Top

Pediatric Surgery International

Published in:

Open Access 01-06-2018 | Original Article

Behavioral, emotional and social functioning in children born with congenital diaphragmatic hernia

Authors: Elin Öst, Margret Nisell, Carmen Mesas Burgos, Björn Frenckner, Maria Öjmyr-Joelsson

Published in: Pediatric Surgery International | Issue 6/2018

Abstract

Purpose

The aim was to investigate social competence and behavioral and emotional problems in children and adolescents born with CDH.

Methods

All children born with CDH, treated in Stockholm 1990–2009, were invited to participate. After written consent, the Child Behavior Checklist or Adult Self-Report questionnaires were sent to participants. Of the 145 long-term survivors, 51% returned a completed questionnaire. Both the syndrome and competence scales were used and open-ended questions were analyzed with manifest content analysis.

Results

All parents of children aged 1.5–5 years and 90% of parents of children aged 6–18 years reported a normal range on the syndrome scale. Five parents indicated internalizing, but none externalizing behavior. All young adults achieved a normal score on the syndrome scale. Eighty-five percent had normal school achievement, 79% had normal social scores and 40% had normal activity levels. Significantly fewer boys (23%) were in the normal activity range compared with 67% of girls.

Conclusions

The vast majority of all parents of children born with CDH scored no behavioral or emotional problems, furthermore, they reported normal social and school competence. However, the activity levels seemed to be reduced in children born with CDH.

van den Hout L, Sluiter I, Gischler S, De Klein A, Rottier R, Ijsselstijn H, Reiss I, Tibboel D (2009) Can we improve outcome of congenital diaphragmatic hernia? Pediatr Surg Int 25(9):733–743. https://doi.org/10.1007/s00383-009-2425-8 CrossRefPubMedPubMedCentral

Putnam LR, Harting MT, Tsao K, Morini F, Yoder BA, Luco M, Lally PA, Lally KP (2016) Congenital diaphragmatic hernia defect size and infant morbidity at discharge. Pediatrics. https://doi.org/10.1542/peds.2016-2043 PubMedCrossRef

Logan JW, Rice HE, Goldberg RN, Cotten CM (2007) Congenital diaphragmatic hernia: a systematic review and summary of best-evidence practice strategies. J Perinatol 27(9):535–549. https://doi.org/10.1038/sj.jp.7211794 CrossRefPubMed

Chiu PP, Sauer C, Mihailovic A, Adatia I, Bohn D, Coates AL, Langer JC (2006) The price of success in the management of congenital diaphragmatic hernia: is improved survival accompanied by an increase in long-term morbidity? J Pediatr Surg 41(5):888–892. https://doi.org/10.1016/j.jpedsurg.2006.01.026 CrossRefPubMed

Safavi A, Synnes AR, O’Brien K, Chiang M, Skarsgard ED, Chiu PP (2012) Multi-institutional follow-up of patients with congenital diaphragmatic hernia reveals severe disability and variations in practice. J Pediatr Surg 47(5):836–841. https://doi.org/10.1016/j.jpedsurg.2012.01.032 CrossRefPubMed

Chiu PP, Ijsselstijn H (2012) Morbidity and long-term follow-up in CDH patients. Eur J Pediatr Surg Zeitschrift fur Kinderchirurgie 22(5):384–392. https://doi.org/10.1055/s-0032-1329412 CrossRefPubMed

Rennick JE, Morin I, Kim D, Johnston CC, Dougherty G, Platt R (2004) Identifying children at high risk for psychological sequelae after pediatric intensive care unit hospitalization. Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc 5(4):358–363

Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms and profiles. University of Vermont, Research Center for Children, Youth and Families, Burlington

Achenbach TM, Rescorla LA (2000) Manual for the ASEBA preschool forms and profiles. University of Vermont, Research Center for Children, Youth, and Familes, Burlington

10.

Achenbach TM, Rescorla LA (2003) Manual for the ASEBA adult forms and profiles. University of Vermont, Research Center for Children, Youth, and Familes, Burlington

11.

Graneheim UH, Lundman B (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 24(2):105–112. https://doi.org/10.1016/j.nedt.2003.10.001 CrossRefPubMed

12.

Peetsold MG, Huisman J, Hofman VE, Heij HA, Raat H, Gemke RJ (2009) Psychological outcome and quality of life in children born with congenital diaphragmatic hernia. Arch Dis Child 94(11):834–840. https://doi.org/10.1136/adc.2008.156158 CrossRefPubMed

13.

Madderom MJ, Toussaint L, van der Cammen-van Zijp MH, Gischler SJ, Wijnen RM, Tibboel D, Ijsselstijn H (2013) Congenital diaphragmatic hernia with(out) ECMO: impaired development at 8 years. Arch Dis Child Fetal Neonatal ed 98(4):F316–F322. https://doi.org/10.1136/archdischild-2012-303020 CrossRefPubMed

14.

Nijhuis-van der Sanden MW, van der Cammen-van Zijp MH, Janssen AJ, Reuser JJ, Mazer P, van Heijst AF, Gischler SJ, Tibboel D, Kollee LA (2009) Motor performance in five-year-old extracorporeal membrane oxygenation survivors: a population-based study. Crit Care (Lond Engl) 13(2):R47. https://doi.org/10.1186/cc7770 CrossRef

15.

Bouman NH, Koot HM, Tibboel D, Hazebroek FW (2000) Children with congenital diaphragmatic hernia are at risk for lower levels of cognitive functioning and increased emotional and behavioral problems. Eur J Pediatr Surg Zeitschrift fur Kinderchirurgie 10(1):3–7. https://doi.org/10.1055/s-2008-1072314 CrossRefPubMed

16.

Kubota A, Yamakawa S, Yamamoto E, Kosugi M, Hirano S, Shiraishi J, Kitajima H, Yoneda A, Taduke Y, Mitani Y, Watanabe T, Takifuji K, Yamaue H (2016) Major neonatal surgery: psychosocial consequence of the patient and mothers. J Pediatr Surg 51(3):364–367. https://doi.org/10.1016/j.jpedsurg.2015.09.017 CrossRefPubMed

17.

Flick RP, Katusic SK, Colligan RC, Wilder RT, Voigt RG, Olson MD, Sprung J, Weaver AL, Schroeder DR, Warner DO (2011) Cognitive and behavioral outcomes after early exposure to anesthesia and surgery. Pediatrics 128(5):e1053–e1061. https://doi.org/10.1542/peds.2011-0351 CrossRefPubMedPubMedCentral

18.

Jozefiak T, Larsson B, Wichstrom L, Rimehaug T (2012) Competence and emotional/behavioural problems in 7–16-year-old Norwegian school children as reported by parents. Nordic J Psychiatry 66(5):311–319. https://doi.org/10.3109/08039488.2011.638934 CrossRef

19.

Crijnen AAM, Achenbach TM, Verhulst FC (1997) Comparisons of problems reported by parents of children in 12 cultures: total problems, externalizing, and internalizing. J Am Acad Child Adolesc Psychiatry 36(9):1269–1277. https://doi.org/10.1097/00004583-199709000-00020 CrossRefPubMed

20.

Rescorla LA, Achenbach TM, Ivanova MY, Harder VS, Otten L, Bilenberg N, Bjarnadottir G, Capron C, De Pauw SS, Dias P, Dobrean A, Dopfner M, Duyme M, Eapen V, Erol N, Esmaeili EM, Ezpeleta L, Frigerio A, Fung DS, Goncalves M, Guethmundsson H, Jeng SF, Jusiene R, Ah Kim Y, Kristensen S, Liu J, Lecannelier F, Leung PW, Machado BC, Montirosso R, Ja Oh K, Ooi YP, Pluck J, Pomalima R, Pranvera J, Schmeck K, Shahini M, Silva JR, Simsek Z, Sourander A, Valverde J, van der Ende J, Van Leeuwen KG, Wu YT, Yurdusen S, Zubrick SR, Verhulst FC (2011) International comparisons of behavioral and emotional problems in preschool children: parents’ reports from 24 societies. J Clin Child Adolesc Psychol 40(3):456–467. https://doi.org/10.1080/15374416.2011.563472 CrossRefPubMedPubMedCentral

21.

Larsson B, Frisk M (1999) Social competence and emotional/behaviour problems in 6–16 year-old Swedish school children. Eur Child Adolesc Psychiatry 8(1):24–33. https://doi.org/10.1007/s007870050080 CrossRefPubMed

22.

Kristensen S, Henriksen TB, Bilenberg N (2010) The child behavior checklist for ages 1.5–5 (CBCL/1(1/2)-5): assessment and analysis of parent- and caregiver-reported problems in a population-based sample of Danish preschool children. Nordic J Psychiatry 64(3):203–209. https://doi.org/10.3109/08039480903456595 CrossRef

23.

Öst E, Frenckner B, Nisell M, Burgos CM, Öjmyr-Joelsson M (2018) Health-related quality of life in children born with congenital diaphragmatic hernia. Pediatr Surg Int. https://doi.org/10.1007/s00383-018-4237-1 PubMedCentralCrossRefPubMed

Title: Behavioral, emotional and social functioning in children born with congenital diaphragmatic hernia
Authors: Elin Öst
Margret Nisell
Carmen Mesas Burgos
Björn Frenckner
Maria Öjmyr-Joelsson
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 6/2018
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-018-4266-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Behavioral, emotional and social functioning in children born with congenital diaphragmatic hernia

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2018

Value of abdominal ultrasound in management of necrotizing enterocolitis: a systematic review and meta-analysis

Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series

Harnessing medical student power in global surgery research

Symptom development in originally asymptomatic CPAM diagnosed prenatally: a systematic review

Weekend vs. weekday appendectomy for complicated appendicitis, effects on outcomes and operative approach

Accuracy and impact of prenatal diagnosis in infants with omphalocele