Posttraumatic stress disorder in posttransplant children: creating a clinical program to address their needs

CNS Spectrums
Sukru Emre

Abstract

Posttraumatic stress symptoms have been shown to occur in pediatric and adult solid-organ transplant recipients. The presence of these symptoms is associated with non-adherence to medications, increased distress, and poor outcome. Because posttraumatic stress disorder is treatable and because a transplant operation usually is an "anticipated trauma," it is possible to address posttraumatic stress disorder symptoms in transplant recipients and attempt to prevent their development. Under my direction, the pediatric liver transplant program at Mount Sinai Medical Center in New York City created research and clinical programs to address posttraumatic stress symptoms and their consequences. Specifically, the focus on non-adherence to immunosuppressive medications in transplant recipients who are distressed and their parents. This article begins with a review of the data that led to the decision to start these programs. I then present the basic elements that are in place, in this particular program, to address patients' needs. I end this review with preliminary outcome data that illustrate the potential impact of such an integrated approach to patient care on medical outcomes.

References

May 26, 1999·Psychosomatics·A A StukasB P Griffith
Jul 1, 1999·The Medical Clinics of North America·R M Gallagher
Jul 8, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M A DewB P Griffith
Jan 19, 2000·Journal of the American Academy of Child and Adolescent Psychiatry·P J Ambrosini
Dec 24, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Jason M SatterfieldNancy Adler
Dec 16, 2004·Pediatric Transplantation·Eyal Shemesh
Jan 14, 2005·Health Affairs·Harold Alan PincusDonna Keyser
Sep 24, 2005·Pediatric Transplantation·Eyal ShemeshSukru Emre
Nov 18, 2005·Journal of the American Academy of Child and Adolescent Psychiatry·Eyal ShemeshJeffrey H Newcorn
Nov 22, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Claire OakleyKathryn Woodward

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Citations

Aug 8, 2008·Current Opinion in Organ Transplantation·John C Bucuvalas, Estella Alonso
Aug 30, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Eyal Shemesh
Sep 11, 2009·Transplantation·Mary Amanda DewJoel B Greenhouse
Jun 10, 2021·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Pali ShahRamsey R Hachem

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