Symptoms of Posttraumatic Stress Disorder in Parents of Transplant Recipients: Incidence, Severity, and Related Factors

Author:

Young Gregory S.1,Mintzer Lisa Libman1,Seacord Debra1,Castañeda Marleen1,Mesrkhani Violet1,Stuber Margaret L.1

Affiliation:

1. From the Neuropsychiatric Institute, University of California, Los Angeles, California

Abstract

Objective. To examine the incidence, severity, and factors related to posttraumatic stress disorder (PTSD) symptoms in parents of pediatric solid organ transplant recipients. Method. A total of 170 caregivers of pediatric transplant recipients completed self-report measures of psychological functioning between 10 and 38 months after their child’s most recent transplant. Demographic data, child health variables, and ratings of medical attitudes and social functioning were also collected to help explain individual differences in psychological functioning. Results. Although caregivers of pediatric transplant recipients did not report elevated levels of depression or anxiety, they did report elevated levels of PTSD symptoms. Multiple regression analyses revealed that PTSD symptoms were most strongly associated with parent reports of child health, family impact of the transplant, and attitudes toward medical caregivers. Conclusions. PTSD seems to be relatively common in parents of pediatric transplant recipients and may be largely the result of how parents perceive and interpret the transplant experience.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference39 articles.

1. Transplant DataSource. Richmond, VA: United Network for Organ Sharing; 2001. Available at: www.unos.org

2. LiBiondo-Wood G, Bernier-Henn M, Williams L. Impact of the child’s liver transplant on the family: maternal perspective. Pediatr Nurs.1992;18:461–466

3. Almond PS, Morell P, Matas AJ, et al. Transplanted children with long-term graft function have an excellent quality of life. Transplant Proc.1991;23:1380–1381

4. DeBolt AJ, Stewart SM, Kennard BD, et al. A survey of psychosocial adaptation in long-term survivors of pediatric liver transplants. Child Health Care.1995;24:79–96

5. Fukunishi I, Kudo H. Psychiatric problems of pediatric end-stage renal failure. Gen Hosp Psychiatry.1995;17:32–36

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