PEDIATRICS: Edited by Mitchell I. CohenHealth anxiety among adults with congenital heart diseaseRoseman, Alexandraa; Morton, Lizab; Kovacs, Adrienne H.cAuthor Information aDepartment of Psychology, Long Island University, Brooklyn, New York, USA bSchool of Psychology, University of Glasgow, Glasgow, Scotland cKnight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA Correspondence to Adrienne H. Kovacs, PhD, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 SW Pavilion Loop, UHN-62 Portland, OR 97239, USA. Tel: +1 503 494 7400; fax: +1 503 494 8550; e-mail: [email protected] Current Opinion in Cardiology: January 2021 - Volume 36 - Issue 1 - p 98-104 doi: 10.1097/HCO.0000000000000811 Buy Metrics Abstract Purpose of review Adults with congenital heart disease (CHD) may experience anxiety specifically related to their medical condition. This review introduces the concepts of health anxiety and heart-focused anxiety, summarizes what is currently known about heart-focused anxiety among adults with CHD and offers suggestions to help adult CHD providers address heart-focused anxiety in their patients. Recent findings Although minimal research has been conducted specific to this outcome, health anxiety may occur at any point across the lifespan of individuals with CHD. A recent study found that children and adolescents with CHD reported greater health anxiety than community peers. Health anxiety was commonly reported among adults with CHD presenting for psychological assessment. It was linked with older age, trait anxiety, perceived parental overprotection and greater CHD complexity in one study. Summary Adults with CHD face many potential health-related stressors, including cardiac symptoms, treatments and interventions throughout the lifespan (including surgeries and other invasive procedures), the impact of CHD on daily lives and longer-term health expectations. Providers should be aware that heart-focused anxiety among patients is understandable and perhaps common. Patient-centred education and psychological intervention should be integrated within a comprehensive approach to long-term disease management. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.