Psychosocial Impact of Congenital Heart Diseases on Patients and Their Families: A Parent's Perspective

Jaschinski, Christoph; Knetsch, Vivien; Parzer, Peter; Meyr, Juliane; Schroeder, Brian; Fonseca, Elizabeth; Karck, Matthias; Kaess, Michael; Loukanov, Tsvetomir (2022). Psychosocial Impact of Congenital Heart Diseases on Patients and Their Families: A Parent's Perspective. World journal for pediatric and congenital heart surgery, 13(1), pp. 9-15. Sage 10.1177/21501351211044127

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Background: Currently, over 90% of children with congenital heart disease (CHD) survive into adulthood. As a consequence the psychosocial impact on children and their families has become an important outcome measure. Therefore, the goal of this study was to assess the psychosocial impact from a parent's perspective and to identify possible predictors.

Methods: We included all parents of children who underwent open-heart surgery in the years 2010 and 2011 at the Department of Cardiothoracic Surgery at University Hospital Heidelberg and invited them to complete standardized questionnaires. Psychosocial outcome was measured via parent self- and proxy reporting of family burden (Family Burden Questionnaire, FaBel), health-related quality of life (KidScreen-10), developmental problems (Five-to-Fifteen, FTF), and mental health problems (Strength and Difficulties Questionnaire, SDQ).

Results: In total, 113 families returned the questionnaires completely (71.5%). The Aristotle Basic Complexity score and the STAT 2020 Score overall did not predict the psychosocial impact, whereas the number of surgical operations did significantly predict psychosocial impact across all domains in this study cohort.

Conclusions: These data suggest that the number of surgical operations might be a relevant predictor for the long-term psychosocial impact on families suffering from CHD and a potential connecting factor for specialized psychological support. When setting up screening instruments or support programs the entire family must be considered.

Keywords: adult congenital heart disease; cardiac (use in combination); cardiology; complications; congenital heart disease (CHD); congenital heart surgery; morbidity); outcomes (includes mortality; quality of life; surgery.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Kaess, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2150-1351

Publisher:

Sage

Language:

English

Submitter:

Chantal Michel

Date Deposited:

11 Jan 2022 08:19

Last Modified:

05 Dec 2022 15:56

Publisher DOI:

10.1177/21501351211044127

PubMed ID:

34860617

URI:

https://boris.unibe.ch/id/eprint/162305

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