Psychiatric evaluation of children and adolescents with left ventricular assist devices
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams and Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives: To evaluate the psychiatric symptoms of children equipped with a ventricular assist device (VAD) and follow them up for 6 months. With the shortage of donor hearts available for the treatment of end-stage heart failure, VADs have been used to provide temporary treatment until a heart becomes available. VADs provide external sources of power for mechanical circulatory support and are capable of sustaining life over weeks and months. This study provides preliminary details about the psychiatric symptoms and disorders of the first eight children equipped with a VAD in Turkey. Methods: Eight pediatric patients who recently underwent VAD implantation, aged 1 to 16 years, were evaluated using the Kiddie Schedule for Affective Disorders and Schizophrenia, Child Behavior Checklist, Children's Depression Inventory, Beck Depression Inventory, and State-Trait Anxiety Inventory for Children and followed up for 6 months. Results: In the first evaluation, five participants had a psychiatric disorder diagnosis. Two patients had adjustment disorder with depressive and anxiety symptoms; one had anxiety disorder, not otherwise specified; and two had major depressive disorder. The anxiety and depressive symptom levels in questionnaires were consistent with psychiatric diagnoses. Two patients had heart transplantation during the follow-up period. Conclusions: To determine and treat psychiatric symptoms and disorders at an earlier stage, it is important for children and adolescents with a VAD and those who have undergone heart transplantation to be evaluated by a multidisciplinary consultation liaison team including psychiatrists, psychologists, consultant nurses, and counselors. Abbreviations: VAD = ventricular assist deviceK-SADS = Kiddie Schedule for Affective Disorders and SchizophreniaCBCL = Child Behavior ChecklistBDI = Beck Depression InventoryCDI = Children's Depression InventorySTAI-C = State-Trait Anxiety Inventory for ChildrenMDD = major depressive disorderAD = adjustment disorderPE.I = initial psychiatric evaluationPE.II = second psychiatric evaluation © 2012 by the American Psychosomatic Society.
Açıklama
Anahtar Kelimeler
adolescents, anxiety, children, depression, heart transplantation, ventricular assist device
Kaynak
Psychosomatic Medicine
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
74
Sayı
5
