Survival of CHD has significantly improved, but children with CHD remain susceptible to neurodevelopmental and psychosocial impairments. Our goal was to investigate the association between socio-demographic factors and psychosocial adaptation for future intervention. A retrospective cross-sectional study of an independent children’s hospital’s records was conducted. Psychosocial adaptation was measured by the Pediatric Cardiac Quality of Life Inventory Psychosocial Impact score (range 0–50, higher score indicates greater psychosocial adaptation). Bivariate and regression analyses were performed to estimate relationships between Psychosocial Impact score and socio-demographic variables including Child Opportunity Index, family support, financial support, academic support, and extracurricular activities. A total of 159 patients were included. Compared to patients in high opportunity neighbourhoods, patients in low opportunity neighbourhoods had a 9.27 (95% confidence interval [−17.15, −1.40], p = 0.021) point lower Psychosocial Impact score, whereas patients in moderate opportunity neighbourhoods had a 15.30 (95% confidence interval [−25.38, −5.22], p = 0.003) point lower Psychosocial Impact score. Compared to patients with adequate family support, those with limited support had a 6.23 point (95% confidence interval [−11.82, −0.643], p = 0.029) lower Psychosocial Impact score. Patients in moderate opportunity neighbourhoods had a higher Psychosocial Impact score by 11.80 (95% confidence interval [1.68, 21.91], p = 0.022) when they also had adequate family support compared to those with limited family support. Our findings indicate that among children with CHD, psychosocial adaptation is significantly impacted by neighbourhood resources and family support structures. These findings identify possible modifiable and protective factors to improve psychosocial adaptation in this vulnerable population.

中文翻译：

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先心病儿童心理社会适应的预测因素

冠心病的生存率已显着提高，但患有冠心病的儿童仍然容易受到神经发育和社会心理障碍的影响。我们的目标是调查社会人口因素与未来干预的社会心理适应之间的关联。对一家独立儿童医院的记录进行了回顾性横断面研究。心理社会适应通过儿科心脏生活质量量表心理社会影响评分（范围 0-50，分数越高表示心理社会适应程度越高）来衡量。进行双变量和回归分析来估计心理社会影响评分与社会人口变量之间的关系，包括儿童机会指数、家庭支持、经济支持、学术支持和课外活动。总共包括 159 名患者。与高机会社区的患者相比，低机会社区的患者的心理社会影响评分低 9.27（95% 置信区间 [−17.15，−1.40]，p = 0.021）分，而中等机会社区的患者的心理社会影响评分低 15.30（95 % 置信区间 [−25.38, −5.22], p = 0.003) 降低了心理社会影响分数。与拥有足够家庭支持的患者相比，支持有限的患者的心理社会影响评分低 6.23 分（95% 置信区间 [−11.82，−0.643]，p = 0.029）。与家庭支持有限的患者相比，中等机会社区的患者在获得足够的家庭支持时，其社会心理影响评分高出 11.80（95% 置信区间 [1.68, 21.91]，p = 0.022）。我们的研究结果表明，在患有先天性心脏病的儿童中，社会心理适应受到社区资源和家庭支持结构的显着影响。这些发现确定了可能的可改变和保护性因素，以改善这一弱势群体的社会心理适应。