Psychological profile of adolescents with a kidney transplant

  1. Sylvie Berney-Martinet1,
  2. Fiona Key2,
  3. Lorraine Bell2,
  4. Suzanne Lépine3,
  5. Marie-José Clermont3,
  6. Eric Fombonne2

Article first published online: 7 OCT 2008

DOI: 10.1111/j.1399-3046.2008.01053.x

Issue

Pediatric Transplantation

Pediatric Transplantation

Volume 13, Issue 6, pages 701–710, September 2009

Additional Information

How to Cite

Berney-Martinet, S., Key, F., Bell, L., Lépine, S., Clermont, M.-J. and Fombonne, E. (2009), Psychological profile of adolescents with a kidney transplant. Pediatric Transplantation, 13: 701–710. doi: 10.1111/j.1399-3046.2008.01053.x

Author Information

  1. 1

    Department of Psychiatry, Lausanne University Hospital, Switzerland

  2. 2

    Montreal Children’s Hospital, McGill University

  3. 3

    Hôpital Sainte-Justine, Université de Montréal, Montreal, QC, Canada

*Eric Fombonne, MD, Canada Research Chair in Child Psychiatry, Department of Psychiatry, McGill University, Montreal Children’s Hospital, 4018 Ste-Catherine St. W., Montreal, QC H3Z 1P2, Canada Tel.: (514) 412 4449 Fax: (514) 412 4337 E-mail: eric.fombonne@mcgill.ca

Publication History

  1. Issue published online: 7 AUG 2009
  2. Article first published online: 7 OCT 2008
  3. Accepted for publication 11 August 2008

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (130K)

Keywords:

  • adolescents;
  • kidney transplantation;
  • psychiatry;
  • renal insufficiency;
  • learning difficulty;
  • depression;
  • ADHD

Abstract:  To describe the psychological profile of renal transplant adolescents compared to healthy peers and to adolescents with CKD, three groups of adolescents aged 12–18 yr were selected: TX, CX, and adolescents with CKD. Psychiatric symptoms and disorders were evaluated through direct interviews (K-SADS-PL) and self-report questionnaires (YSR and CBCL). Forty TX (14 LRD and 26 DD transplant recipients), 40 CX and 20 CKD were included. Twelve of 40 (30%) TX, three of 20 (15%) CKD, and three of 40 (7.5%) CX had a history of learning difficulties (p = 0.03). Compared to CX, TX had lower total YSR competencies score (p = 0.028) and lower total CBCL competencies score (p = 0.003). Twenty-six of 40 (65%) TX, 12 of 20 (60%) CKD and 15 of 40 (37.5%) CX (p = 0.038) met DSM-IV diagnostic criteria for lifetime psychiatric disorder, with rates of depressive disorder of 35% among TX and CKD compared to 15.2% among CX (p = 0.043). Eight of 40 (20%) TX had a history of simple phobia. Nine of 40 (22.5%) TX met diagnostic criteria for ADHD as compared to one of 20 (5%) CKD and three of 40 (7.5%) CX. In the TX group, we found no significant differences in educational and psychiatric variables between LRD and DD. In conclusion, we found a high prevalence of psychiatric morbidity (depression, phobia, ADHD), educational impairment and social competence problems in the TX group. CKD scored in between TX and CX on most measures.

View Full Article (HTML) Get PDF (130K)