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Psychiatric Evaluation of Children and Adolescents With Left Ventricular Assist Devices

Bibliographic Data

ID19306106
AuthorsBurcu Özbaran (0000-0002-4938-4346, Ege University, corresponding author), Sezen Kose (0000-0001-6631-9549), Tahir Yagdi, Tahir Yağdı (0000-0001-6282-2489), Cagatay Engin (0000-0003-4025-7874), Serpil Erermis (0000-0001-6242-7876), Taciser Uysal, Fatih Ayik, Sultan Karakula, Zulal Ulger (0000-0003-4708-0442), Yuksel Atay (0000-0002-5717-0057), Mustafa Ozbaran (0000-0003-0259-0799, corresponding author)
Year2012
Volume74
Issue5
Pages554-558
Publication date2012-06-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0b013e318258853a
PMID22685244
OpenAlexW2330814883
LanguageEN
Citations received2
References cited23

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 device K-SADS = Kiddie Schedule for Affective Disorders and Schizophrenia CBCL = Child Behavior Checklist BDI = Beck Depression Inventory CDI = Children’s Depression Inventory STAI-C = State-Trait Anxiety Inventory for Children MDD = major depressive disorder AD = adjustment disorder PE.I = initial psychiatric evaluation PE.II = second psychiatric evaluation

Adjustment disorders · Anxiety · Beck Depression Inventory · Checklist · Depression (economics) · Heart failure · Psychiatric interview · Psychiatry · Schedule for Affective Disorders and Schizophrenia · Ventricular assist device · Congenital Heart Disease Studies · Internal Medicine · Mechanical Circulatory Support Devices · Medicine · Psychology · Surgery · Transplantation · Transplantation: Methods and Outcomes

  • ‘A new normal’? Ventricular Assist Device implantation and subsequent heart transplant in children and adolescents

    Open Access•Lisa Crowe, Emma Simpson et al.•SSM - Qualitative Research in…•2022

  • The Ventricular Assist Device in the Life of the Child

    Open Access•M Van Manen, Michael A Van Manen•Qualitative Health Research•2017

  • Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-Sads-PL)

    Open Access•Joan Kaufman, Boris Birmaher et al.•Journal of the American Academy…•1997

  • Effect of cardiac or heart-lung transplantation on the quality of life of the paediatric patient

    Open Access•Jo Wray, R Radley-Smith et al.•Quality of Life Research•1992

Citations per year0.22
Citation span2017 - 2022 (6)
Highly citedNo

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