Abstract
Postoperative reactions of children and adolescents realistically prepared for cardiac surgery were analysed for acute and long-term responses. No cases of delirium or psychoses occurred in the 60 children while they were in hospital. Fifty sets of parents and children answered questionnaires 6 months to 4 years after operation (36 under 1 year, 8 from 1 to 3 years, and 6 over 3 years) and assessment of these showed only long-term reaction. Evaluation of reactions is presented by age and in detail. The children aged 2 to 7 years had the greatest number of negative reactions and the only long-term reaction also came from this group. Children 8 to 11 years of age had the least number of negative reactions and the highest number of positive gains. Adolescents, 12 to 19 years of age, were often concerned with their body image (wanted to be considered 'well', resented the scar, etc). From the standpoint of emotional stability and after effects, the 8 to 11-year-old group seemed to do best.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abram H. S. Psychotic reactions after cardiac surgery. A critical review. Semin Psychiatry. 1971 Feb;3(1):70–78. [PubMed] [Google Scholar]
- BOWLBY J. Separation anxiety. Int J Psychoanal. 1960 Mar-Jun;41:89–113. [PubMed] [Google Scholar]
- Danilowicz D. A., Gabriel H. P. Postoperative reactions in children: "normal" and abnormal responses after cardiac surgery. Am J Psychiatry. 1971 Aug;128(2):185–188. doi: 10.1176/ajp.128.2.185. [DOI] [PubMed] [Google Scholar]
- Danilowicz D., Posnock E., Chase R., Spencer F. C. Salmonella septicemia after open heart surgery in an asymptomatic carrier. Am J Cardiol. 1974 Dec;34(7):864–867. doi: 10.1016/0002-9149(74)90711-5. [DOI] [PubMed] [Google Scholar]
- Edington H. C. Open-heart surgery--a triple threat. South Med J. 1968 Feb;61(2):160–166. doi: 10.1097/00007611-196802000-00011. [DOI] [PubMed] [Google Scholar]
- GREEN M., LEVITT E. E. Constriction of body image in children with congenital heart disease. Pediatrics. 1962 Mar;29:438–441. [PubMed] [Google Scholar]
- Kaplan S., Achtel R. A., Callison C. B. Psychiatric complications following open-heart surgery. Heart Lung. 1974 May-Jun;3(3):423–428. [PubMed] [Google Scholar]
- Linde L. M., Adams F. H., Rozansky G. I. Physical and emotional aspects of congenital heart disease in children. Am J Cardiol. 1971 Jun;27(6):712–713. doi: 10.1016/0002-9149(71)90244-x. [DOI] [PubMed] [Google Scholar]
- PRUGH D. G., STAUB E. M., SANDS H. H., KIRSCHBAUM R. M., LENIHAN E. A. A study of the emotional reactions of children and families to hospitalization and illness. Am J Orthopsychiatry. 1953 Jan;23(1):70–106. doi: 10.1111/j.1939-0025.1953.tb00040.x. [DOI] [PubMed] [Google Scholar]
- SIPOWICZ R. R., VERNON D. T. PSYCHOLOGICAL RESPONSES OF CHILDREN TO HOSPITALIZATION. A COMPARISON OF HOSPITALIZED AND NONHOSPITALIZED TWINS. Am J Dis Child. 1965 Mar;109:228–231. doi: 10.1001/archpedi.1965.02090020230006. [DOI] [PubMed] [Google Scholar]
- Skipper J. K., Jr, Leonard R. C. Children, stress, and hospitalization: a field experiment. J Health Soc Behav. 1968 Dec;9(4):275–287. [PubMed] [Google Scholar]
- Visintainer M. A., Wolfer J. A. Psychological preparation for surgery pediatric patients: the effects on children's and parents' stress responses and adjustment. Pediatrics. 1975 Aug;56(2):187–202. [PubMed] [Google Scholar]
