Barely Significant
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'Well-being paradox' revisited: a cross-sectional study of quality of life in over 4000 adults with congenital heart disease.

BMJ Open · 2021 · PMC8220527 · PMID 34158308

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highly significantno p-value reported
21 A recent study has further established that sense of coherence is a highly significant predictor of QOL in ACHD. 22 Based on theoretical considerations, Sense of Coherence (SOC) develops during childhood and is thought to be fully developed by the age of 30 years. 23 Patients who may be diagnosed later in life may have missed the chance to develop and refine coping mechanisms and may therefore experience the effects of their CHD more negatively leading to higher emotional distress.

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