Relationship between Social‐Emotional and Neurodevelopment of 2‐Year‐Old Children with Congenital Heart Disease. (18th December 2015)

• Record Type: Journal Article
• Authors: Goldsworthy, Michelle; Franich‐Ray, Candice; Kinney, Sharon; Shekerdemian, Lara; Beca, John; Gunn, Julia
• Is Part Of: Congenital heart disease. Volume 11:Number 5(2016)
• Page Start: 378
• Page End: 385
• Publication Date: 2015-12-18
• Subjects: Heart Defects Congenital -- Child Development -- Social Change -- Neurodevelopment; Congenital heart disease -- Periodicals; 616.1204305
• DOI: 10.1111/chd.12320
• Languages: English
• ISSNs: 1747-079X

Abstract

Abstract: Objective: The purpose of this study was to describe social‐emotional outcomes and the relationship with neurodevelopmental outcomes in a cohort of 2‐year‐old children who underwent surgery for congenital heart disease (CHD) in infancy, and explore the relationship between the outcomes and parental and surgical factors. Design: A two‐center prospective cross‐sectional cohort study. Patients: A cohort of 105 2‐year‐olds who underwent surgery in infancy for severe CHD Measures: Social‐emotional and neurodevelopment was evaluated with the Infant and Toddler Social and Emotional Assessment tool (ITSEA), and the Bayley Scales of Infant Toddler Development, Third Edition. Results: Neurodevelopment was delayed in the CHD cohort with significantly worse results compared to published Australian‐based norms in all domains ( P < .001) and in the Cognitive ( P < .001) and Language ( P < .001) domains with respect to the reported American norms. Social‐emotional outcome was similar to Australian norms in all domains but better than the American based norms in the Internalizing domain ( P < .05). Higher maternal education was associated to better neurodevelopmental outcome in all domains and better scores in the internalizing and externalizing domains of the ITSEA. There was a moderate correlation ( r = 0.43, P < .001) between Language and social‐emotional competence. Motor development was influenced by the need for a significant cardiac reoperation. Conclusions: The influences of social factors may be underestimated in the outcome of children with CHD. Language development in those with CHD may be improved with intervention targeting social‐emotional competence; further research is needed in this area.