Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease

E. M. Utens, F. C. Verhulst, H. J. Duivenvoorden, F. J. Meijboom, R. A. Erdman, J. Hess

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)801-807
Number of pages7
JournalEuropean Heart Journal
Volume19
Issue number5
DOIs
StatePublished - May 1998
Externally publishedYes

Keywords

  • Behavioural/emotional problems congenital heart disease

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