk in young adults with congenital heart defects. Materials and methods This is an observational study with a cross-sectional design. The research was based on the examination of 201 patients with congenital heart defects using the medical record analysis, the method of estimating and the diagnostic survey method. The other examination tools included the Cardiovascular Disease Risk Factors Scale, the Resilience Assessment Scale (SPP-25) and the Health Behaviour Inventory (HBI). Results The examination confirmed that 50% of patients were susceptible to a cardiovascular disease due to the prevalence of three risk factors. The general indicator of the intensity of health-related behaviours amounted to 83.16 ± 12.94. The lowest intensity of all health behaviours was observed for eating habits (3.14 ± 0.83). The highest score of mental resilience was reported in terms of openness to new experience and sense of humour (15.31 ± 3.05), whereas the lowest was related to optimism and mobilization capability in difficult situations (12.97 ± 3.46). The higher the perseverance and determination (β = -0.16; p < 0.001), openness and sense of humour (β = -0.09; p < 0.01), tolerance to failure and perceiving life as a challenge (β = -0.09; p < 0.01), optimism and the mobilization capability in difficult situations (β = -0.08; p < 0.01) and overall mental resilience scale measurement (β = -0.11; p < 0.001), the lower the cardiovascular risk. In short, higher psychological resilience was associated with higher intensity of health-related behaviours. Greater intensity of health behaviours and higher indices of eating habits, prophylactic behaviours and health practices fostered lower risk of CVDs. Conclusions Health-related behaviours play a mediation role between mental resilience and the cardiovascular risk in the group of young adults with congenital heart defects. Psychological resilience as a preventive and promotional factor of mental health appears to be of a very essential value while developing health promoting programmes aimed at decreasing the cardiovascular risk in patients with a congenital heart defect. The evaluation of mental resilience may provide better understanding of the patient and ensure proper health care.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-025-22094-8.pdf
Ending Page	16
Page Count	16
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-025-22094-8
Journal	BMC Public Health
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-03-10
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Congenital heart defects Cardiovascular risk Mental resilience Health behaviours Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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