Just pretend: Participation in symbolic talk by children with histories of early corrective
heart surgery

Ovadia, R.; Hemphill, Lowry; Winner, Kendra; Bellinger, David C.

doi:10.1017/s0142716400003027

Cited by 13 publications

(8 citation statements)

References 24 publications

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“…Indeed, children with CHD aged 4 and 8 years old produce less symbolic talk during playtime and fewer narrative components compared to typically developing children. 6,39,40 Although we found no significant effect of age on MBCDI Expressive Vocabulary scores, our study group seemed to exhibit decreasing performances on all MBCDI scales at 24 months, as illustrated by low average means and median scores, and slightly higher proportions of children performing under the clinical cut-offs at this age. Results also revealed increasing Bayley-III Receptive Language performances, despite no change in Expressive Language scores from 12 to 24 months of age.…”

Section: Language Outcome and Trajectorycontrasting

confidence: 77%

Language development in children with congenital heart disease aged 12–24 months

Fourdain

St-Denis

Harvey

et al. 2019

European Journal of Paediatric Neurology

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Language developmentBayley-III MacArthur-bates communicative development inventoriesEarly intervention a b s t r a c t This longitudinal study aims to describe the trajectory of language development in children with CHD aged 12e24 months assessed through an early monitoring and individualized intervention program. We also sought to determine whether early language performances, at 12 months of age, predict 24-month language abilities.We conducted developmental assessments of 49 children with CHD using the Bayley Scales of Infant and Toddler Developmental, third edition (Bayley-III) at 12 and 24 months, and the MacArthur-Bates Communicative Development Inventories (MBCDI) at 12, 18 and 24 months.Compared to normative populations, CHD patients showed significantly lower mean scores in both receptive and expressive language scales of the Bayley-III and the MBCDI at 12 months, whereas at 18 and 24 months only expressive language scores were reduced. No differences were found in the cognitive scale. Communicative gestures at 12 months were significantly predictive of language skills at 24 months of age.Our findings indicate specific vulnerability of language outcome, especially in expressive skills, rather than a global cognitive impairment in our patients with CHD. We recommend using communicative gestures as an early marker of language development to improve our ability to detect language delays in this population.

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Section: Language Outcome and Trajectorycontrasting

confidence: 77%

Language development in children with congenital heart disease aged 12–24 months

Fourdain

St-Denis

Harvey

et al. 2019

European Journal of Paediatric Neurology

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“…At the 4-year assessment, each child also engaged in a 10-minute free play session with a parent. 14 All pairs of parent and child were provided with a standard set of materials, which included a toy house, two adult figures, two child figures, a dog, furniture, and a car. Sessions were videotaped and transcribed, and a coding system used to characterize the language of the children, and the activities in which the pair engaged.…”

Section: Symbolic Language: Free Play With a Parentmentioning

confidence: 99%

“…At the 4-year assessment, each child also engaged in a 10-minute free play session with a parent 14 . All pairs of parent and child were provided with a standard set of materials, which included a toy house, two adult figures, two child figures, a dog, furniture, and a car.…”

Section: Symbolic Language: Free Play With a Parentmentioning

confidence: 99%

Are children with congenital cardiac malformations at increased risk of deficits in social cognition?

Bellinger

2007

CTY

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In this review, I summarize observations suggesting that social cognition deficits are an important element of the neurodevelopmental morbidities of children with congenital cardiac malformations. Referred to as "theory of mind" deficits, they pertain to the ability to "read" other people, that is, to infer their internal states and thus to interpret their actions appropriately. I also hypothesize that children with such congenital cardiac malformations have difficulty identifying and describing their own internal states, which is referred to as alexithymia. These hypotheses are based on data collected as part of a prospective study of the neurologic outcomes of children with concordant atrioventricular and discordant ventriculo-arterial connections, or transposition. On a variety of tasks that assess pragmatic language and discourse skills, such as elicited personal narratives, free play with a parent, and written narratives, the children consistently performed below age-expected levels and in ways that suggested the presence of "theory of mind" deficits. Their narratives lacked coherence, failed to include critical information required by a listener, and made infrequent reference to internal states. In ongoing evaluations of the children as adolescents, we are testing these hypotheses more systematically by administering several instruments specifically developed to assess "theory of mind" and alexithymia.

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“…Additional analyses of a subgroup of the cohort revealed impairments in important preliteracy skills. 37 Both strategies of vital organ support involve the use of cardiopulmonary bypass and, thus, risk of central nervous system damage from microemboli, macroemboli, and hypoperfusion. Preoperative cyanosis or hemodynamic abnormalities in the preoperative or postoperative period may have contributed to the cohort's reduced performance.…”

Section: Bellinger Et Al Sequelae Of Infant Heart Surgerymentioning

confidence: 99%

Developmental and Neurological Status of Children at 4 Years of Age After Heart Surgery With Hypothermic Circulatory Arrest or Low-Flow Cardiopulmonary Bypass

Bellinger

Wypij²,

Kuban³

et al. 1999

Circulation

533

369

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Just pretend: Participation in symbolic talk by children with histories of early corrective heart surgery

Cited by 13 publications

References 24 publications

Language development in children with congenital heart disease aged 12–24 months

Language development in children with congenital heart disease aged 12–24 months

Are children with congenital cardiac malformations at increased risk of deficits in social cognition?

Developmental and Neurological Status of Children at 4 Years of Age After Heart Surgery With Hypothermic Circulatory Arrest or Low-Flow Cardiopulmonary Bypass

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