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Unveiling the Psychosocial Impact: Pediatric Organ Transplantation and Posttraumatic Stress Disorders: A Systematic
Tuğçe Uçgun1, Ebru Akgün Çıtak
1From the Psychiatric and Mental Health Nursing Department, Başkent University Faculty of Health Sciences, Ankara, Turkey.
Insights
Pediatric organ transplant recipients frequently experience posttraumatic stress disorder (PTSD). Early recognition and integrated mental health care are vital for improving the psychosocial well-being of these young patients.
Area of Science:
- Pediatric medicine
- Transplantation immunology
- Psychiatry
Background:
- Pediatric organ transplantation presents unique psychosocial challenges for recipients.
- Posttraumatic stress disorder (PTSD) is a significant concern impacting the mental health of young transplant patients.
- Understanding the prevalence and effects of PTSD is crucial for holistic care.
Approach:
- A systematic review was performed using major electronic databases (PubMed, Scopus, etc.).
- Keywords included "pediatric organ transplantation" (kidney, liver, heart) and "posttraumatic stress disorders."
- Descriptive studies examining the association between PTSD and pediatric organ transplant recipients were included.
Key Points:
- The review included 5 articles from an initial search of 267.
- Posttraumatic stress disorder (PTSD) is notably more prevalent in pediatric organ transplant recipients.
- Reported rates of low-level PTSD ranged from 9.2% to 85.2%, and high-level PTSD from 13.1% to 22.6%.
Conclusions:
- There is a critical need to acknowledge and manage the psychosocial impacts of pediatric organ transplantation, particularly PTSD.
- Integrating comprehensive mental health support into the transplant process is essential for recipients' overall well-being.
- Nurses play a key role in addressing emotional dimensions, fostering psychological resilience, and ensuring holistic recovery.
Objectives:
This systematic review delves into the intricate relationship between pediatric organ transplantation and posttraumatic stress disorder, shedding light on interventions crucial for addressing the psychosocial well-being of young transplant recipients. This review of the multifaceted nature of posttraumatic stress disorder in the context of pediatric transplantation examined the effects of transplant on the mental health of recipients. We aimed to review studies on posttraumatic stress disorder among pediatric patients who have had or were waiting for organ transplant and to systematically analyze the results of these studies.
Materials And Methods:
This systematic review was conducted by retrospectively searching PubMed, Scopus, ScienceDirect, Web of Science, and Cochrane electronic databases using the keywords "pediatric kidney transplantation," or "pediatric liver transplantation," or "pediatric heart transplantation," and "posttraumatic stress disorders." Descriptive studies were included if they met the association between posttraumatic stress disorder and pediatric organ transplant recipients.
Results:
From 267 articles, 5 articles were included in the systematic review. Posttraumatic stress disorder was shown to be more common in pediatric transplant recipients. Rate of low-level posttraumatic stress disorder ranged from 9.2% to 85.2%, whereas rate of high-level posttraumatic stress disorder ranged from 13.1% to 22.6%.
Conclusions:
This review highlighted the imperative need to recognize and address the psychosocial effects of pediatric organ transplantation, with a specific focus on posttraumatic stress disorder. By incorporating comprehensive mental health care into the transplant journey, psychiatric nurses can contribute to the overall well-being of young recipients and their families, ensuring that the transformative power of organ transplant extends beyond mere physical survival to encompass psychological resilience and recovery. By acknowledging and addressing the emotional dimensions of the transplant journey, nurses can contribute to the well-being of recipients, ensuring a more holistic and resilient recovery.
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