Key result
Childhood cardiac surgery is linked to worse parent-reported behavioral problems and social competence.
Why the study?
Differences in parent and teacher perceptions of child behaviour following successful cardiac surgery were unclear.
Observational (n=219)
Supports normal teacher perceptions of behavior years after pediatric cardiac surgery; hypothesis-generating for parent reports and requires prospective validation.
To determine if parents whose children had undergone successful cardiac surgery perceived their children any differently from parents of children who had not undergone surgery, we used the Achenbach Child Behaviour Checklist (CBCL) to compare parent and teacher perceptions in these two groups. Subjects included 168 children who had undergone cardiac surgery 4 to 8 years previously and 51 controls. On the behaviour scale of the CBCL, the teacher's mean t scores showed no significant difference between the cardiac and control groups, in contrast to the parents' scores where parents perceived a higher degree of behavioural problems in children who had undergone cardiac surgery. On the social competence scale of the CBCL, the parents scored their children who had undergone cardiac surgery as less socially competent than did the parents of the controls. Teachers' scores showed no difference between groups.
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Oates et al. (1994) conducted an observational in Post-cardiac surgery (n=219). History of successful cardiac surgery vs. Children who had not undergone cardiac surgery was evaluated on Perceptions of child behavior and social competence using the Achenbach Child Behaviour Checklist (CBCL). A history of cardiac surgery was associated with parents perceiving more behavioral problems and less social competence in their children compared to controls, while teacher perceptions did not differ.
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