Psychological distress and styles of coping in parents of children awaiting elective cardiac surgery

2000 ◽  
Vol 10 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Elisabeth M. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Frank C. Verhulst ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
Emotional Development ◽  
Congenital Heart ◽  
General Health Questionnaire ◽  
Future Research ◽  
Catheter Intervention ◽  
Reference Groups ◽  
Elective Cardiac Surgery ◽  
Parental Reactions

AbstractAimsWe sought to assess the level of psychological distress, and the styles of coping of, parents of children with congenital heart disease. The study was based on questionnaires, which were completed, on average, four weeks, with a range from 0.1 to 22.1 weeks, prior to elective cardiac surgery or elective catheter intervention.MethodsWe used the General Health Questionnaire, and the Utrecht Coping List, to compare scores from parents of those undergoing surgery, with scores of reference groups, and with scores of the parents of those undergoing intervention.ResultsOverall, in comparison with our reference groups, the parents of the 75 children un dergoing surgery showed elevated levels of psychological distress, manifested as anxiety, sleeplessness, and social dysfunctioning. They also demonstrated less adequate styles of coping, being, for example, less active in solving problems. With only one exception, no differences were demonstrated in parental reactions to whether cardiac surgery or catheter intervention had been planned. The mothers of the 68 patients who were to undergo cardiac surgery, however, reported greater psychological distress and manifested greater problems with coping than did the fathers.ConclusionElevated levels of psychological distress, and less adequate styles of coping, were found in the parents of patients about to undergo cardiac surgery, especially the mothers, when compared to reference groups. Future research should investigate whether these difficulties persist, and whether this will influence the emotional development of their children with congenital cardiac malformations.

Does age at the time of elective cardiac surgery or catheter intervention in children influence the longitudinal development of psychological distress and styles of coping of parents?

2002 ◽  
Vol 12 (6) ◽  
pp. 524-530 ◽  
Author(s):  
Elisabeth M. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
John Hess ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
General Health Questionnaire ◽  
Future Research ◽  
Catheter Intervention ◽  
Longitudinal Development ◽  
Congenital Cardiac Defects ◽  
Elective Cardiac Surgery ◽  
Cardiac Procedures ◽  
Cardiac Procedure

Aims: To assess the influence of age at a cardiac procedure of children, who underwent elective cardiac surgery or interventional cardiac catheterisation for treatment of congenital cardiac defects between 3 months and 7 years of age, on the longitudinal development of psychological distress and styles of coping of their parents. Methods: We used the General Health Questionnaire to measure psychological distress, and the Utrecht Coping List to measure styles of coping. Parents completed questionnaires on average respectively 5 weeks prior to, and 18.7 months after, cardiac surgery or catheter intervention for their child. Results: Apart from one exception, no significant influence was found of the age at which children underwent elective cardiac surgery or catheter intervention on the pre- to postprocedural course of psychological distress and the styles of coping of their parents. Across time, parents of children undergoing surgery reported, on average, significantly higher levels of psychological distress than parents of children who underwent catheter intervention. After the procedure, parents of children who underwent either procedure reported significantly lower levels of psychological distress, and showed a weaker tendency to use several styles of coping, than did their reference groups. Conclusion: Age of the children at the time of elective cardiac surgery or catheter intervention did not influence the course of psychological distress of their parents, nor the styles of coping used by the parents. Future research should investigate in what way the age at which these cardiac procedures are performed influences the emotional and cognitive development of the children.

Bloodless Pediatric Cardiac Surgery? Deliverance with Erythropoietin

1998 ◽  
Vol 6 (3) ◽  
pp. 237-238
Author(s):  
W David Creery ◽  
Michael D Black ◽  
Ian Adatia ◽  
Brian McIntyre
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Human Albumin ◽  
Recombinant Erythropoietin ◽  
Blood Products ◽  
Homologous Blood ◽  
Elective Cardiac Surgery ◽  
Human Recombinant Erythropoietin

A 2-year-old 11.6 kg boy with congenital heart disease whose parents refused homologous blood products was treated preoperatively with iron and human recombinant erythropoietin for 6 weeks. Surgical repair was performed without exposure to blood products other than human albumin. Treatment with iron and erythropoietin in combination with post-bypass modified ultrafiltration, minimization of hemodilution, reinfusion of residual pump prime, and diuresis may reduce or avoid the need for blood transfusion in acyanotic children undergoing elective cardiac surgery.

Psychological functioning in parents of children undergoing elective cardiac surgery

2004 ◽  
Vol 14 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Jo Wray ◽  
Tom Sensky
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Surgical Procedures ◽  
Congenital Heart ◽  
Individual Characteristics ◽  
Hospital Treatment ◽  
Healthy Children ◽  
Elective Cardiac Surgery ◽  
Over Time

Purpose: To assess levels of distress, the marital relationship, and styles of coping of parents of children with congenital heart disease, to evaluate any change in these parameters following elective cardiac surgery for their child, and to compare these parents with parents of children undergoing another form of hospital treatment, and with parents of healthy children.Design:A prospective study in which parents were assessed the day before the surgical procedure being undergone by their child, and 12 months afterwards.Participants:We assessed three groups of parents of 75 children, aged from birth to 16.9 years. The first was a group whose children were undergoing surgery because of congenital heart disease, the second was a group whose children were undergoing transplantation of bone marrow, and the third was a group whose children were healthy. Measures used for assessment included the General Health Questionnaire, the Dyadic adjustment scale, and the Utrecht coping list.Results:Parents in both groups of children undergoing surgery had significantly higher rates of distress prior to the surgical procedures than did the parents of the healthy children, but within those whose children were undergoing cardiac surgery, there were no differences between parents of children with cyanotic and acyanotic lesions. Following treatment, there was a significant reduction in the levels of distress in both groups whose children had undergone surgery. There were few differences between any of the groups on the other parameters, and the evaluated indexes showed stability over time.Conclusion:Despite elevated levels of psychological distress prior to surgical procedures, which had fallen after one year, the stability of other parameters of parental functioning over time suggests that the surgical interventions are of less significance than either factors attributable to the presence of chronic illness, or the individual characteristics of the parents.

Psychological Distress in Elite Adolescent Soccer Players Following Deselection

2016 ◽  
Vol 10 (1) ◽  
pp. 59-77 ◽  
Author(s):  
David J. Blakelock ◽  
Mark A. Chen ◽  
Tim Prescott
Keyword(s):  
Psychological Distress ◽  
General Health Questionnaire ◽  
Soccer Players ◽  
Future Research ◽  
Clinical Implications ◽  
Selection Procedures ◽  
Factorial Anova ◽  
Time Points ◽  
Athletic Population ◽  
Sizable Proportion

Elite adolescent soccer players may represent one athletic population that is vulnerable to developing psychological distress following deselection. This study examined the proportion of players experiencing clinical levels of psychological distress following selection procedures and whether player status (i.e., deselected vs. retained) had a significant effect on psychological distress. Data was collected from 91 players who completed the General Health Questionnaire -12 at three time points: 7–14 days before selection procedures, 7 days after and 21 days after. Although outcomes were heterogeneous, a sizable proportion of deselected players were found to experience clinical levels of psychological distress. A factorial ANOVA (p < .001) found that deselected players experienced higher levels of psychological distress than retained players at postselection time points. The research provides evidence that some deselected players are “at risk” of developing clinical levels of psychological distress. Clinical implications and recommendations for future research are discussed.

Cognitive, and behavioural and emotional functioning of young children awaiting elective cardiac surgery or catheter intervention

2001 ◽  
Vol 11 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Elisabeth M.W.J. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
Frank C. Verhulst ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Young Children ◽  
Child Behavior ◽  
Child Behavior Checklist ◽  
Infant Development ◽  
Emotional Functioning ◽  
Reference Groups ◽  
Elective Cardiac Surgery ◽  
Behavioural And Emotional Problems ◽  
Bayley Scales

Aims: To assess the cognitive, and behavioural and emotional functioning of children aged 3 months to 7 years shortly before elective cardiac surgery or elective interventional catheterisation. Methods: We used the Bayley Scales of Infant Development, and the McCarthy Scales of Children's Abilities, to measure cognitive functioning. The Child Behavior Checklist was used to assess behavioural and emotional problems. Results: We found no significant differences in mean cognitive scores for children scheduled for cardiac surgery or interventional catheterisation when compared with reference groups. This was also the case for children awaiting cardiac surgery as opposed to those awaiting interventional catheterisation, and for those below as compared to those above the age of 2.5 years. Overall, our results regarding behavioural and emotional functioning were comparable to those of normative reference groups. The only difference found was that the children scheduled for cardiac surgery and aged from 2 to 3 years had significantly higher scores on the Child Behavior Checklist than did peers from normative groups. Conclusion: Cognitive, and behavioural and emotional functioning, both for young children awaiting elective cardiac surgery and interventional catheterisation, can be considered as quite favourable.

Non-elective cardiac surgery in octogenarians: How effective are we?

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
H Deschka ◽  
M Matthäus ◽  
C Dogru ◽  
S Erler ◽  
G Wimmer-Greinecker
Keyword(s):  
Cardiac Surgery ◽  
Elective Cardiac Surgery ◽  
Surgery In Octogenarians

scholarly journals COVID-19 related mortality in post-operative cardiac surgical patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Azhar Hussain ◽  
Amina Khalil ◽  
Priyanka Kolvekar ◽  
Prity Gupta ◽  
Shyamsunder Kolvekar
Keyword(s):  
Cardiac Surgery ◽  
Long Term Outcomes ◽  
Case Presentation ◽  
Elective Cardiac Surgery ◽  
The United Kingdom ◽  
Global Pandemic ◽  
Cardiac Operations ◽  
Related Mortality

Abstract Background COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown. Case presentation We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures. Conclusion The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

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