Behaviour Problems in Children with Congenital Heart Disease

  • Beena Johnson Department of Child & Adolescent Guidance, Baby Memorial Hospital.

Abstract

As more children survive with congenital heart diseases, management of their behavioural problems are becoming increasingly important. In this article we aim to review the current status of knowledge on this aspect. Children with congenital heart diseases have more behavioural problems compared to children without chronic illnesses. Behavioural problems in children can be classified into externalizing behaviours and internalizing behaviours. Externalizing behaviours are marked by defiance, impulsivity, hyperactivity, disruptiveness, aggression and antisocial features. Internalizing behaviours are evidenced by withdrawal, dysphoria and anxiety. Boys with congenital heart diseases have more externalizing problems compared to girls. Preoperative hypoxia as well as peri and postoperative cardiocirculatory insufficiency can lead to internalizing and externalizing behavioral problems in future. High treatment intensity and palliative interventions are associated with poor behavioral outcomes. Children who underwent open heart surgery at very young age are prone to develop attention-deficit hyperactivity disorder on reaching school age. A comprehensive approach in this field is essential, so that effective early interventions and guidance can be planned.

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Published
2015-01-01
How to Cite
JOHNSON, Beena. Behaviour Problems in Children with Congenital Heart Disease. BMH Medical Journal - ISSN 2348–392X, [S.l.], v. 2, n. 1, p. 14-19, jan. 2015. ISSN 2348-392X. Available at: <https://www.babymhospital.org/BMH_MJ/index.php/BMHMJ/article/view/43>. Date accessed: 28 mar. 2024.
Section
Review Articles