{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:45:43Z","timestamp":1790959543225,"version":"4.1.0"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Canada Research Chair in Child Neuropsychology and Brain Imaging","award":["950-232661"],"award-info":[{"award-number":["950-232661"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To characterize intraindividual trajectories of behavioral and emotional problems in children with congenital heart disease (CHD) between 2 and 5\u2009years of age, and to explore the predictors of these trajectories.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Sixty-six patients (42 boys) followed at the neurocardiac clinic of the Sainte-Justine University Hospital in Montr\u00e9al, Qu\u00e9bec, Canada were recruited. Their behavioral and emotional problems at 2, 3 \u00bd, and 5\u2009years of age were reported by parents.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Correlations revealed moderate to high rank-order stability in child behavioral and emotional problems across time. Multilevel growth curves indicated significant fluctuations in intraindividual levels of these problems across time, which were not explained by child aging. Lower gestational age was associated with higher levels of anxious\/depressed symptoms at age 2\u00a0years, which persisted through time. Severe forms of CHD were associated with a time-related decrease in three types of problems: attention, attention deficit and hyperactivity, and oppositional and defiant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Levels of parent-reported behavioral and emotional problems in children with CHD tend to persist from ages 2 to 5\u00a0years, suggesting the importance of early screening. However, unexplained intraindividual changes were also identified, highlighting the necessity to investigate other parental risk factors, for instance. Infants with a lower gestational age should be given special consideration since they continued to display more anxious\/depressed symptoms up to school entry compared to children with CHD born at term. The decrease observed in some symptoms for children with severe CHD could result from altered parental perceptions or adverse effects of prolonged hospitalizations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaf057","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T20:20:41Z","timestamp":1753215641000},"page":"897-909","source":"Crossref","is-referenced-by-count":2,"title":["Trajectories of behavioral and emotional problems in preschoolers with congenital heart disease"],"prefix":"10.1093","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6105-8958","authenticated-orcid":false,"given":"Charles","family":"Lepage","sequence":"first","affiliation":[{"name":"Centre de recherche Azrieli, CHU Sainte-Justine , Montr\u00e9al, QC,","place":["Canada"]},{"name":"D\u00e9partement de psychologie, Universit\u00e9 de Montr\u00e9al , Montr\u00e9al, 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