Department of Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Child Neuropsychol. 2020 May;26(4):433-459. doi: 10.1080/09297049.2019.1682131. Epub 2019 Oct 31.
Congenital heart disease (CHD) is among the most prevalent birth defects in the United States. Given that children with CHD are at risk for differences with development, learning, and psychosocial functioning, effective intervention becomes a central tenant of recommendations following neuropsychological consultation and evaluation. The primary focus of this review is to summarize available interventions for children and adolescents with CHD. The existing CHD literature has concentrated on early developmental services, psychopharmacological treatment, and need for academic supports. The literature is limited with regard to intervention studies that target cognitive deficits and psychosocial difficulties. To address this discrepancy, efficacious interventions that have been used to mitigate these concerns within other medical groups are also discussed in an effort to provide options for alternative recommendations and services. The current paper is intended to facilitate comprehensive care for cardiac patients by providing clinicians with a review of the available intervention literature, as well as potential interventions that may serve as supplemental strategies in the interim.
先天性心脏病(CHD)是美国最常见的出生缺陷之一。鉴于患有 CHD 的儿童在发育、学习和社会心理功能方面存在差异的风险,有效的干预措施成为神经心理咨询和评估后的建议的核心要点。本综述的主要重点是总结针对患有 CHD 的儿童和青少年的可用干预措施。现有的 CHD 文献主要集中在早期发育服务、精神药理学治疗和对学术支持的需求上。关于针对认知缺陷和社会心理困难的干预研究,文献有限。为了解决这一差距,还讨论了在其他医疗群体中用于减轻这些问题的有效干预措施,以提供替代建议和服务的选择。本文旨在通过为临床医生提供可用干预文献的综述以及可能作为临时补充策略的潜在干预措施,为心脏患者提供全面的护理。