{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:13:36Z","timestamp":1787019216070,"version":"build-2736575974"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Netherlands Heart Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dilated cardiomyopathy (DCM) in children is an important cause of severe heart failure and carries a poor prognosis. Adults with heart failure are at increased risk of anxiety and depression and such symptoms predict adverse clinical outcomes such as mortality. In children with DCM, studies examining these associations are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We studied whether in children with DCM: (1) the level of emotional and behavioral problems was increased as compared to normative data, and (2) depressive and anxiety problems were associated with the combined risk of death or cardiac transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To assess emotional and behavioral problems in children with DCM, parents of 68 children, aged 1.5\u201318 years (6.9\u00b15.7 years), completed the Child Behavior Checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared to normative data, more young children (1.5\u20135 years) with DCM had somatic complaints (24.3% vs. 8.0%; p &lt; .001), but fewer had externalizing problems (5.4% vs. 17.0%; p = .049). Overall internalizing problems did not reach significance. Compared to normative data, more older children (6\u201318 years) showed internalizing problems (38.7% vs. 17.0%; p = .001), including depressive (29.0% vs. 8.0%; p &lt; .001) and anxiety problems (19.4% vs. 8.0%; p = .023), and somatic complaints (29.0% vs. 8.0%; p &lt; .001). Anxiety and depressive problems, corrected for heart failure severity, did not predict the risk of death or cardiac transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children of 6 years and older showed more depressive and anxiety problems than the normative population. Moreover, in both age groups, somatic problems were common. No association with outcome could be demonstrated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1474515119876148","type":"journal-article","created":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T05:23:21Z","timestamp":1569389001000},"page":"291-300","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Emotional and behavioral problems in children with dilated cardiomyopathy"],"prefix":"10.1093","volume":"19","author":[{"given":"Malindi","family":"van der Mheen","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marijke H","family":"van der Meulen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna L","family":"den Boer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayenne J","family":"Schreutelkamp","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive Care, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van der Ende","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter FA","family":"de Nijs","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC \u2013 Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes MPJ","family":"Breur","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Wilhelmina Children\u2019s Hospital, UMC Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald B","family":"Tanke","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Radboud UMC, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico A","family":"Blom","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Amsterdam UMC, Emma Children\u2019s Hospital, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas AJ","family":"Rammeloo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Amsterdam UMC, VU University Medical Center, The 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