ESPN 50th Annual Meeting

ESPN 2017


 
Psychiatric Aspects of Children With Renal Transplantation
NIDA DINCEL 1 AYSE KUTLU 2 EBRU YILMAZ 1 ORHAN DENIZ KARA 1 MUKADDES DUYGU OZCANLI 2 SEVGI MIR 1

1- EGE UNIVERSITY MEDICAL FACULTY; DEPARTMENT OF PEDIATRIC NEPHROLOGY
2- DR. BEHCET UZ CHILDREN HEALTH AND RESEARCH AND CHILDREN SURGERY EDUCATION RESEARCH HOSPITAL; PSYCHIATRY CLINIC, IZMIR
 
Introduction:

 

Renal transplantation is the rescue treatment for End Stage Renal Diseases in all ages. It ‘s well known that; various factors such as difficulties in daily life arising from chronic renal disease, complications, waiting for a donor and the need for social support, marriage status and need for having children cause multiple psychiatric problems with the majority of anxiety and depression, in these patients. The recent studies reported the persistence of anxiety and depression in 25-40% of cases after renal transplantation. We aimed to evaluate the psychiatric profiles of children and teenagers after renal transplantation and detect the variables in this preliminary study.

Material and methods:

 

The study was consisted of 31 children and teenagers. All patients and parents were acknowledged about the study and only the volunteers were included.  All patients were asked to fill out the socio demographic form, family assessment device (FAD), state-trait anxiety inventory II (STAI-II ) and the symptom check list-90-R  (Scl90-R). The demographic and clinical data including the donor type, the waiting time for donor, data about immunosuppressive treatment were recorded from the charts of patients. All data were analyzed on SPSS 20.0 statistical program. Correlation coefficients were used to analyze the relationship between standard definitive tests and multiple variables.

Results:

 

The statistically significant increase in the Scl 90 obsession score was found in children of families, which are in very low socio economic status. Although the finding of the more immunosuppressive drugs used, the increased scores of FAD, STAI-II and Scl 90-R  were found; the only statistically significant relation was seen between the  role score of FAD and obsession score of Scl 90. There was statistically difference between depression and anxiety scores of Scl-90 belonged to cases having living related donor. However, in all cases role, attention and behavioral control score of FAD were worse. 

STAI-II scale was found moderately high in all cases. There weren’t any significant correlation between drug usage time, donor type and the other multiple variables. The moderate and high correlation was found between STAI-II and all scores of Scl90 except for anger. 

 

Conclusions:

 In this study we want to emphasize the worse results found in all cases scored for role, attention and behavioral control scale of FAD. Therefore we vigorously suggest considering the cases in relation with their families during both pre and posting transplant period and following up for psychiatric problems with the care of their developmental course, even in the post transplant long-term.