Post-traumatic stress responses following liver transplantation in older children
| Autor: | Alastair Baker, Judith M. Houghton, Anne Marie Walker, Deirdre Kelly, Gillian Harris |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Longitudinal study Adolescent medicine.medical_treatment Pilot Projects Dissociative Disorders Liver transplantation Anxiety Life Change Events Stress Disorders Post-Traumatic Internal medicine Developmental and Educational Psychology medicine Humans Affective Symptoms Survivors Child Analysis of Variance business.industry Depression Case-control study Traumatic stress medicine.disease Liver Transplantation Transplantation Psychiatry and Mental health Case-Control Studies Surgical Procedures Operative Pediatrics Perinatology and Child Health Chronic Disease Physical therapy Female Analysis of variance medicine.symptom business Anxiety disorder Follow-Up Studies |
| Zdroj: | Journal of child psychology and psychiatry, and allied disciplines. 40(3) |
| ISSN: | 0021-9630 |
| Popis: | Eighteen children aged between 7 and 16 years who had undergone a liver transplantation were interviewed using the Child Post-Traumatic Stress Reaction Index (CPTS-RI) to discover if they had post-traumatic stress symptoms. A case control design was used to define which factors were important for the development of post-traumatic stress. Results of a one-way analysis of variance (ANOVA), with post-traumatic stress symptom intensity as measured on the CPTS-RI as the dependent variable, revealed a significant difference between the liver transplantation group compared with children who had a chronic life-threatening illness or had undergone a routine surgical operation. A post hoc (Tukey's HSD test) statistical analysis was performed and significance at the .05 level was found between the liver transplantation group and both the chronic illness group and the routine surgical operation group. Our results indicate that the acute life-threat involved in the liver transplantation contributed to the development of post-traumatic stress. It was thought that dissociation may be important in preventing the resolution of the trauma. Additional investigations are needed with larger numbers in a longitudinal study beginning before the transplant to determine the course of the PTSD symptoms and the appropriate timing of interventions to reduce the harmful effects of these symptoms. |
| Databáze: | OpenAIRE |
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