OBJECTIVES: The objectives of this study were to compare behaviour problems and competencies, at home and school, in 7-year-old children with congenital heart disease with a sibling control group, to examine the prospective determinants of outcome from infancy, and to explore whether any gains were maintained in our sub-group of children who had participated in a previous trial of psychological interventions in infancy. METHODS: A total of 40 children who had undergone surgery to correct or palliate a significant congenital heart defect in infancy were compared (Child Behavior Checklist) with a nearest-age sibling control group (18 participants). Comparisons were made between sub-groups of children and families who had and had not participated in an early intervention trial. RESULTS: Problems with attention, thought and social problems, and limitations in activity and school competencies, were found in comparison with siblings. Teacher reports were consistent with parents, although problems were of a lower magnitude. Disease, surgical, and neurodevelopmental functioning in infancy were related to competence outcomes but not behaviour problems. The latter were mediated by family and maternal mental health profiles from infancy. Limited, but encouraging, gains were maintained in the sub-group that had participated in the early intervention programme. CONCLUSIONS: The present study is strengthened by its longitudinal design, use of teacher informants, and sibling control group. The patterns of problems and limitations discerned, and differential determinants thereof, have clear implications for interventions. We consider these in the light of our previously reported intervention trial with this sample and current outcomes at the 7-year follow-up.
RCT Entities:
OBJECTIVES: The objectives of this study were to compare behaviour problems and competencies, at home and school, in 7-year-old children with congenital heart disease with a sibling control group, to examine the prospective determinants of outcome from infancy, and to explore whether any gains were maintained in our sub-group of children who had participated in a previous trial of psychological interventions in infancy. METHODS: A total of 40 children who had undergone surgery to correct or palliate a significant congenital heart defect in infancy were compared (Child Behavior Checklist) with a nearest-age sibling control group (18 participants). Comparisons were made between sub-groups of children and families who had and had not participated in an early intervention trial. RESULTS: Problems with attention, thought and social problems, and limitations in activity and school competencies, were found in comparison with siblings. Teacher reports were consistent with parents, although problems were of a lower magnitude. Disease, surgical, and neurodevelopmental functioning in infancy were related to competence outcomes but not behaviour problems. The latter were mediated by family and maternal mental health profiles from infancy. Limited, but encouraging, gains were maintained in the sub-group that had participated in the early intervention programme. CONCLUSIONS: The present study is strengthened by its longitudinal design, use of teacher informants, and sibling control group. The patterns of problems and limitations discerned, and differential determinants thereof, have clear implications for interventions. We consider these in the light of our previously reported intervention trial with this sample and current outcomes at the 7-year follow-up.
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Authors: Lexa K Murphy; Bruce E Compas; Kristen L Reeslund; Melissa C Gindville; May Ling Mah; Larry W Markham; Lori C Jordan Journal: Child Neuropsychol Date: 2015-09-20 Impact factor: 2.500
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Authors: Erica Sood; Amy Jo Lisanti; Sarah E Woolf-King; Jo Wray; Nadine Kasparian; Emily Jackson; Mary R Gregory; Keila N Lopez; Bradley S Marino; Trent Neely; Amy Randall; Sinai C Zyblewski; Cheryl L Brosig Journal: Cardiol Young Date: 2021-06-04 Impact factor: 1.093
Authors: Linda S Franck; Renée A Shellhaas; Monica Lemmon; Julie Sturza; Janet S Soul; Taeun Chang; Courtney J Wusthoff; Catherine J Chu; Shavonne L Massey; Nicholas S Abend; Cameron Thomas; Elizabeth E Rogers; Charles E McCulloch; Katie Grant; Lisa Grossbauer; Kamil Pawlowski; Hannah C Glass Journal: J Pediatr Date: 2020-06 Impact factor: 4.406
Authors: Melanie K Franklin; Allison Karpyn; Jennifer Christofferson; Linda G McWhorter; Abigail C Demianczyk; Cheryl L Brosig; Emily A Jackson; Stacey Lihn; Sinai C Zyblewski; Anne E Kazak; Erica Sood Journal: J Child Health Care Date: 2021-12-08 Impact factor: 1.896