Transplantation

Evidence suggests that pediatric transplant recipients experience elevated levels of psychosocial problems that can last long after surgery (Rodrigue and Sobel 2003). Patients who have undergone solid organ transplantations can develop symptoms of anxiety as a direct result of their immunosuppressant medications, particularly corticosteroids. They can also experience reactive anxiety symptoms at any point in the treatment course—during the waiting period for transplantation, the immediate postoperative time period, a rejection episode, and/or the transition to home and school. Among pediatric kidney and liver transplant recipients, lower illness-related uncertainty was found to be related to lower levels of anxiety and depression (Maikranz et al.

2007). PTSD in adolescent solid organ transplant recipients is often related to the traumatic aspects of the patient's surgical intensive care treatment, as well as the general sequelae of their illness (Shemesh et al. 2007).

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