Social and Behavioral Difficulties in 10-Year-Old Children With Congenital Heart Disease: Prevalence and Risk Factors

Werninger, Isabelle; Ehrler, Melanie; Wehrle, Flavia M.; Landolt, Markus A.; Polentarutti, Susanne; Buechel, Emanuela R. Valsangiacomo; Latal, Beatrice

doi:10.3389/fped.2020.604918

Cited by 29 publications

(33 citation statements)

References 54 publications

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“…At 10 years of age, only children without genetic or syndromal disorders were assessed. The REA-CHOUT study focuses on the neurodevelopmental outcome of these children [44,45]. Families were eligible for the current study on well-being during the COVID-19 pandemic if the child had participated in the neurodevelopmental assessment and the parents had completed a set of questionnaires on child and parent well-being between January 2013 and mid-March 2020 as part of the EpoKids or the REACHOUT study (T0: prior to the implementation of measures to reduce COVID-19 in Switzerland).…”

Section: Participants and Study Proceduresmentioning

confidence: 99%

Mental sequelae of the COVID-19 pandemic in children with and without complex medical histories and their parents: well-being prior to the outbreak and at four time-points throughout 2020 and 2021

Ehrler

Hagmann

Stoeckli

et al. 2022

Eur Child Adolesc Psychiatry

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The objective of this study is to understand the long-term mental sequelae for families over the course of the COVID-19 pandemic by longitudinally investigating the well-being of children with and without complex medical histories and their parents. Well-being of 200 children (between 7 and 18 years of age; 73 typically developing, 46 born very preterm, 73 with complex congenital heart disease) and 175 of their parents was assessed prior to and during the first (April–May 2020), second (October–November 2020), third (April–May 2021), and fourth wave (October–November 2021) of the pandemic with standardized questionnaires. Linear mixed models were used to investigate longitudinal changes in child and parent well-being compared to before the pandemic. Social and COVID-19-specific determinants were investigated as predictors of impaired well-being. To illustrate clinical relevance, the proportion of children and parents scoring > 1 SD below normative mean/median was reported. Compared to before the pandemic, child proxy-reported well-being was lower during the first but not the second, third, and fourth waves. Child self-reported well-being was not lower during the pandemic compared to before. Parent well-being dropped during the first wave and remained low throughout the subsequent waves. Proxy-reported child and self-reported parent well-being was lower in families with sparse social support and poor family functioning. Parents of typically developing children reported lower well-being than parents of children born very preterm or with a complex congenital heart disease. In November 2021, 20% of children (both self- and proxy-report) and 24% of parents scored below the normal range compared to 11% (child self-report), 10% (child proxy-report), and 16% (parent self-report), respectively, before the pandemic. The pandemic continues to impact the well-being of parents of school-aged children with and without complex medical histories more than 1 year after its outbreak. Children’s well-being was specifically affected during the first wave of the pandemic and has recovered thereafter. Families with sparse social support and poor family functioning are particularly at risk for compromised well-being and support should be provided to them.

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Section: Participants and Study Proceduresmentioning

confidence: 99%

Mental sequelae of the COVID-19 pandemic in children with and without complex medical histories and their parents: well-being prior to the outbreak and at four time-points throughout 2020 and 2021

Ehrler

Hagmann

Stoeckli

et al. 2022

Eur Child Adolesc Psychiatry

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“…49,50 Similarly, in children with CHD, behavioral problems related to emotions and social interactions, and attention-related symptoms have been reported. 11,51 By directly comparing children born VPT and children with CHD using appropriate statistical methods, the current study demonstrated that the pattern of behavioral problems may not be considered similar between these clinical groups.…”

Section: Discussionmentioning

confidence: 88%

Similarities and Differences in the Neurodevelopmental Outcome of Children with Congenital Heart Disease and Children Born Very Preterm at School Entry

Wehrle

Bartal

Adams

et al. 2022

The Journal of Pediatrics

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“…Sociobehavioral difficulties have previously been reported in children with CHD (Bellinger et al, 2009; Clancy et al, 2019; Mussatto et al, 2018; Werninger et al, 2020). There is also emerging evidence showing that CHD survivors have an increased risk of autism spectrum disorder (ASD) symptoms (Bean Jaworski et al, 2017) or of meeting ASD diagnostic criteria (Razzaghi et al, 2015; Sigmon et al, 2019; Tsao et al, 2017).…”

mentioning

confidence: 85%

“…to disruption in youth with chronic illness (Martinez et al, 2011), epilepsy (Caplan, 2019;Stewart et al, 2019), acquired brain injury (Anderson et al, 2017;Ganesalingam et al, 2011;Ryan et al, 2014Ryan et al, , 2019, preterm birth (Alduncin et al, 2014;Marleau et al, 2020), or neurodevelopmental disorders (Berard et al, 2017;Brinton & Fujiki, 2005;Nixon, 2001;Staikova et al, 2013;Stichter et al, 2010). Sociobehavioral difficulties have previously been reported in children with CHD (Bellinger et al, 2009;Clancy et al, 2019;Mussatto et al, 2018;Werninger et al, 2020). There is also emerging evidence showing that CHD survivors have an increased risk of autism spectrum disorder (ASD) symptoms (Bean Jaworski et al, 2017) or of meeting ASD diagnostic criteria (Razzaghi et al, 2015;Sigmon et al, 2019;Tsao et al, 2017).…”

mentioning

confidence: 99%

Social cognition and competence in preschoolers with congenital heart disease.

Gaudet¹,

Paquette²,

Doussau³

et al. 2022

Neuropsychology

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Objective: Children born with congenital heart disease (CHD) are at an increased risk for various neurodevelopmental impairments. However, little is known regarding social outcomes associated with CHD, particularly during early childhood. The present study aimed to characterize the sociocognitive profile and to assess the contribution of language, executive functions (EF), and social cognition to social competence (SC) in preschoolers with CHD. Method: Five-year-old children with CHD (n = 55) completed a standardized neuropsychological assessment. Performance on sociocognitive skills was compared to test norms using one-sample t tests. Hierarchical regression was conducted to examine the associations between language skills, affect recognition (AR), theory of mind (ToM), EF (performance-based and parent-rated), and social competence. Results: Children with CHD performed significantly worse than norms in language and ToM, whereas EF and social competence appeared generally preserved in our sample. In hierarchical regression analysis, cognitive functions (language score, AR, ToM, EF performance) accounted for a significant 24.3% of the variance. Parent-rated EF added another 24.8% to the total explained variance. Conclusions: These findings provide new evidence for understanding social cognition and competence among preschoolers with CHD, showing vulnerability in social cognition and language skills but not in social competence more generally. The model suggests a combined contribution of social cognition, language, and EF on social outcomes. Remedial programs addressing these intervention targets could be useful in promoting social development in this vulnerable population.

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Social and Behavioral Difficulties in 10-Year-Old Children With Congenital Heart Disease: Prevalence and Risk Factors

Cited by 29 publications

References 54 publications

Mental sequelae of the COVID-19 pandemic in children with and without complex medical histories and their parents: well-being prior to the outbreak and at four time-points throughout 2020 and 2021

Mental sequelae of the COVID-19 pandemic in children with and without complex medical histories and their parents: well-being prior to the outbreak and at four time-points throughout 2020 and 2021

Similarities and Differences in the Neurodevelopmental Outcome of Children with Congenital Heart Disease and Children Born Very Preterm at School Entry

Social cognition and competence in preschoolers with congenital heart disease.

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