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Psychiatric morbidity in adolescents operated in childhood for congenital cyanotic heart disease
Author(s) -
Toren Paz,
Horesh Netta
Publication year - 2007
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2007.01183.x
Subject(s) - medicine , anxiety , beck depression inventory , depression (economics) , psychiatry , beck anxiety inventory , heart disease , traumatic stress , pediatrics , state trait anxiety inventory , disease , clinical psychology , economics , macroeconomics
Aim: The aim of the present study was to assess psychiatric morbidity of adolescents operated in childhood for congenital cyanotic heart disease (CCHD) and their parents. Methods: Participants were 31 adolescents (19 boys, 12 girls) aged 10–21 (mean ± SD, 14.7 ± 0.3) years, who had undergone cardiac surgery 13.7 ± 2.48 years before the study assessment period. Twenty‐two mothers and nine fathers participated in the study. Assessment tools for adolescents included: the UCLA Post Traumatic Stress Disorder – Reaction Index, The Screen for Child Anxiety Related Emotional Disorders, and The Beck Depression Inventory; for the parents: The Posttraumatic Stress Diagnostic Scale, The Spielberger State Trait Anxiety Inventory, and The Beck Depression Inventory. Results: Nine out of 31 adolescents (29.03%) were defined as ‘full post‐traumatic stress disorder (PTSD) likely’ with a total post‐traumatic stress symptom (PTSS) score significantly higher than that of the non‐PTSS subgroup ( P < 0.001). A non‐significant trend was noted for more adolescents with ‘anxiety disorder likely’ ( P = 0.096, NS) in the PTSS versus the non‐PTSS subgroups. A non‐significant trend was detected showing that on all symptom domains of PTSD, as well as on anxiety and depressive measures, parents of children with PTSS received higher scores than parents of children without PTSS ( P = 0.095, 0.03, 0.04, respectively, NS). Conclusion: Children undergoing cardiac surgery for CCHD may be at a high risk for long‐term PTSS.