Psychological Health of the Adolescent Transplant Recipient

被引:1
|
作者
Logan, Beth A. [1 ,2 ,3 ]
Isaksen, Imari-Ashley [1 ,2 ,3 ]
Samsel, Chase [1 ,2 ,3 ,4 ]
机构
[1] Boston Childrens Hosp, Dept Psychiat & Behav Sci, Boston, MA 02115 USA
[2] Boston Childrens Hosp, Pediat Transplant Ctr, Boston, MA 02115 USA
[3] Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USA
[4] Dana Farber Canc Inst, Dept Psychosocial Oncol & Palliat Care, Boston, MA USA
关键词
adherence; delirium; pediatrics; posttraumatic growth; posttraumatic stress; psychosocial outcomes; solid organ transplantation; QUALITY-OF-LIFE; CHRONIC KIDNEY-DISEASE; TRAUMA-INFORMED CARE; POSTOPERATIVE DELIRIUM; LIVER-TRANSPLANTATION; MEDICATION ADHERENCE; POSTTRAUMATIC STRESS; PEDIATRIC DELIRIUM; RISK-FACTORS; CHILDREN;
D O I
10.1111/petr.14841
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BackgroundSolid organ transplant recipients experience a period of unique vulnerability during adolescence, when normative developmental changes intersect with health-related variables to influence psychological health.MethodsThis article builds on previous reviews of psychological health in solid organ transplant recipients and proposes opportunities for clinical intervention during adolescence.ResultsTransplant recipients often experience neurocognitive changes, particularly with respect to executive functions, that impact health management tasks and autonomous care. Recipients should be monitored for the development of anxiety, depression, and posttraumatic stress symptoms during adolescence, which in turn can negatively impact adherence to immunosuppression. Recent research in posttraumatic growth and resiliency factors may represent a promising avenue of intervention, leveraging normative developmental processes during this time period.ConclusionsAs pediatric transplant providers, adolescence represents a developmental period for targeted interventions to foster adjustment and adherence and promote a successful transition to adult care.
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页数:9
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