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Psychosocial Outcomes of Children and Adolescents With Severe Congenital Heart Defect: A Systematic Review and

Assil Abda1, Marie-Eve Bolduc2,3, Argerie Tsimicalis4

  • 1Faculty of Medicine, McGill University.

Journal of Pediatric Psychology
|November 20, 2018
PubMed

Insights

Children and adolescents with severe congenital heart defects (CHD) often experience behavioral problems and social cognition difficulties. Regular psychosocial assessments are recommended for their clinical follow-up.

Area of Science:

  • Pediatric Cardiology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Growing interest in psychosocial outcomes for children and adolescents with congenital heart defects (CHD).
  • Severe CHD can impact psychological development and social functioning.
  • Need for synthesized evidence on psychosocial outcomes in this population.

Purpose of the Study:

  • To systematically review and synthesize current literature on psychosocial outcomes.
  • To appraise the prevalence and nature of psychosocial difficulties in children and adolescents with severe CHD.
  • To provide evidence for clinical follow-up strategies.

Main Methods:

  • Systematic literature search for studies on psychosocial outcomes in children and adolescents with severe CHD.
  • Meta-analyses to calculate prevalence and effect sizes (standardized mean differences).
  • Descriptive statistics for results not included in meta-analyses.

Main Results:

  • 25% of children and adolescents with CHD exhibited behavioral problems.
  • Individuals with CHD showed significantly more problematic behavior compared to healthy peers (g=0.71).
  • Significant difficulties were observed in inferring others' mental states (g=0.72), but not in emotion recognition or self-esteem.

Conclusions:

  • Evidence supports the presence of psychosocial difficulties in children and adolescents with severe CHD.
  • Systematic assessment of behavior and social cognition is warranted during clinical follow-up.
  • Findings inform targeted interventions and support for affected youth.
Abstract

Keywords:
cardiologymeta-analysispsychosocial functioningsystematic review

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