Patterns and Correlates of Changes in Emotional and Behavioral Problems Among Children with Congenital Heart Disease

Lu-Chi Hsiao1, Shuenn-Nan Chiu2, Ling-Yin Chang1

  • 1Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.

Insights

Parenting stress significantly impacts emotional and behavioral problems in children with congenital heart disease (CHD). Interventions reducing this stress may improve outcomes for these children.

Area of Science:

  • Pediatric Psychology
  • Child Development
  • Cardiology

Background:

  • Congenital heart disease (CHD) affects children's development and well-being.
  • Emotional and behavioral problems are common in children with CHD.
  • Understanding changes in these problems and associated factors is crucial.

Purpose of the Study:

  • To identify patterns of change in emotional and behavioral problems in children with CHD.
  • To investigate factors associated with these changes.
  • To inform targeted interventions for children with CHD.

Main Methods:

  • Longitudinal study of 327 children with CHD (aged 1.5-12 years) and their parents in Taiwan (2017-2019).
  • Utilized the Child Behavior Checklist for two survey waves.
  • Employed multinomial logistic regression to analyze patterns and associated factors.

Main Results:

  • Identified five change patterns: persistent normal, initial problematic, worsening, persistent problematic, and subclinical.
  • Parenting stress was consistently linked to problematic change patterns.
  • Other factors included child's sex, number of surgeries, and parental perceived health.

Conclusions:

  • Parenting stress plays a key role in the emotional and behavioral trajectories of children with CHD.
  • Interventions focused on reducing parenting stress could mitigate problem development and worsening.
  • Further research can explore specific intervention strategies.
Abstract

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