Psychological profile of adolescents with a kidney transplant

Sylvie Berney-Martinet, Fiona Key, Lorraine Bell, Suzanne Lépine, Marie José Clermont, Eric Fombonne

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

To describe the psychological profile of renal transplant adolescents compared to healthy peers and to adolescents with CKD, three groups of adolescents aged 12-18 yr were selected: TX, CX, and adolescents with CKD. Psychiatric symptoms and disorders were evaluated through direct interviews (K-SADS-PL) and self-report questionnaires (YSR and CBCL). Forty TX (14 LRD and 26 DD transplant recipients), 40 CX and 20 CKD were included. Twelve of 40 (30%) TX, three of 20 (15%) CKD, and three of 40 (7.5%) CX had a history of learning difficulties (p = 0.03). Compared to CX, TX had lower total YSR competencies score (p = 0.028) and lower total CBCL competencies score (p = 0.003). Twenty-six of 40 (65%) TX, 12 of 20 (60%) CKD and 15 of 40 (37.5%) CX (p = 0.038) met DSM-IV diagnostic criteria for lifetime psychiatric disorder, with rates of depressive disorder of 35% among TX and CKD compared to 15.2% among CX (p = 0.043). Eight of 40 (20%) TX had a history of simple phobia. Nine of 40 (22.5%) TX met diagnostic criteria for ADHD as compared to one of 20 (5%) CKD and three of 40 (7.5%) CX. In the TX group, we found no significant differences in educational and psychiatric variables between LRD and DD. In conclusion, we found a high prevalence of psychiatric morbidity (depression, phobia, ADHD), educational impairment and social competence problems in the TX group. CKD scored in between TX and CX on most measures.

Original languageEnglish (US)
Pages (from-to)701-710
Number of pages10
JournalPediatric transplantation
Volume13
Issue number6
DOIs
StatePublished - Sep 2009
Externally publishedYes

Keywords

  • ADHD
  • Adolescents
  • Depression
  • Kidney transplantation
  • Learning difficulty
  • Psychiatry
  • Renal insufficiency

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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