Psychosocial Outcomes of Children and Adolescents With Severe Congenital Heart Defect: A Systematic Review and Meta-Analysis.
J Pediatr Psychol
; 44(4): 463-477, 2019 05 01.
Article
em En
| MEDLINE
| ID: mdl-30452652
ABSTRACT
OBJECTIVE:
Over the past 20 years, there has been a growing interest in the psychosocial outcomes of children and adolescents born with a congenital heart defect (CHD). This systematic review and meta-analysis aims to appraise and synthesize current literature on the psychosocial outcomes of children and adolescents with severe CHD.METHODS:
A search of studies examining psychosocial outcomes in children and adolescents with severe CHD was performed. Meta-analyses were used to calculate the prevalence of psychosocial impairments and the standardized mean differences between cases and controls. Results that were not included in the meta-analysis were collated using descriptive statistics.RESULTS:
A total of 16 studies were included in this review, and results were summarized according to three domains behavior, social cognition, and self-esteem. Results from a meta-analysis identified that 25% of children and adolescents with CHD presented behavioral problems. Children and adolescents with CHD had more problematic behavior than healthy peers (standardized mean difference; g = 0.71). Young people with CHD had significantly more difficulties inferring on the mental states of others (standardized mean difference; g = 0.72). In contrast, identifying the emotions of others and self-esteem was not statistically different from healthy controls.CONCLUSION:
This review and meta-analysis provides evidence to support the presence of psychosocial difficulties in children and adolescents born with a severe CHD giving grounds for the systematic assessment of behavior and social cognition during their clinical follow-up.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Autoimagem
/
Comportamento Social
/
Percepção Social
/
Cardiopatias Congênitas
Tipo de estudo:
Risk_factors_studies
/
Systematic_reviews
Limite:
Adolescent
/
Child
/
Female
/
Humans
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Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article