Spijkerboer Alinda W, Utens Elisabeth M W J, Bogers Ad J J C, Helbing Willem A, Verhulst Frank C
Department of Child and Adolescent Psychiatry, Erasmus Medical Centre, CB 3000 Rotterdam, The Netherlands.
J Pediatr Surg. 2008 Mar;43(3):534-9. doi: 10.1016/j.jpedsurg.2007.10.037.
BACKGROUND/PURPOSE: Children with congenital heart disease (ConHD) are known to be vulnerable to behavioral and emotional problems. In this study, a historical comparison is made between the level of behavioral and emotional problems in a sample of children and adolescents with ConHD treated recently vs a comparable historical sample operated upon before 1980 in the same institute. The hypothesis was that improvements in medical care would result in more favorable behavioral and emotional outcomes for children and adolescents with ConHD treated recently, that is, between 1990 and 1995, compared with same-aged patients operated on before 1980.
To assess behavioral and emotional problems, the Child Behavior Checklist (parent report) and Youth Self-Report were used. The historical samples (n = 98 and n = 123, respectively) and recent samples (n = 90 and n = 84, respectively) consisted of 4 diagnostic groups.
Parents and patients from the recent sample with ConHD reported fairly similar levels of behavioral and emotional problems compared with parents and patients in the historical sample with ConHD.
Despite evident improvements in diagnostic and surgical techniques and medical treatment of ConHD over the past decades, virtually no changes were found in levels of problem behavior of the recent patient sample compared with the historical patient sample, who both underwent invasive treatment for ConHD.
背景/目的：先天性心脏病（ConHD）患儿易出现行为和情绪问题。本研究对近期接受治疗的ConHD患儿和青少年样本与1980年前在同一机构接受手术的可比历史样本的行为和情绪问题水平进行了历史比较。假设是，与1980年前接受手术的同龄患者相比，医疗护理的改善将使近期（即1990年至1995年）接受治疗的ConHD患儿和青少年获得更有利的行为和情绪结果。
使用儿童行为检查表（家长报告）和青少年自我报告来评估行为和情绪问题。历史样本（分别为n = 98和n = 123）和近期样本（分别为n = 90和n = 84）由4个诊断组组成。
与历史样本中患有ConHD的家长和患者相比，近期样本中患有ConHD的家长和患者报告的行为和情绪问题水平相当相似。
尽管在过去几十年中，ConHD的诊断、手术技术和医疗治疗有了明显改善，但与历史患者样本相比，近期患者样本的问题行为水平几乎没有变化，两者均接受了ConHD的侵入性治疗。
