title: The department of psychology within a pediatric cardiac transplant unit.
abstract: In 1979, the department of Psychology started its activity to provide psychological support to patients and their families during the course of treatment and during the follow-up period. Since 1986, a transplantation program was initiated in the cardiology and pediatric cardiac surgery departments, performing 179 cardiac, 3 heart-kidney, 18 heart-lung 14 both lung, 1 heart-lung-liver, and 1 single lung transplantation. From 1993, to September 2010 the kidney transplant program has performed. 218 cases. Since 2008, we performed (32 liver and 1 intestinal transplantations). We examined the quality of life and coping with transplantation attitudes because there is recent evidence of high levels of family anxiety and depression related to a child's poor response to the disease and compliance. Our work associated post-traumatic stress disorder (PTSD) with anxiety and with these clinical variables: gender pathology, rejection, number of drugs frequency of hospital visits, number of hospitalizations, as well as age at and time from transplantation. We examined 56 parents (25 fathers and 31 mothers) of cardiac transplant recipients. Our most relevant data demonstrated the presence of PTSD among 52% of mothers and 40% of fathers. Significant correlations were observed within the trait of anxiety. No correlations were noted between PTSD and other variables. Testing anxiety levels of parents is considered to be basic to provide psychological support to parents, encourage personal skills, and avoid PTSD symptoms.
authors.affiliation: Pediatric Psychological Unit, Bambino Gesù Pediatric Hospital, Rome, Italy. angela.rossi@opbg.net
authors.forename: A
authors.initials: A
authors.lastname: Rossi
authors.forename: C
authors.initials: C
authors.lastname: De Ranieri
authors.forename: P
authors.initials: P
authors.lastname: Tabarini
authors.forename: V
authors.initials: V
authors.lastname: Di Ciommo
authors.forename: R
authors.initials: R
authors.lastname: Di Donato
authors.forename: G
authors.initials: G
authors.lastname: Biondi
authors.forename: F
authors.initials: F
authors.lastname: Parisi
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D002648:Child; D002652:Child Behavior; D002673:Child, Hospitalized / Q000523:psychology; D002675:Child, Preschool; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D004644:Emotions; D005220:Fathers / Q000523:psychology*; D005260:Female; D016027:Heart Transplantation / Q000523:psychology*; D006801:Humans; D007223:Infant; D007558:Italy; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010372:Pediatrics; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult