國家衛生研究院 NHRI:Item 3990099045/13895
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/13895


    Title: Patterns and correlates of changes in emotional and behavioral problems among children with congenital heart disease
    Authors: Hsiao, LC;Chiu, SN;Chang, LY;Wang, CC;Weng, WC;Chang, HY
    Contributors: Institute of Population Health Sciences
    Abstract: OBJECTIVE: The objective of this study was to examine patterns of changes in emotional and behavioral problems among children with congenital heart disease (CHD) and investigate associated factors in different domains. METHOD: The study sample comprised 327 pairs of children with CHD (aged 1.5-12 yrs) and their parents who participated in 2 waves of a survey in Taiwan from 2017 to 2019. The Child Behavior Checklist was used to evaluate the children's emotional and behavioral problems during both waves. The scores were later used to determine the patterns of changes in emotional and behavioral problems. Multinomial logistic regression was then applied to examine factors associated with varied patterns of changes in emotional and behavioral problems. RESULTS: Five patterns of changes in emotional and behavioral problems were identified: "persistent normal," "initial problematic," "worsening," "persistent problematic," and "subclinical." Among the factors examined, parenting stress was consistently associated with different patterns of change in emotional and behavioral problems. Specifically, children with parents who had higher levels of parenting stress were more likely to belong to the "initial problematic," "persistent problematic," or "subclinical" groups than to the "persistent normal" group. Other significant factors included sex, number of surgeries, and perceived health of parents. CONCLUSION: This study highlights the potential role of parenting stress in changes in emotional and behavioral problems. Accordingly, intervention programs aimed at relieving parenting stress may help reduce the development and worsening of emotional and behavioral problems among children with CHD.
    Date: 2022-08
    Relation: Journal of Developmental and Behavioral Pediatrics. 2022 Aug;43(6):e399-e406.
    Link to: http://dx.doi.org/10.1097/dbp.0000000000001051
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0196-206X&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000830085100016
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85135232257
    Appears in Collections:[Hsing-Yi Chang] Periodical Articles

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