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Objective: Renal transplantation is the rescue treatment for End Stage Renal Diseases in all ages. It’s well known that; various factors such as difficulties in daily life arising from chronic renal disease, complications, waiting for a donor and the need for social support cause multiple psychiatric problems with the majority of anxiety and depression, in these patients. The recent studies reported the persistence of anxiety and depression in 25-40% of cases after renal transplantation. We aimed to evaluate the psychiatric profiles of children and teenagers after renal transplantation and detect the variables in this preliminary study.
Methods: The study was consisted of 22 children and teenagers. All patients and parents were acknowledged about the study and only the volunteers were included. Patients having rejected renal graft were excluded from the study. All patients were asked to fill out the socio demographic form, family assessment device (FAD), state-trait anxiety inventory II (STAI-II) and the symptom check list-90-R (Scl90-R). The demographic and clinical data including the donor type, the waiting time for donor, data about immunosuppressive treatment were recorded from the charts of patients. All data were analyzed on SPSS 20.0 statistical program. Correlation coefficients were used to analyze the relationship between standard definitive tests and multiple variables.
Results: A statistically significant increase in the Scl 90 obsession score was found in children of families that are in very low socio economic status. Although the finding of the more immunosuppressive drugs used, the increased scores of FAD, STAI-II and Scl 90-R were found; the only statistically significant relation was seen between the role score of FAD and obsession score of Scl 90. There was statistically difference between depression and anxiety scores of Scl-90 belonged to cases having living related donor. However, in all cases role, attention and behavioral control score of FAD were worse. STAI-II scale score was found moderately high in all cases. There was not any significant correlation between drug usage time, donor type and the other multiple variables. A moderate and high correlation was found between STAI-II and all scores of Scl90 except for anger.
Conclusion: There are few studies in the literature, concerning the Psychiatric Profiles of renal-transplanted children and teenagers and the factors effective on these, especially the importance of family assessment. In this study, we want to emphasize the worse results found in all cases scored for role, attention and behavioral control scale of FAD. Therefore, we vigorously suggest considering the cases in relation with their families during both pre and posting transplant period and following up for Psychiatric problems with the care of their developmental course, even in the post-transplant long-term.