Psychological profile of adolescents with a kidney transplant.

Details

Serval ID
serval:BIB_7AC1061B459F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Psychological profile of adolescents with a kidney transplant.
Journal
Pediatric transplantation
Author(s)
Berney-Martinet S., Key F., Bell L., Lépine S., Clermont M.J., Fombonne E.
ISSN
1399-3046 (Electronic)
ISSN-L
1397-3142
Publication state
Published
Issued date
09/2009
Peer-reviewed
Oui
Volume
13
Number
6
Pages
701-710
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To describe the psychological profile of renal transplant adolescents compared to healthy peers and to adolescents with CKD, three groups of adolescents aged 12-18 yr were selected: TX, CX, and adolescents with CKD. Psychiatric symptoms and disorders were evaluated through direct interviews (K-SADS-PL) and self-report questionnaires (YSR and CBCL). Forty TX (14 LRD and 26 DD transplant recipients), 40 CX and 20 CKD were included. Twelve of 40 (30%) TX, three of 20 (15%) CKD, and three of 40 (7.5%) CX had a history of learning difficulties (p = 0.03). Compared to CX, TX had lower total YSR competencies score (p = 0.028) and lower total CBCL competencies score (p = 0.003). Twenty-six of 40 (65%) TX, 12 of 20 (60%) CKD and 15 of 40 (37.5%) CX (p = 0.038) met DSM-IV diagnostic criteria for lifetime psychiatric disorder, with rates of depressive disorder of 35% among TX and CKD compared to 15.2% among CX (p = 0.043). Eight of 40 (20%) TX had a history of simple phobia. Nine of 40 (22.5%) TX met diagnostic criteria for ADHD as compared to one of 20 (5%) CKD and three of 40 (7.5%) CX. In the TX group, we found no significant differences in educational and psychiatric variables between LRD and DD. In conclusion, we found a high prevalence of psychiatric morbidity (depression, phobia, ADHD), educational impairment and social competence problems in the TX group. CKD scored in between TX and CX on most measures.
Keywords
Adolescent, Child, Depressive Disorder/complications, Depressive Disorder/diagnosis, Female, Humans, Kidney Failure, Chronic/psychology, Kidney Failure, Chronic/therapy, Kidney Transplantation/methods, Male, Mental Disorders/complications, Prevalence, Social Class, Surveys and Questionnaires, Treatment Outcome
Pubmed
Web of science
Create date
12/01/2010 17:27
Last modification date
05/10/2020 5:26
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