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European Heart Journal 1998 19(4):647-651; doi:10.1053/euhj.1997.0824
Copyright © 1998 by the European Society of Cardiology.
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Psychopathology in young adults with congenital heart disease. Follow-up results

E.M. Utensabf1, H.J. Versluis-Den Biemana, F.C. Verhulsta, F.J. Meijboomb, R.A. Erdmancd and J. Hessb

a Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Erasmus University Rotterdam, Rotterdam, The Netherlands
b Department of Paediatric Cardiology, Sophia Children's Hospital, Erasmus University Rotterdam, Rotterdam, The Netherlands
c Department of Medical Psychology and Psychotherapy, Erasmus University Rotterdam, Rotterdam, The Netherlands
d Department of Cardiology, Erasmus University Rotterdam, Rotterdam, The Netherlands

Received September 30, 1997; accepted October 13, 1997

Aims

The aim of the present study was to assess the occurrence of a wide range of behavioural and emotional problems long-term (>9 years) after surgical correction for congenital heart disease in infancy and childhood.

Methods

The problem scores on the Young Adult Self-Report of 166 19–25-year-old adults with congenital heart disease were compared with those of subjects of similar age from the general population.

Results

On most Young Adult Self-Report scales no differences were found between the mean problem scores of the congenital heart disease-adults and reference peers. On only two Young Adult Self-Report scales (i.e. Somatic Complaints and Strange) and the total problem score were significant though small differences found between the mean problem scores of the congenital heart disease adults and reference peers. No significant relationship was found between cardiac diagnosis and problem behaviours in congenital heart disease adults. No relationship was found between IQ scores and problem behaviours in congenital heart disease adults.

Conclusion

Overall, it can be concluded that the results of the congenital heart disease adults were not unfavourable, since the differences in mean (total) problem scores between the congenital heart disease sample and reference group were small and limited to only two specific problem areas.

Key Words: psychopathology • congenital heart disease • adults • follow-up

f1 Correspondence: E. M. Utens, Ph.D., Department of Child and Adolescent Psychiatry, Sophia’s Children Hospital, Erasmus University Rotterdam, Dr. Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands.


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