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[Mentality and behavior of children with congenital heart diseases]
Kun Zhang1, Yi-biao Wang, Yan-ping Li
1Department of Pediatrics, Second Hospital, Shandong University, Jinan 250033, China.
Insights
Congenital Heart Disease (CHD) is linked to higher rates of abnormal child behavior and mentality. Early interventional therapy significantly improves these issues in children with CHD.
Area of Science:
- Pediatric Cardiology
- Child Psychology
- Developmental Pediatrics
Background:
- Congenital Heart Disease (CHD) affects children's mental and behavioral development.
- Understanding these effects is crucial for comprehensive patient care.
Purpose of the Study:
- To investigate the influence of CHD on children's mentality and behavior.
- To compare outcomes between interventional therapy and surgical treatment.
Main Methods:
- Examined mentality and behavior in 232 children with CHD using the Achenbach Child Behavior Checklist (CBCL).
- Compared CHD patients with 100 matched controls with pneumonia.
- Assessed pre- and post-operative status for interventional and surgical groups.
Main Results:
- Children with CHD showed significantly higher rates of abnormal mentality and behavior compared to controls.
- Behavioral issues included depression, social withdrawal, and rule violations.
- Both interventional and surgical treatments improved mentality and behavior post-operation, with interventional therapy showing superior results for certain metrics.
Conclusions:
- CHD is associated with increased mental and behavioral abnormalities in children.
- Early treatment, particularly interventional therapy, significantly enhances the psychological well-being of children with CHD.
Objective:
The present study was designed to investigate the influence of Congenital Heart Disease (CHD) on the mentality and behavior in children, and to compare post operative mentality and behavior in children receiving interventional therapy and congenital heart surgery.
Method:
Mentality and behavior of 232 children suffering from CHD were examined with Achenbach Child Behavior Checklist (CBCL) edited by XU Tao-yuan in 1992 and 100 sex, age, education and achievement-matched children with pneumonia were enrolled as controls.
Results:
The mentality and behavior abnormal rates of the boys and girls suffering from CHD were significantly higher than those of controls (P < 0.01, P < 0.05). The behavior abnormities of the boys presented as depression, social flinch, physical complains, assault and violate rules. Whereas the girls presented as depression, social flinch, physical complains and violate rules. The total cursory mark of postoperative check result of the interventional and surgical children, both in girls and in boys, were significantly lower than those of the preoperative children (P < 0.05). The total and assault cursory mark of postoperative check result of children treated with interventional therapy were significantly lower than those of children treated with the surgical operations (P < 0.05). The abnormal rates of mentality and behavior positively correlated with the disease course.
Conclusions:
CHD is associated with increased abnormal mentality and behavior of the children. Early treatment, especially the interventional therapy can significantly improve the mentality and behavior of the children with CHD.
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