TY - JOUR
T1 - Emotional and behavioral problems in children with dilated cardiomyopathy
AU - van der Mheen, M.
AU - van der Meulen, M.H.
AU - den Boer, S.L.
AU - Schreutelkamp, D.J.
AU - van der Ende, J.
AU - de Nijs, P.F.A.
AU - Breur, J.M.P.J.
AU - Tanke, R.B.
AU - Blom, N.A.
AU - Rammeloo, L.A.J.
AU - ten Harkel, A.D.J.
AU - du Marchie Sarvaas, G.J.
AU - Utens, E.M.W.J.
AU - Dalinghaus, M.
N1 - Funding Information: This research is partially supported by the Iraqi Ministry of Higher Education and Scientific Research (grant number 5823/10‐12‐2012). Funding Information: This work was supported by the Netherlands Heart Foundation/?Stichting Hartedroom? (grant number 2013T087). Publisher Copyright: © The European Society of Cardiology 2019. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - 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.
AB - 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.
KW - Dilated cardiomyopathy
KW - emotional and behavioral problems
KW - heart failure
KW - pediatrics
KW - psychosocial support
UR - http://www.scopus.com/inward/record.url?scp=85073982877&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/1474515119876148
DO - https://doi.org/10.1177/1474515119876148
M3 - Article
C2 - 31552760
SN - 1474-5151
VL - 19
SP - 291
EP - 300
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 4
ER -