Emotional adaptation in children after liver transplantation

Dora Windsorová, Sunita M. Stewart, Robert Lovitt, David A. Waller, Walter S. Andrews

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The emotional adaptation of 25 children who had undergone successful liver transplantation at least 1 year previously was evaluated and compared with that of a control group of 26 children with diabetes mellitus, matched for age, gender, and socioeconomic status, and with reported normative values. With the use of parent- and self-report measures, emotional adaptation was assessed in terms of behavioral adjustment (Child Behavior Checklist), depressive experiences (Children's Depression Inventory), anxiety (State-Trait Anxiety Inventory for Children), and self-concept (Piers-Harris Children's Self-concept Scale). Similar variables were also assessed by a projective personality measure (Rorschach). We found minimal differences in emotional adjustment between liver transplant and diabetic groups; on self-report measures, the adjustment of those with liver transplants was as good as, or better than, that of normative samples. However, on other tests, children with transplants differed from normative samples. On projective measures, liver transplant recipients had an increased number of depressive experiences, situationally related internal distress, and a greater tendency toward negative self-focus and evaluation. We conclude that in pediatric liver transplant recipients, behavioral and emotional adjustment is as good as in children with another chronic illness; in comparison with physically well children, the transplant recipients have subtle signs of emotional difficulties.

Original languageEnglish (US)
Pages (from-to)880-887
Number of pages8
JournalThe Journal of Pediatrics
Volume119
Issue number6
DOIs
StatePublished - 1991

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Liver Transplantation
Social Adjustment
Liver
Transplants
Self Concept
Self Report
Anxiety
Equipment and Supplies
Diagnostic Self Evaluation
Emotional Adjustment
Child Behavior
Checklist
Social Class
Personality
Diabetes Mellitus
Chronic Disease
Depression
Pediatrics
Control Groups
Transplant Recipients

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Emotional adaptation in children after liver transplantation. / Windsorová, Dora; Stewart, Sunita M.; Lovitt, Robert; Waller, David A.; Andrews, Walter S.

In: The Journal of Pediatrics, Vol. 119, No. 6, 1991, p. 880-887.

Research output: Contribution to journalArticle

Windsorová, Dora ; Stewart, Sunita M. ; Lovitt, Robert ; Waller, David A. ; Andrews, Walter S. / Emotional adaptation in children after liver transplantation. In: The Journal of Pediatrics. 1991 ; Vol. 119, No. 6. pp. 880-887.
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