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ABSTRACT: OBJECTIVE: The presence of Attention Deficit Hyperactivity Disorder (ADHD) symptoms in children with Congenital Heart Disease (CHD) was investigated. METHODS: Swanson, Nolan and Pelham Teacher and Parent rating scales, Version 4 (SNAP-IV), commonly used for assessing symptoms of ADHD, were completed by parents and counselors of children who attended a CHD summer camp. Mean scores (n=51) were compared with two comparison groups without CHD: patients with ADHD (n=75) and patients without ADHD (n=41). Parent scores were also compared to previously published parent normative values. RESULTS: Patients with CHD are reported to have elevated SNAP-IV scores by parents and counselors (11.8%). Parent ratings of inattention were significantly greater in CHD subjects when compared to the comparison group without ADHD (p<0.001), and comparable to the ADHD positive comparison group. Regarding parent ratings of hyperactivity and impulsivity, the CHD group was significantly lower than the ADHD positive controls (p=0.024) but greater than the ADHD negative controls (p<0.001). CONCLUSION: ADHD symptoms are more prevalent in children with CHD. Parent ratings of inattention and hyperactivity symptoms in CHD patients are similar to ratings in children diagnosed with ADHD. There is a trend towards a greater prevalence of inattentive symptoms in patients with cyanosis or single ventricle physiology.
Pediatrics International 08/2012; · 0.88 Impact Factor