Emotional and behavioral problems in children with dilated cardiomyopathy.

Autor:	van der Mheen M; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., van der Meulen MH; Department of Pediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., den Boer SL; Department of Pediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., Schreutelkamp DJ; Department of Pediatric Intensive Care, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., van der Ende J; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., de Nijs PF; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands., Breur JM; Department of Pediatrics, Wilhelmina Children's Hospital, UMC Utrecht, The Netherlands., Tanke RB; Department of Pediatrics, Radboud UMC, Nijmegen, The Netherlands., Blom NA; Department of Pediatrics, Amsterdam UMC, Emma Children's Hospital, The Netherlands., Rammeloo LA; Department of Pediatrics, Amsterdam UMC, VU University Medical Center, The Netherlands., Ten Harkel AD; Department of Pediatrics, Leiden UMC, The Netherlands., du Marchie Sarvaas GJ; Department of Pediatrics, Beatrix Children's Hospital, UMC Groningen, The Netherlands., Utens EM; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.; Research Institute of Child Development and Education, University of Amsterdam, The Netherlands.; Academic Centre for Child and Adolescent Psychiatry the Bascule, Amsterdam UMC, Academic Medical Centre, The Netherlands., Dalinghaus M; Department of Pediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2020 Apr; Vol. 19 (4), pp. 291-300. Date of Electronic Publication: 2019 Sep 25.
DOI:	10.1177/1474515119876148
Abstrakt:	Background: Dilated cardiomyopathy (DCM) in children is an important cause of severe heart failure and carries a poor prognosis. Adults with heart failure are at increased risk of anxiety and depression and such symptoms predict adverse clinical outcomes such as mortality. In children with DCM, studies examining these associations are scarce. Aims: We studied whether in children with DCM: (1) the level of emotional and behavioral problems was increased as compared to normative data, and (2) depressive and anxiety problems were associated with the combined risk of death or cardiac transplantation. Methods: To assess emotional and behavioral problems in children with DCM, parents of 68 children, aged 1.5-18 years (6.9±5.7 years), completed the Child Behavior Checklist. Results: Compared to normative data, more young children (1.5-5 years) with DCM had somatic complaints (24.3% vs. 8.0%; p < .001), but fewer had externalizing problems (5.4% vs. 17.0%; p = .049). Overall internalizing problems did not reach significance. Compared to normative data, more older children (6-18 years) showed internalizing problems (38.7% vs. 17.0%; p = .001), including depressive (29.0% vs. 8.0%; p < .001) and anxiety problems (19.4% vs. 8.0%; p = .023), and somatic complaints (29.0% vs. 8.0%; p < .001). Anxiety and depressive problems, corrected for heart failure severity, did not predict the risk of death or cardiac transplantation. Conclusion: Children of 6 years and older showed more depressive and anxiety problems than the normative population. Moreover, in both age groups, somatic problems were common. No association with outcome could be demonstrated.
Databáze:	MEDLINE
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