Psychiatric evaluation of children and adolescents with left ventricular assist devices

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dc.contributor.authorOzbaran B.
dc.contributor.authorKose S.
dc.contributor.authorYagdi T.
dc.contributor.authorEngin C.
dc.contributor.authorErermis S.
dc.contributor.authorUysal T.
dc.contributor.authorAyik F.
dc.contributor.authorKarakula S.
dc.contributor.authorUlger Z.
dc.contributor.authorAtay Y.
dc.contributor.authorOzbaran M.
dc.date.accessioned2019-10-26T21:54:44Z
dc.date.available2019-10-26T21:54:44Z
dc.date.issued2012
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives: 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.en_US
dc.identifier.doi10.1097/PSY.0b013e318258853a
dc.identifier.endpage558en_US
dc.identifier.issn0033-3174
dc.identifier.issn0033-3174en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage554en_US
dc.identifier.urihttps://doi.org/10.1097/PSY.0b013e318258853a
dc.identifier.urihttps://hdl.handle.net/11454/18950
dc.identifier.volume74en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofPsychosomatic Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadolescentsen_US
dc.subjectanxietyen_US
dc.subjectchildrenen_US
dc.subjectdepressionen_US
dc.subjectheart transplantationen_US
dc.subjectventricular assist deviceen_US
dc.titlePsychiatric evaluation of children and adolescents with left ventricular assist devicesen_US
dc.typeArticleen_US

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