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LONGITUDINAL STUDIES OF INTELLECTUAL AND BEHAVIORAL DEVELOPMENT IN CHILDREN WITH CONGENITAL HEART DISEASE

This is the final paper in a series (5, 6, 9) which reports the results of a five year developmental study comparing the intelligence and adjustment of children with cyanotic congenital heart disease, those children with acyanotic cardiac disease and normal children. Previous papers have not dealt with changes during the five year study period. Possible effects of intervening cardiac operation upon the development of children with congenital heart disease are of primary interest. More than 40% of the children in the cardiac group underwent operation during the course of the investigation, and so we were able to compare the developmen; of operated and nonoperated children. We studied changes in physical capacity, intelligence and adjustment of the child and also changes in the mother's attitude toward her child, the extent of her anxiety and her need to protect and pamper him.