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Facial Expression Recognition and Emotion Understanding in Children after Neonatal Open-Heart Surgery for Transposition of the Great Arteries

Abstract : AIM: Theory of mind impairments are part of the cognitive morbidities associated with transposition of the great arteries (TGA). We sought to assess core components of social cognition in school-aged children with TGA. METHOD: Thirty-eight children with neonatal corrected TGA (27 males, 11 females; mean age 7y 3mo, SD 1y 2mo) and a comparison group (n=31; 24 males, 7 females; mean age 7y 4mo, SD 1y 1mo) participated in this study. All children completed measures of facial expression recognition, emotion comprehension, and second-order cognitive and affective false-belief tasks. The association of medical pre-, intra-, and postoperative variables with cognitive outcomes was explored. RESULTS: After controlling for potential covariates, children with TGA performed significantly less accurately in the mental category of the emotion comprehension battery (p=0.002) and on second-order affective false-belief tasks (p<0.05). Preoperative variables including an associated ventricular septal defect (p=0.02), a younger age at open-heart surgery (p=0.03), and a prenatal diagnosis of TGA (p=0.02) were significantly associated with better outcomes. INTERPRETATION: School-aged children with TGA display significant impairment on complex affective mental state understanding even though facial expression recognition was generally preserved. Preoperative factors may be important determinants for long-term outcomes after cyanotic congenital heart disease.
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https://hal-univ-paris10.archives-ouvertes.fr/hal-01423139
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Submitted on : Wednesday, December 28, 2016 - 3:42:24 PM
Last modification on : Friday, September 18, 2020 - 2:35:07 PM

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Johanna Calderon, Nathalie Angeard, Charlotte Pinabiaux, Damien Bonnet, Isabelle Jambaqué. Facial Expression Recognition and Emotion Understanding in Children after Neonatal Open-Heart Surgery for Transposition of the Great Arteries. Developmental Medicine and Child Neurology, Wiley-Blackwell, 2014, 56 (6), pp.564--571. ⟨10.1111/dmcn.12381⟩. ⟨hal-01423139⟩

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