https://www.ncbi.nlm.nih.gov/pubmed/31840340 Liver transplant

Pediatr Transplant. 2019 Dec 15:e13633. doi: 10.1111/petr.13633. [Epub ahead of print]
Psychopathology, quality of life, and related factors in pediatric liver transplantation candidates and recipients.
Ünay M1, Önder A1, Gizli Çoban Ö1, Atalay A2, Sürer Adanir A1, Artan R2, Özatalay E1.

Abstract

BACKGROUND:
Liver transplantation (LT) has been accepted as a standard treatment of pediatric liver diseases that can progress to end-stage liver disease or lead to acute liver failure. However, there is a lack of studies clarifying quality of life (QoL) and the characteristics and the prevalence of common psychiatric disorders in children before and/or after LT. Thus, this study aimed to investigate QoL and the prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) in children and adolescents before and after LT and to compare them with healthy controls.

METHODS:
The study included 30 children aged 5-18 years who were waiting for LT (pTx group) or had undergone LT (Tx group) as the study groups and 20 children for the control group. The PedsQL was used to evaluate QoL, and SCARED, CDI, and the CPTSD-RI were used to evaluate psychopathology.

RESULTS:
The QoL scores were higher in the control group compared with the study groups in all or most of the dimensions, depending on the reporter. The mean scores of anxiety, depression, and PTSD of the control group were significantly lower than those of the Tx and pTx groups. A significant positive correlation was found between depression, anxiety, and PTSD scores, and a negative correlation was observed between depression, anxiety, and PTSD scores and QoL.

CONCLUSION:
Waiting for LT and the transplantation process itself seem to be psychologically traumatic for children. Healthcare providers need to be trained to recognize the symptoms of the main psychiatric disorders.