Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1999-12-6
pubmed:abstractText
The psychosocial outcome of 23 heart and 21 heart-lung transplant recipients, aged 5-17 yrs, was determined and compared with the psychosocial outcome of a group of 46 children and adolescents who underwent conventional cardiac surgery. Preoperatively, and 12 months post-operatively, the patients' physical health status, mental state (ICD-9) and level of psychosocial functioning (GAF scale, DSM-IIIR) were assessed. There was an improvement in physical health in all groups. Preoperatively, psychiatric disorder, including anxiety and phobic states, depression and adjustment reaction, was noted in 6/23 (26%) children assessed for heart transplantation, 6/21 (28.5%) children assessed for heart-lung transplantation, and 12/46 (26%) children undergoing conventional cardiac surgery. The prevalence of psychiatric disorder remained in the transplant group but decreased in the non-transplant comparison group (6.5%). Improvement in overall levels of psychosocial functioning were found in all groups, but over 40% of all the participants were still functioning below normal levels. In summary, children with end-stage cardio-respiratory disease benefit physically and psychologically from heart or heart-lung transplantation treatment but there is a need for systematic psychosocial support both before and after transplantation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1397-3142
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
301-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:10562975-Adolescent, pubmed-meshheading:10562975-Child, pubmed-meshheading:10562975-Child, Preschool, pubmed-meshheading:10562975-Female, pubmed-meshheading:10562975-Great Britain, pubmed-meshheading:10562975-Health Status, pubmed-meshheading:10562975-Heart Failure, pubmed-meshheading:10562975-Heart Transplantation, pubmed-meshheading:10562975-Heart-Lung Transplantation, pubmed-meshheading:10562975-Humans, pubmed-meshheading:10562975-Incidence, pubmed-meshheading:10562975-Male, pubmed-meshheading:10562975-Mental Status Schedule, pubmed-meshheading:10562975-Prevalence, pubmed-meshheading:10562975-Prognosis, pubmed-meshheading:10562975-Psychological Tests, pubmed-meshheading:10562975-Psychotic Disorders, pubmed-meshheading:10562975-Questionnaires, pubmed-meshheading:10562975-Respiratory Insufficiency, pubmed-meshheading:10562975-Retrospective Studies
pubmed:year
1999
pubmed:articleTitle
Heart or heart-lung transplantation: psychosocial outcome.
pubmed:affiliation
Department of Psychological Medicine, Great Ormond Street Hospital, London, UK.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't