Behavioral Adjustment of Children with Surgically Palliated Complex Congenital Heart Disease |
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| Authors: | Casey, Frank A. Sykes, Donald H. Craig, Brian G. Power, Rosario Mulholland, H. Connor |
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| Affiliation: | Royal Belfast Hospital for Sick Children, Queen's University Belfast, Royal Belfast Hospital for Sick Children, Our Lady's Hospital for Sick Children Dublin, Royal Belfast Hospital for Sick Children 2All correspondence should be addressed to Donald H. Sykes, School of Psychology, Queen's University, Belfast BT7 1NN, Northern Ireland |
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| Abstract: | Examined the behavioral adjustment at school age of 26 childrenwith surgically treated complex congenital heart disease comparedto that of 26 children who had been diagnosed as having an innocentmurmur. The children with complex heart disease were rated bytheir parents as more withdrawn, having more social problems,and engaging in fewer activities, and by their teachers as morewithdrawn. The families of the children with complex heart diseasereported experiencing more stress. Two variables, family strainand exercise tolerance, were strong predictors of teacher-ratedschool adjustment in the children with complex heart disease,with family strain accounting for 33% of the variance, and exercisetolerance 24%. The impact of the child's chronic condition onthe family thus seems to be a critical factor in the schooladjustment of these children, more so even than the physicallimitations imposed on the child by the chronic condition. |
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| Keywords: | complex congenital heart disease behavioral adjustment exercise tolerance family stress. |
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