TY - JOUR
T1 - Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease
AU - Utens, E. M.
AU - Verhulst, F. C.
AU - Duivenvoorden, H. J.
AU - Meijboom, F. J.
AU - Erdman, R. A.
AU - Hess, J.
PY - 1998/5/1
Y1 - 1998/5/1
N2 - Aims: The aim of the present study was to determine which medical variables were predictors of long-term behavioural/emotional outcome after surgical correction for congenital heart disease in infancy and childhood. Methods: The Child Behavior Checklist (CBCL) was used to predict parent-reported behavioural/emotional problems in 125 10-15 year-old congenital heart disease children from: (1) biographical status (2) medical history (3) heart surgery (4) short-term post-operative course and (5) number of heart operations and (6) extra cardiac concomitant anomalies. Results: Higher CBCL total problem scores at follow-up were associated with a greater number of heart operations and deep hypothermic circulatory arrest (< 22°). 'Internalizing problems' were associated with a greater number of heart operations, deep hypothermic circulatory arrest, a short gestational age, low systemic oxygen saturation, and older age at surgical repair. 'Externalizing problems' were associated with a greater number of heart operations only. Conclusion: Several medical variables were significant predictors and can be used to identify those congenital heart disease children who are at risk of long-term behavioural/emotional maladjustment.
AB - Aims: The aim of the present study was to determine which medical variables were predictors of long-term behavioural/emotional outcome after surgical correction for congenital heart disease in infancy and childhood. Methods: The Child Behavior Checklist (CBCL) was used to predict parent-reported behavioural/emotional problems in 125 10-15 year-old congenital heart disease children from: (1) biographical status (2) medical history (3) heart surgery (4) short-term post-operative course and (5) number of heart operations and (6) extra cardiac concomitant anomalies. Results: Higher CBCL total problem scores at follow-up were associated with a greater number of heart operations and deep hypothermic circulatory arrest (< 22°). 'Internalizing problems' were associated with a greater number of heart operations, deep hypothermic circulatory arrest, a short gestational age, low systemic oxygen saturation, and older age at surgical repair. 'Externalizing problems' were associated with a greater number of heart operations only. Conclusion: Several medical variables were significant predictors and can be used to identify those congenital heart disease children who are at risk of long-term behavioural/emotional maladjustment.
KW - Behavioural/emotional problems congenital heart disease
UR - http://www.scopus.com/inward/record.url?scp=0032080876&partnerID=8YFLogxK
U2 - 10.1053/euhj.1997.0855
DO - 10.1053/euhj.1997.0855
M3 - Article
C2 - 9717016
AN - SCOPUS:0032080876
SN - 0195-668X
VL - 19
SP - 801
EP - 807
JO - European heart journal
JF - European heart journal
IS - 5
ER -