The relationship between pregnancy risk perception and attitudes toward sexuality during pregnancy among pregnant women in Türkiye: a cross-sectional study.

Congenital heart disease refers to structural heart or cardiac vessel abnormalities present from birth. It affects approximately 8 per 1000 live births, with around two‐thirds requiring lifelong care []. Advancements in diagnosis and treatments have dramatically improved survival rates into adulthood, from approximately 20% to 90% over the last 50 years []. Management of adult congenital heart disease (ACHD) involves regular monitoring and in some cases, repeat surgical interventions. Living with ACHD can considerably burden patients' quality of life [], with chronic fatigue, exercise intolerance, concerns about employment, relationships, and family planning challenges being common []. Owing in part to these burdens, anxiety, depression, and substance use disorders are overrepresented in ACHD populations [, ]. The International Classification of Diseases‐11 (ICD‐11; World Health Organization, 2022) defines health anxiety as an intense preoccupation with physical health and fear of experiencing serious illness. Heart‐focused anxiety (HFA []), also described as cardiac anxiety [] or cardiophobia [], is a form of health anxiety related to cardiac health and sensations. Around one third of cardiac outpatients experience clinically significant health anxiety [] and HFA [], with prevalence increasing with older age []. HFA has been associated with lower quality of life and rehabilitation engagement [, ].