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患有严重先天性心脏缺陷的儿童的同龄人关系和社会情感功能,并比较同学
Olivia G Ritchey1, Amber T Riggs1,2, Andrea Goard1
1Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States.
Journal of pediatric psychology
|February 12, 2026
概括
患有严重先天性心脏缺陷 (cCHD) 的儿童经历了更多的同龄人关系困难,这与社会情感和执行功能 (EF) 缺陷有关. 建议对社会情感技能进行早期干预.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 发展心理学 发展心理学
- 神经科学是一个神经科学.
背景情况:
- 严重的先天性心脏缺陷 (cCHD) 与神经发育障碍风险增加有关.
- 执行功能 (EF) 和社会情感能力的缺陷可能同时发生在患有cCHD的儿童中,影响同龄人关系.
- 患有cCHD儿童的社会困难需要详细描述,并与特定的认知或社会情感技能联系起来.
研究的目的:
- 为了比较cCHD儿童与健康同学之间的社会情感能力,EF和同龄人关系困难.
- 为了确定社会情感缺陷是否预测同行关系困难,独立于EF损害.
主要方法:
- 一项涉及134名患有cCHD的儿童和92名健康的同学 (CC) 的比较研究.
- 使用多种评估方法,包括儿童,照顾者和同行报告.
- 评估了社会情感能力,EF,同行互动,以及在学校和家庭环境中的社会调整.
主要成果:
- 与CC相比,患有cCHD的儿童在社会情感技能和EF方面表现出更大的同龄人关系困难和缺陷.
- 社会情感技能部分解释了cCHD儿童同龄人关系困难.
- 在社会情感技能方面的群体差异仍然很大,即使考虑到EF.
结论:
- 在cCHD中同行关系困难可能是多因素的,源于社会情感和神经认知缺陷.
- 临床查应超越神经认知缺陷,包括社会和情感技能.
- 需要进一步进行纵向研究,以阐明因果路径,并确定干预的目标.
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