PMID- 34548125
OWN - NLM
STAT- MEDLINE
DCOM- 20220817
LR  - 20220817
IS  - 1467-1107 (Electronic)
IS  - 1047-9511 (Linking)
VI  - 32
IP  - 8
DP  - 2022 Aug
TI  - Predictors of behavioural and emotional outcomes in toddlers with congenital 
      heart disease.
PG  - 1216-1221
LID - 10.1017/S1047951121003942 [doi]
AB  - OBJECTIVES: Children with congenital heart disease (CHD) are at risk for 
      psychological challenges, including internalising (e.g., depression, anxiety) and 
      externalising (e.g., aggression, inattention) problems. The present study aimed 
      to investigate the development of psychological concerns in early childhood by 
      identifying predictors of behavioural and emotional problems in toddlers with 
      CHD. METHODS: Children with CHD who were seen for neurodevelopmental (ND) 
      evaluation at 12 +/- 3 months of age, who completed the Bayley Scales of Infant 
      Development-III (BSID-III) and whose parents completed the Child Behavior 
      Checklist (CBCL), a standardised measure of emotional/behavioural problems at age 
      24-36 months, were included in the study (n = 144). CBCL scores were compared to 
      test norms and classified as normal or abnormal. A classification tree was used 
      to assess the association between CBCL scores and demographic and clinical 
      variables. RESULTS: Multi-variable tree analyses revealed lower BSID-III language 
      composite scores at age 9-15 months predicted clinical CBCL internalising (p < 
      0.001), externalising (p = 0.004) and total scores (p < 0.001) at age 24-36 
      months. Lower maternal education levels also predicted clinical CBCL 
      internalising (p < 0.0001), externalising (p < 0.001) and total scores (p < 
      0.0001). CONCLUSIONS: Lower language abilities and lower maternal education 
      predict increased behavioural and emotional problems in toddlers with CHD. These 
      risk factors should be considered during routine ND evaluations to allow for 
      earlier identification of children with CHD and their families who may benefit 
      from psychological support.
FAU - Jilek, Elizabeth
AU  - Jilek E
AD  - Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
FAU - Shields, Ashley
AU  - Shields A
AD  - UVA Children's, Charlottesville, VA, USA.
FAU - Zhang, Liyun
AU  - Zhang L
AD  - Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
FAU - Simpson, Pippa
AU  - Simpson P
AD  - Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
FAU - Bear, Laurel
AU  - Bear L
AD  - Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
AD  - Herma Heart Institute, Children's Wisconsin, Milwaukee, WI, USA.
FAU - Martins, Sydney Allen
AU  - Martins SA
AD  - Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, 
      WI, USA.
FAU - Mussatto, Kathleen A
AU  - Mussatto KA
AD  - Department of Nursing, Milwaukee School of Engineering, Milwaukee, WI, USA.
FAU - Brosig, Cheryl L
AU  - Brosig CL
AUID- ORCID: 0000-0002-1952-8652
AD  - Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
AD  - Herma Heart Institute, Children's Wisconsin, Milwaukee, WI, USA.
LA  - eng
PT  - Journal Article
DEP - 20210922
PL  - England
TA  - Cardiol Young
JT  - Cardiology in the young
JID - 9200019
SB  - IM
MH  - Child
MH  - *Child Behavior Disorders/diagnosis
MH  - Child, Preschool
MH  - Cognition
MH  - Educational Status
MH  - Emotions
MH  - *Heart Defects, Congenital/complications
MH  - Humans
MH  - Infant
MH  - Parents
OTO - NOTNLM
OT  - Congenital heart disease/defects
OT  - child development
OT  - developmental outcomes
EDAT- 2021/09/23 06:00
MHDA- 2022/08/18 06:00
CRDT- 2021/09/22 05:46
PHST- 2021/09/23 06:00 [pubmed]
PHST- 2022/08/18 06:00 [medline]
PHST- 2021/09/22 05:46 [entrez]
AID - S1047951121003942 [pii]
AID - 10.1017/S1047951121003942 [doi]
PST - ppublish
SO  - Cardiol Young. 2022 Aug;32(8):1216-1221. doi: 10.1017/S1047951121003942. Epub 
      2021 Sep 22.