The occurrence of depression in pediatric patients before and one year after heart or heart-lung transplantation (tx)

Wray, J; Radley-Smith, R

doi:10.1016/s1053-2498(01)00589-7

Cited by 4 publications

(6 citation statements)

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“…Our findings support previous research suggesting that a significant minority of children and adolescents experience psychological difficulties after successful transplantation (8)(9)(10)(11)(12). Psychological, rather than medical, factors appear to be more significant in determining psychological functioning 2 yr after transplant, although this must be considered in conjunction with the fact that these patients had been relatively well during the period of study and that rejection, infection and hospitalization had not been problems for most of the children.…”

Section: Discussionsupporting

confidence: 91%

“…Whilst follow‐up of children after transplantation suggests that the majority have good psychological functioning (2–7), school problems (8), depression (9, 10) and poor adherence (11, 12) have been identified in a significant minority of children and adolescents, suggesting that for some patients, at least, there may be difficulties in coping with the demands of transplantation. Neurodevelopmental assessment of younger children after heart transplant found evidence of impaired functioning (13, 14), with additional follow‐up highlighting some further deterioration in developmental skills (15).…”

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confidence: 99%

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Beyond the first year after pediatric heart or heart‐lung transplantation: Changes in cognitive function and behaviour

Wray

Radley-Smith

2005

Pediatric Transplantation

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With the increasing use and improved survival rates of heart and lung transplantation as treatments for children with end-stage heart or lung disease, attention is focusing on the longer term psychological implications of these procedures. This paper focuses on the changes in cognitive development and behaviour in a group of 47 children who were seen 12 months and 2 yr after transplantation. There were 24 boys and 23 girls, mean age at transplantation was 8.3 yr (s.d. 5.3 yr), with a range of 0.3-15.1 yr. Assessments were made of developmental level, cognitive ability and problem behaviours, using previously validated measures, and comparisons were made with physically healthy children. For children under three and a half years of age there was a decrease over time in scores on all developmental parameters, with the change reaching significance on the scale assessing eye-hand coordination and on the overall IQ. Whilst all scores were within the normal range, they were at a significantly lower level than those of the healthy children. In contrast, there were no changes over time on any measures of cognitive or academic ability for older children, with correlations between 12 month and 2 yr scores being highly significant. The rate of behaviour problems at home at 12 months was 22%, compared with 34% at 2 yr post-transplant, which was higher than that found in the healthy children. Conversely, there was a drop in the prevalence of behaviour problems at school from 23% at 12 months to 9% at 2 yr. It is concluded that a significant minority of children and adolescents experience psychological difficulties 2 yr after transplant, with particular areas of concern focusing on development in the younger children and the occurrence of behaviour problems at home across the age-range.

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Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

Beyond the first year after pediatric heart or heart‐lung transplantation: Changes in cognitive function and behaviour

Wray

Radley-Smith

2005

Pediatric Transplantation

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“…33 Our rationale for choosing this measure has been outlined previously. 34 Parents were also seen for a semi-structured interview during which information was collected on demographic, social, behavioral and medical variables. Finally, data were collected from the medical notes about periods of time in hospital, rejection and infection episodes and other significant medical complications.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Assessment of Psychological Functioning in Children After Heart or Heart–Lung Transplantation

Wray

Radley-Smith

2006

The Journal of Heart and Lung Transplantation

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“…A longitudinal study exploring psychological functioning after transplant, demonstrated that the majority of study participants had the capacity for healthy psychological functioning; nevertheless, follow-up is required since >25% of recipients experienced emotional adjustment difficulties (DeMaso et al 2004). Findings show that psychological functioning improved over time; however, a number of recipients had ongoing psychological troubles (Wray, 2004(Wray, , 2006. From 104 adolescent organ transplant recipients more than 16% of study recipients met all the criteria for post-traumatic stress syndrome, with an additional 14.4% meeting two to three of the symptoms criteria (Mintzer et al, 2005).…”

Section: Psychological Outcomesmentioning

confidence: 99%

“…The results of psychological functioning (Wray, 2004(Wray, , 2005Libman Mintzer et al 2005;Wray & RadleySmith, 2007) and social behaviours (Wray, 2003;Singh et al, 2009;Mahle et al 2005;Brown et al, 2009) suggest that many paediatric transplant recipients are performing poorly. Frequently, studies focus on individual's participation in social groups, physical activity, performance at school and their relationships with peers.…”

Section: Social Outcomesmentioning

confidence: 99%

The New Normal: A Bourdieusian Examination of Living Into Young Adulthood Being a Paediatric Heart Transplant Recipient

Mauthner

Angus

Gastaldo

et al. 2014

The Journal of Heart and Lung Transplantation

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Improved success of paediatric cardiac transplantation has resulted in increased survival of recipients into young adulthood (19 to 29 years of age). Young adults who received a heart transplant during childhood have experienced multiple life sustaining procedures. As survival and longevity increase, it is clear that transplant recipients experience negative physiological, psychological and social sequelae. With heart transplant offering individuals a chance to extend life into young adulthood, recipients need lifelong care and at age 18 they will transition from paediatric to adult healthcare facilities. The study addressed young adults circumstances of existence and their competing interests within various social environments. This research project applied Pierre Bourdieu's theoretical concepts of habitus, field and capital, to conceptualize and engage with empirical knowledge production about young adults who have received a heart transplant during childhood. Using visual methodology, focused open-ended interviews were conducted with 12 young adults who had a heart transplant during childhood. Bourdieu's work iii provided a theoretical framework to investigate transplant recipients' identities and social repositioning in relation to dominant discourses of organ transplant and shifting relationships with health services providers. This study involved an iterative process to identify recipients' encounters and new compositions in relation with others, in order to answer the research objective. These findings highlight that young adult transplant recipients struggle with relational dispositions that excludes them from various fields of social engagement; their struggle and exclusion from various fields is symbolic and is embedded in the structure of the dominant social order of the field from where they become excluded; the social order is taken up and embodied, leading young transplant recipients to practices of accommodation and "normalization". Changes

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The occurrence of depression in pediatric patients before and one year after heart or heart-lung transplantation (tx)

Cited by 4 publications

References 0 publications

Beyond the first year after pediatric heart or heart‐lung transplantation: Changes in cognitive function and behaviour

Beyond the first year after pediatric heart or heart‐lung transplantation: Changes in cognitive function and behaviour

Longitudinal Assessment of Psychological Functioning in Children After Heart or Heart–Lung Transplantation

The New Normal: A Bourdieusian Examination of Living Into Young Adulthood Being a Paediatric Heart Transplant Recipient

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