TY - JOUR
T1 - The influence of clinical variables on the psychological adaptation of adolescents after solid organ transplantation
AU - de Castro, Elisa Kern
AU - Jiménez, Bernardo Moreno
N1 - Funding Information:
Acknowledgments The research reported in this article was supported by Coordenac¸ão de Aperfeic¸oamento de Pessoal de Nível Superior—CAPES/Brazil, by a Ph.D. scholarship for the first author. The authors wish to thank the Nephrology Pediatric Team and the Cardiology Pediatric Team at Gregorio Marañon Hospital, the Hepatology Pediatric Team at La Paz Hospital and the Gastroenterology Pediatric Team at the Doce de Octubre Hospital in Madrid, for their assistance in the recruitment of the patients.
PY - 2008/6
Y1 - 2008/6
N2 - This study assessed the influence of clinical and socio-demographic variables on the psychological adaptation of transplanted adolescents. Twenty-six transplanted adolescents and 25 healthy adolescents, aged 13-17, and their parents participated in the study. The following domains were measured: social competence, emotional/behavioral problems, self-concept, self-esteem and subjective well-being. The findings revealed that transplanted boys presented significantly less social competence (U = 26,000, p < .05) and more externalizing problems (U = 25,000, p < .05), social problems (U = 25,000, p < .05) and attention problems (U = 17,500, p < .01) than healthy boys. In contrast, transplanted girls displayed significantly more internalizing problems (U = 47,000, p < .05) and lower physical self-concept (U = 49,500, p < .05) than healthy girls. Hierarchical regression analysis showed clinical variables, especially waiting-list time, significantly predicted attention problems (β = .364, p < .05) and negative affect (β = .632, p < .05) in transplanted adolescents. Also, male (β = -0.554, p < .01) and younger (β = -0.444, p < .01) transplanted adolescents were at risk for attention problems. Our data suggest the importance of the waiting-list time for transplanted adolescents. Efforts to reduce the pretransplant phase would help adolescents achieve better psychological adaptation at long-term posttransplant.
AB - This study assessed the influence of clinical and socio-demographic variables on the psychological adaptation of transplanted adolescents. Twenty-six transplanted adolescents and 25 healthy adolescents, aged 13-17, and their parents participated in the study. The following domains were measured: social competence, emotional/behavioral problems, self-concept, self-esteem and subjective well-being. The findings revealed that transplanted boys presented significantly less social competence (U = 26,000, p < .05) and more externalizing problems (U = 25,000, p < .05), social problems (U = 25,000, p < .05) and attention problems (U = 17,500, p < .01) than healthy boys. In contrast, transplanted girls displayed significantly more internalizing problems (U = 47,000, p < .05) and lower physical self-concept (U = 49,500, p < .05) than healthy girls. Hierarchical regression analysis showed clinical variables, especially waiting-list time, significantly predicted attention problems (β = .364, p < .05) and negative affect (β = .632, p < .05) in transplanted adolescents. Also, male (β = -0.554, p < .01) and younger (β = -0.444, p < .01) transplanted adolescents were at risk for attention problems. Our data suggest the importance of the waiting-list time for transplanted adolescents. Efforts to reduce the pretransplant phase would help adolescents achieve better psychological adaptation at long-term posttransplant.
KW - Adolescents
KW - Organ transplantation
KW - Psychological adaptation
KW - Social competence
UR - https://www.scopus.com/pages/publications/45449100901
U2 - 10.1007/s10880-008-9114-y
DO - 10.1007/s10880-008-9114-y
M3 - Article
C2 - 19104980
AN - SCOPUS:45449100901
SN - 1068-9583
VL - 15
SP - 154
EP - 162
JO - Journal of Clinical Psychology in Medical Settings
JF - Journal of Clinical Psychology in Medical Settings
IS - 2
ER -