Document Detail


Posttraumatic stress disorder in posttransplant children: creating a clinical program to address their needs.
MedLine Citation:
PMID:  16520689     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Posttraumatic stress symptoms have been shown to occur in pediatric and adult solid-organ transplant recipients. The presence of these symptoms is associated with non-adherence to medications, increased distress, and poor outcome. Because posttraumatic stress disorder is treatable and because a transplant operation usually is an "anticipated trauma," it is possible to address posttraumatic stress disorder symptoms in transplant recipients and attempt to prevent their development. Under my direction, the pediatric liver transplant program at Mount Sinai Medical Center in New York City created research and clinical programs to address posttraumatic stress symptoms and their consequences. Specifically, the focus on non-adherence to immunosuppressive medications in transplant recipients who are distressed and their parents. This article begins with a review of the data that led to the decision to start these programs. I then present the basic elements that are in place, in this particular program, to address patients' needs. I end this review with preliminary outcome data that illustrate the potential impact of such an integrated approach to patient care on medical outcomes.
Authors:
Sukru Emre
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  CNS spectrums     Volume:  11     ISSN:  1092-8529     ISO Abbreviation:  CNS Spectr     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-03-07     Completed Date:  2006-05-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9702877     Medline TA:  CNS Spectr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118, 120-6     Citation Subset:  IM    
Affiliation:
Pediatric Liver/Liver Transplantation Program, Department of Pediatrics, Mount Sinai School of Medicine, New York, NY 10029, USA. sukru.emre@msnyuhealth.org
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MeSH Terms
Descriptor/Qualifier:
Child
Humans
Mental Health Services / supply & distribution
Organ Transplantation / psychology*
Program Development*
Psychology
Stress Disorders, Post-Traumatic / etiology*,  psychology,  therapy*
Grant Support
ID/Acronym/Agency:
KO8-MH63755/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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