Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients
Symptoms of posttraumatic stress disorder (PTSD) after life-threatening medical illness have been found to predict poor outcome in preliminary studies of adults and children. However, these symptoms are rarely recognized in general medical or pediatric settings. Here we report on the first large inv...
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| Veröffentlicht in: | Pediatrics (Evanston) 2005-06, Vol.115 (6), p.1640-1644 |
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| creator | Mintzer, Lisa Libman Stuber, Margaret L Seacord, Debra Castaneda, Marleen Mesrkhani, Violet Glover, Dorie |
| description | Symptoms of posttraumatic stress disorder (PTSD) after life-threatening medical illness have been found to predict poor outcome in preliminary studies of adults and children. However, these symptoms are rarely recognized in general medical or pediatric settings. Here we report on the first large investigation to assess prevalence and correlates of self-reported symptoms of posttraumatic stress in a nonreferred sample of adolescent liver, heart, and kidney transplant recipients.
One hundred four adolescents, ages 12 to 20 years (mean: 15.7; SD: 2.1), completed and returned the University of California, Los Angeles, PTSD Index for the Diagnostic and Statistical Manual of Mental Disorders. All participants were at least 1 year post-initial transplant and were fluent speakers of English and/or Spanish.
More than 16% of the adolescents met all symptom criteria for PTSD, and an additional 14.4% met 2 of 3 symptom-cluster criteria. Regression analysis indicated no effect of gender, ethnicity, age at interview, organ type, time since transplant, or age at transplant.
As has been found with other life-threatening pediatric conditions, solid organ transplantation can precipitate symptoms of posttraumatic stress. Symptoms are not predicted by what would be considered objective factors increasing life threat, suggesting a greater salience of subjective appraisal of threat, as has been seen in studies of childhood cancer survivors. |
| doi_str_mv | 10.1542/peds.2004-0118 |
| format | Article |
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One hundred four adolescents, ages 12 to 20 years (mean: 15.7; SD: 2.1), completed and returned the University of California, Los Angeles, PTSD Index for the Diagnostic and Statistical Manual of Mental Disorders. All participants were at least 1 year post-initial transplant and were fluent speakers of English and/or Spanish.
More than 16% of the adolescents met all symptom criteria for PTSD, and an additional 14.4% met 2 of 3 symptom-cluster criteria. Regression analysis indicated no effect of gender, ethnicity, age at interview, organ type, time since transplant, or age at transplant.
As has been found with other life-threatening pediatric conditions, solid organ transplantation can precipitate symptoms of posttraumatic stress. Symptoms are not predicted by what would be considered objective factors increasing life threat, suggesting a greater salience of subjective appraisal of threat, as has been seen in studies of childhood cancer survivors.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2004-0118</identifier><identifier>PMID: 15930227</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Adolescent ; Adult ; African Continental Ancestry Group - psychology ; Age Factors ; Attitude to Death ; Biological and medical sciences ; Care and treatment ; Child ; Diagnosis ; European Continental Ancestry Group - psychology ; Female ; General aspects ; Health aspects ; Heart Transplantation - psychology ; Hispanic Americans - psychology ; Humans ; Immunosuppression ; Kidney Transplantation - psychology ; Liver Transplantation - psychology ; Male ; Medical sciences ; Organ transplant recipients ; Pediatrics ; Post traumatic stress disorder ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prevalence ; Risk ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - etiology ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Surgery ; Surveys and Questionnaires ; Teenagers ; Transplants & implants</subject><ispartof>Pediatrics (Evanston), 2005-06, Vol.115 (6), p.1640-1644</ispartof><rights>2005 INIST-CNRS</rights><rights>COPYRIGHT 2005 American Academy of Pediatrics</rights><rights>COPYRIGHT 2005 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Jun 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c570t-ad19f0dbf2989e086a01032113dd20fac61ffec6c175b1b3960039f3b5f942943</citedby><cites>FETCH-LOGICAL-c570t-ad19f0dbf2989e086a01032113dd20fac61ffec6c175b1b3960039f3b5f942943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16808041$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15930227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mintzer, Lisa Libman</creatorcontrib><creatorcontrib>Stuber, Margaret L</creatorcontrib><creatorcontrib>Seacord, Debra</creatorcontrib><creatorcontrib>Castaneda, Marleen</creatorcontrib><creatorcontrib>Mesrkhani, Violet</creatorcontrib><creatorcontrib>Glover, Dorie</creatorcontrib><title>Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Symptoms of posttraumatic stress disorder (PTSD) after life-threatening medical illness have been found to predict poor outcome in preliminary studies of adults and children. However, these symptoms are rarely recognized in general medical or pediatric settings. Here we report on the first large investigation to assess prevalence and correlates of self-reported symptoms of posttraumatic stress in a nonreferred sample of adolescent liver, heart, and kidney transplant recipients.
One hundred four adolescents, ages 12 to 20 years (mean: 15.7; SD: 2.1), completed and returned the University of California, Los Angeles, PTSD Index for the Diagnostic and Statistical Manual of Mental Disorders. All participants were at least 1 year post-initial transplant and were fluent speakers of English and/or Spanish.
More than 16% of the adolescents met all symptom criteria for PTSD, and an additional 14.4% met 2 of 3 symptom-cluster criteria. Regression analysis indicated no effect of gender, ethnicity, age at interview, organ type, time since transplant, or age at transplant.
As has been found with other life-threatening pediatric conditions, solid organ transplantation can precipitate symptoms of posttraumatic stress. Symptoms are not predicted by what would be considered objective factors increasing life threat, suggesting a greater salience of subjective appraisal of threat, as has been seen in studies of childhood cancer survivors.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Continental Ancestry Group - psychology</subject><subject>Age Factors</subject><subject>Attitude to Death</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Diagnosis</subject><subject>European Continental Ancestry Group - psychology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Heart Transplantation - psychology</subject><subject>Hispanic Americans - psychology</subject><subject>Humans</subject><subject>Immunosuppression</subject><subject>Kidney Transplantation - psychology</subject><subject>Liver Transplantation - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Organ transplant recipients</subject><subject>Pediatrics</subject><subject>Post traumatic stress disorder</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prevalence</subject><subject>Risk</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Transplants & implants</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptks2LFDEQxRtR3HH16lEaQcFDz1Yl_ZE-DoOuwsCAu55DJl3pzdJfJmnW_e9NMwPrypBDQuX3Uo_KS5L3CGsscnY1UePXDCDPAFG8SFYItchyVhUvkxUAxywHKC6SN97fQ8SKir1OLrCoOTBWrZLtrVNzr4LV6U1w5H1689hPYex9aod004wdeU1DSPeuVUMa6cFPnYqFn6TtZOOVf5u8Mqrz9O60Xya_vn293X7PdvvrH9vNLtNFBSFTDdYGmoNhtagJRKkAgTNE3jQMjNIlGkO61FgVBzzwuoz-a8MPhalzVuf8Mvl8fHdy4--ZfJC9jea6aIfG2cuyEjUXgBH8-B94P85uiN4kY4IXeYUiQtkRalVH0g5mDE7plgZyqhsHMjaWN8g5CCixivz6DB9XQ73VZwVfngkiE-hPaNXsvRTXu-dsdo7VY9dRSzKOcbs_a0a70XtHRk7O9so9SgS5BEMuwZBLMOQSjCj4cBrJfOipecJPSYjApxOgvFadiR-trX_iShFb58tsr47cnW3vHqyjpZNVwVnt_zkiFrKMqhz4Xy1xzWo</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Mintzer, Lisa Libman</creator><creator>Stuber, Margaret L</creator><creator>Seacord, Debra</creator><creator>Castaneda, Marleen</creator><creator>Mesrkhani, Violet</creator><creator>Glover, Dorie</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20050601</creationdate><title>Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients</title><author>Mintzer, Lisa Libman ; Stuber, Margaret L ; Seacord, Debra ; Castaneda, Marleen ; Mesrkhani, Violet ; Glover, Dorie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c570t-ad19f0dbf2989e086a01032113dd20fac61ffec6c175b1b3960039f3b5f942943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Continental Ancestry Group - psychology</topic><topic>Age Factors</topic><topic>Attitude to Death</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Diagnosis</topic><topic>European Continental Ancestry Group - psychology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health aspects</topic><topic>Heart Transplantation - psychology</topic><topic>Hispanic Americans - psychology</topic><topic>Humans</topic><topic>Immunosuppression</topic><topic>Kidney Transplantation - psychology</topic><topic>Liver Transplantation - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Organ transplant recipients</topic><topic>Pediatrics</topic><topic>Post traumatic stress disorder</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prevalence</topic><topic>Risk</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - etiology</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mintzer, Lisa Libman</creatorcontrib><creatorcontrib>Stuber, Margaret L</creatorcontrib><creatorcontrib>Seacord, Debra</creatorcontrib><creatorcontrib>Castaneda, Marleen</creatorcontrib><creatorcontrib>Mesrkhani, Violet</creatorcontrib><creatorcontrib>Glover, Dorie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mintzer, Lisa Libman</au><au>Stuber, Margaret L</au><au>Seacord, Debra</au><au>Castaneda, Marleen</au><au>Mesrkhani, Violet</au><au>Glover, Dorie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>115</volume><issue>6</issue><spage>1640</spage><epage>1644</epage><pages>1640-1644</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Symptoms of posttraumatic stress disorder (PTSD) after life-threatening medical illness have been found to predict poor outcome in preliminary studies of adults and children. However, these symptoms are rarely recognized in general medical or pediatric settings. Here we report on the first large investigation to assess prevalence and correlates of self-reported symptoms of posttraumatic stress in a nonreferred sample of adolescent liver, heart, and kidney transplant recipients.
One hundred four adolescents, ages 12 to 20 years (mean: 15.7; SD: 2.1), completed and returned the University of California, Los Angeles, PTSD Index for the Diagnostic and Statistical Manual of Mental Disorders. All participants were at least 1 year post-initial transplant and were fluent speakers of English and/or Spanish.
More than 16% of the adolescents met all symptom criteria for PTSD, and an additional 14.4% met 2 of 3 symptom-cluster criteria. Regression analysis indicated no effect of gender, ethnicity, age at interview, organ type, time since transplant, or age at transplant.
As has been found with other life-threatening pediatric conditions, solid organ transplantation can precipitate symptoms of posttraumatic stress. Symptoms are not predicted by what would be considered objective factors increasing life threat, suggesting a greater salience of subjective appraisal of threat, as has been seen in studies of childhood cancer survivors.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>15930227</pmid><doi>10.1542/peds.2004-0118</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult African Continental Ancestry Group - psychology Age Factors Attitude to Death Biological and medical sciences Care and treatment Child Diagnosis European Continental Ancestry Group - psychology Female General aspects Health aspects Heart Transplantation - psychology Hispanic Americans - psychology Humans Immunosuppression Kidney Transplantation - psychology Liver Transplantation - psychology Male Medical sciences Organ transplant recipients Pediatrics Post traumatic stress disorder Postoperative Complications - epidemiology Postoperative Complications - etiology Prevalence Risk Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - etiology Stress, Psychological - epidemiology Stress, Psychological - etiology Surgery Surveys and Questionnaires Teenagers Transplants & implants |
| title | Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients |
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