DeMaso D R, Beardslee W R, Silbert A R, Fyler D C
Department of Psychiatry, Children's Hospital, Boston, Massachusetts 02115.
J Dev Behav Pediatr. 1990 Dec;11(6):289-94.
The relationship between congenital heart disease (CHD) and psychological functioning was studied in 63 children with transposition of the great arteries (TGA) and 77 children with tetralogy of Fallot (TF). These youngsters were compared with a group of 36 children originally diagnosed with CHD, but who spontaneously recovered (SR) without medical intervention. All children were under one year of age when diagnosed and were given psychological testing between 5.5 and 6.3 years. Children with TGA and TF had poorer overall psychological functioning and significantly greater central nervous system (CNS) impairment than the SR children. However when the effects of IQ and CNS impairment were controlled, there were no differences between groups. The diagnosis of a severe cyanotic heart defect does not appear to make a child more likely to have emotional disorder in the absence of other factors.
研究了63例大动脉转位（TGA）患儿和77例法洛四联症（TF）患儿先天性心脏病（CHD）与心理功能之间的关系。将这些儿童与一组最初被诊断为CHD但未经医学干预自发康复（SR）的36名儿童进行了比较。所有儿童在诊断时均未满一岁，并在5.5至6.3岁之间接受了心理测试。与SR儿童相比，TGA和TF患儿的整体心理功能较差，中枢神经系统（CNS）损伤明显更严重。然而，当控制智商和CNS损伤的影响时，各组之间没有差异。在没有其他因素的情况下，严重青紫型心脏缺陷的诊断似乎不会使儿童更易患情绪障碍。
