+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Post-Traumatic Stress Symptoms in Pediatric Heart Transplant Recipients



Post-Traumatic Stress Symptoms in Pediatric Heart Transplant Recipients



Health Psychology Research 2(2): 1549



Traumatic experiences are not unusual in pediatric heart transplant (HT) recipients before and after transplantation. Post-traumatic stress symptoms (PTSS) present at the time of transplant evaluation and developing afterward occur with an unknown frequency. We sought to determine the burden of these symptoms in heart transplant patients. We reviewed 51 consecutive HTs between 2003-2007, including 40 primary transplants and 11 re-transplants. Symptoms were present in 17 of the 51 patients (34%) at the time of orthotopic heart transplantation evaluation. None met the criteria for full post traumatic stress disorder. Transplant complications were examined. Nineteen subjects of the total sample had rejection in the first year following transplant. Rejection rates in the first year was 41% for those with PTSS (7 of 17 patients) and 36% for those without (12 of 33 patients) (P=n.s). Of those patients presenting for a second heart transplant, 55% had PTSS at the time of transplant evaluation and/or the peritransplant period; whereas, (28%) undergoing a primary transplant had PTSS. In addition to symptoms resulting from the disease process leading to HT and other prior experiences, the HT itself seems to present a large psychiatric burden on patients. All patients need to be followed before and after HT for signs and symptoms related to PTSS. Future studies should be undertaken to determine if preventative detection and treatment of patients with these PTSS symptoms early can lead to better outcomes.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058578852

Download citation: RISBibTeXText

PMID: 26973937

DOI: 10.4081/hpr.2014.1549


Related references

The use of art therapy to detect depression and post-traumatic stress disorder in pediatric and young adult renal transplant recipients. Pediatric Transplantation 8(1): 52-59, 2004

Pediatric post-transplant diabetes: data from a large cohort of pediatric heart-transplant recipients. American Journal of Transplantation 3(8): 994-998, 2003

Post-transplant lymphoproliferative disorder in pediatric heart transplant recipients. Journal of Heart and Lung Transplantation 29(6): 648-657, 2010

Traumatic stress symptoms in adolescent organ transplant recipients. Pediatrics 115(6): 1640-1644, 2005

Rituximab is Indispensable for Pediatric Heart Transplant Recipients Developing Post Transplant Lymphoproliferative Disorders. Iranian Journal of Pediatric Hematology and Oncology 3(3): 125-134, 2013

Is Myocarditis an Independent Risk Factor for Post-Transplant Mortality in Pediatric Heart Transplant Recipients?. Circulation. Heart Failure 9(1): E002328, 2016

Era effect on post-transplant survival adjusted for baseline risk factors in pediatric heart transplant recipients. Journal of Heart and Lung Transplantation 28(12): 1285-1291, 2009

Early post-transplant vaccination with pandemic influenza A/H1N1 vaccine in pediatric heart transplant recipients. Pediatric Transplantation 15(2): 172-175, 2011

Association of parental pretransplant psychosocial assessment with post-transplant morbidity in pediatric heart transplant recipients. Pediatric Transplantation 10(5): 602-607, 2006

Management of post-transplant coronary artery disease using intravascular ultrasound improves outcome in pediatric heart transplant recipients. Journal of Heart & Lung Transplantation 21(1): 64, 2002

Clinical, autoimmune, and HLA characteristics of children developing post-transplant diabetes Data from a large cohort of heart transplant pediatric recipients. Diabetes 52(Suppl. 1): A430, 2003

Nature and correlates of post-traumatic stress symptomatology in lung transplant recipients. Journal of Heart and Lung Transplantation 32(5): 525-532, 2013

Methotrexate therapy for complex graft rejection in pediatric heart transplant recipients. The Pediatric Heart Transplant Team--Loma Linda. Journal of Heart and Lung Transplantation 14(4): 726-733, 1995

Cardiac pacemakers in pediatric heart transplant recipients: incidence, indications, and associated factors. Pediatric Heart Transplant Group-Loma Linda. Pacing and Clinical Electrophysiology 19(1): 26-30, 1996

Dobutamine stress echocardiography: Experience in pediatric heart transplant recipients. Journal of Heart & Lung Transplantation 18(7): 725-732, 1999