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Ital J Pediatr. 2012 Aug 10;38:37. doi: 10.1186/1824-7288-38-37.

Psycho-social outcome in liver transplanted children: beware of emotional self-assessment!

Author information

1
Division of Pediatric Surgery, Department of Pediatrics, University Children's Hospital of Geneva, Geneva, Switzerland.

Abstract

BACKGROUND:

Psycho-social outcome in children after liver transplantation (LT) is known to be inferior to age-related peers. Yet, when children and their parents are questioned by their nurse or physician about the child's psycho-social well-being, the answers usually are very positive. We hypothesized that patients and their parents after LT report their psycho-social well-being too enthusiastically when enquired by their personal care takers.

METHODS:

INCLUSION CRITERIA:

LT at the Children's University Hospital of Geneva 1992-2007, age >3 years, <16 years, time after LT >2 years. Children and their parents were questioned by their well-known, familiar nurse at the annual follow up visit about their personal well-being. To allow for evaluation of answers, scores (good, medium, bad) were attributed to the different questions. 46 children were included in the study.

RESULTS:

Mean age at enquiry was 9.7 years (SD 4 years), mean time after LT was 7.5 years (SD 4.2 years). The different themes were reported as good for: parent-child relationship (83%), relationship with peers (98%), relation with siblings (39%), sport activities (54%), play activities (78%), school performance (87%), expression skills (67%), and general behavior (89%).

CONCLUSION:

Most of our LT children and their parents consider, during a personal interview with a closely related, familiar nurse, that the child's psycho-social outcome is good. Yet, it is generally acknowledged that children after LT have negatively altered psycho-social outcomes. Thus, emotionally influenced reports about psycho-social outcome in children after LT must be looked at with care.

PMID:
22883139
PMCID:
PMC3462715
DOI:
10.1186/1824-7288-38-37
[Indexed for MEDLINE]
Free PMC Article
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