Management of Common Psychiatric Illnesses on Pediatric Medical Floors DOI
Finza Latif,

Mohamed H. Albreiki

Psychiatric Annals, Journal Year: 2021, Volume and Issue: 51(10), P. 473 - 481

Published: Oct. 1, 2021

Pediatric consultation-liaison (CL) psychiatry focuses on the treatment of mental health difficulties in physically ill children. This article three diagnoses that a pediatric CL psychiatrist commonly encounters: delirium, somatic symptom and related disorders (SSRD), medical traumatic stress (PMTS). Delirium is an acute cerebral dysfunction secondary to organic cause can present with agitation, sleep disruption, disorientation, inattention, perceptual disturbances or apathy, withdrawal. The management delirium involves underlying causes by environmental modifications pharmacological strategies. SSRDs medically unexplained symptoms which physical examination laboratory testing do not justify diagnosis known illness. Cognitive-behavioral therapy has most evidence for SSRDs, whereas interventions have insufficient improving core SSRDs. PMTS defined as set posttraumatic (PTSS) response pain, injury, serious illness, procedures, invasive frightening experiences. Brief, focused cognitive-behavioral strategies delivered family-centered approach prevent reduce symptoms. [ Psychiatr Ann . 2021;51(10):473–481.]

Language: Английский

Quality of life and psychosocial outcomes of adults who were pediatric solid organ transplant recipients: A systematic review DOI
Christianne Laliberté Durish, Jia Lin, Sarah J. Pol

et al.

Pediatric Transplantation, Journal Year: 2022, Volume and Issue: 27(3)

Published: Dec. 12, 2022

Abstract Background The number of pediatric SOT recipients surviving into adulthood is increasing. Thus, understanding their psychosocial and QoL outcomes important. We conducted a systematic review to collate existing literature examining (physical functioning, psychological social functioning), as well risk protective factors associated with QoL, among adults who underwent during childhood. Methods A search five databases, from inception January 6, 2021, was identify articles that reported on for (≥18‐year age) received childhood (<19‐year age). Results Twenty‐five met inclusion criteria. Studies examined across range populations (liver, kidney, heart). were variable; however, the majority studies indicated in this population be similar general population, or at least other chronic illness groups, exception physical functioning. Factors related more optimal medical course, younger age transplant follow‐up, positive found predictive better outcomes. Conclusions While several limited both quantity quality. No study employed prospective, longitudinal methodologies systematically evaluate over time few utilized normative‐based measures QoL. Furthermore, groups under‐represented (e.g., lung, intestine, multi‐visceral). Nonetheless, findings have implications intervention clinical decision‐making.

Language: Английский

Citations

5
Holistic care and symptom management for pediatric kidney transplant recipients DOI
Taylor R. House, Stephen D. Marks, M. A. R. Freeman

et al.

Pediatric Nephrology, Journal Year: 2023, Volume and Issue: 39(6), P. 1759 - 1769

Published: Oct. 18, 2023

Language: Английский

Citations

2
The effect of perceived social support on the psychosocial status of parents whose child had liver transplantation DOI
Mehmet Emin Düken, Mürşide Zengın, Emriye Hilal Yayan

et al.

Journal of Pediatric Nursing, Journal Year: 2022, Volume and Issue: 66, P. e130 - e136

Published: May 5, 2022

Language: Английский

Citations

4
Associations between executive functioning, personality, and posttraumatic stress symptoms in adolescent solid organ transplant recipients DOI

Mary Stolz,

Kelly E. Rea, Grace K. Cushman

et al.

Pediatric Transplantation, Journal Year: 2021, Volume and Issue: 26(2)

Published: Nov. 1, 2021

Pediatric solid organ transplant recipients are susceptible to posttraumatic stress symptoms (PTSS), given the presence of a life-threatening chronic medical condition and potential for complications. However, little is known about what individual characteristics associated with an increased risk PTSS among youth who received transplant. The aim current study was evaluate its associations executive functioning (EF) personality (i.e., neuroticism conscientiousness) adolescents transplants.Fifty-three (Mage = 16.40, SD 1.60) kidney, heart, or liver completed self-report measures personality, whereas caregivers caregiver-proxy report adolescent EF.Twenty-two percent reported clinically significant levels PTSS. Higher EF difficulties levels, lower conscientiousness were significantly higher (rs -.34 .64). Simple slope analyses revealed that both high impairment demonstrated highest (t 3.47; p < .001).Most in present did not PTSS; however, those greater may be particularly vulnerable following transplantation. Following transplantation, providers should assess factors developing Identification at critical, strong between certain outcomes (e.g., medication nonadherence) these youth.

Language: Английский

Citations

5
Psychosocial Concerns and Quality-of-Life Considerations in Pediatric CKD DOI
Elizabeth Steinberg Christofferson, Leah A. Grande, Margret Bock

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

0
The relationship between post-traumatic stress in children and adolescents who underwent liver transplantation and post-traumatic stress in their mothers DOI Creative Commons
Özge Gizli Çoban, Arzu Aras, Arif Önder

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: May 2, 2024

Abstract Background Liver transplantation(LT) has become the standard treatment protocol for end-stage liver disease, metabolic disorders and, some types of tumors. In present study, we aimed to investigate quality life and post-traumatic stress disorder in pediatric LT recipients their mothers. Methods Sixty-one children adolescents who had undergone aged 1–18 years took part this study. The control group consisted 25 healthy adolescents. Participants fulfilled Child Depression Inventory, Post-Traumatic Stress Disorder-Reaction Index, Pediatric Quality Life Inventory. Mothers Family Assessment Device PTSD Checklist-Civilian. Results physical, psychosocial, total health scores patient were significantly lower than group. Child-traumatic higher However, there no significant differences between groups terms child depression maternal traumatic scores. There was a negative correlation child-psychosocial Maternal also correlated positively with Conclusion can benefit from psychoeducation about symptoms post-transplant providing psychological support caregivers may help caring LT.

Language: Английский

Citations

0
Adverse Childhood Experiences and Pediatric Solid Organ Transplant Outcomes: Single Center Study DOI Creative Commons

Iliana B McGurn,

Kim H. Piburn, Eliot J. Lopez

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 7, 2024

Abstract Adverse childhood experiences (ACE) are linked to several health issues in adulthood. It is not known how ACE may impact solid organ transplant outcomes. We hypothesized that associated with adverse administered a 10-item inventory questionnaire 48 patients transplanted as children and transitioned adult services. Mean age was 23 years, 54% were female, 19% White. Primary outcome current functioning graft. 60.4% reported an score of > 0, 22.9% 3. There no association between 0 (P = 0.3715) or 3 0.5757) graft loss. In this single center study, we did find outcomes young patients. Further studies needed elucidate the relationship trauma long-term

Language: Английский

Citations

0
The Crucial Role of Empowerment in Engaging Adolescents and Young Adults for Independence: Essential Strategies and Skills for a Successful Transition DOI
Jennifer Vittorio, Beverly Kosmach‐Park, Lindsay Y. King

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(5)

Published: July 26, 2024

ABSTRACT Background An increasing number of pediatric solid organ transplant (SOT) recipients are surviving into adolescence and young adulthood. The transition from to adult‐oriented care occurs during a unique vulnerable period. Methods Presented here is structured approach healthcare (HCT) for adolescent adult SOT aimed at optimizing independence in order assist patients with adherence, self‐management, improved quality life. Results Close attention must be paid neurocognitive development, mental well‐being, social determinants health. Conclusions These efforts require multidisciplinary team as well collaboration between providers achieve these goals patient longevity.

Language: Английский

Citations

0
Modification and scoring of a transition tool to understand transition readiness among pediatric kidney transplant recipients DOI
Caitlin G. Peterson, Leandra Bitterfeld

Pediatric Nephrology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 6, 2024

Language: Английский

Citations

0
Risk Factors of Post‐Traumatic Stress in Pediatric Solid Organ Transplant Recipients DOI Creative Commons
Tatsuma Hind, Julie M. Robillard, Kathryn Armstrong

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(7)

Published: Sept. 15, 2024

ABSTRACT Background Life with end‐stage organ failure is accompanied by an accumulation of traumatic medical or surgical experiences. Despite recovery after solid transplantation (SOT), many children and adolescents develop post‐traumatic stress symptoms (PTSS). PTSS remain underappreciated as a major comorbidity in SOT programs, despite their association decreased quality life. Methods We conducted retrospective, cross‐sectional study 86 pediatric recipients (17 heart, 44 kidney, 25 liver) to evaluate potential determinants PTSS. Trauma were measured the Child Screening Questionnaire (CTSQ). Demographic, baseline, contemporaneous factors tested for independent CTSQ scores. Results The median post‐transplant score was 2 (IQR 1–4), 22% identified high risk (score ≥5) PTSD. Higher scores independently associated number ICU days within previous 12 months, medications (complexity), involvement foster care primary model ( R [adj.] = 0.26). addition Family Impact Module improved overall 0.33), wherein higher family functioning lower An exploratory analysis pre‐transplant patients n 34) found 1–6), suggesting that are onset before transplant persist afterward. Conclusions highly prevalent population. Risk include recent adverse experiences complexity, whereas stability may be protective. Additional research needed improve early ascertainment support at developing throughout journey.

Language: Английский

Citations

0