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Open Access 01-10-2011 | Original Article

Kidney transplantation in childhood: mental health and quality of life of children and caregivers

Authors: Trond H. Diseth, Trine Tangeraas, Trude Reinfjell, Anna Bjerre

Published in: Pediatric Nephrology | Issue 10/2011

Abstract

Our objective was to assess the mental health and health-related quality of life (HRQOL) in children and their parents after renal transplantation (TX) compared to healthy controls and children with acute lymphoblastic leukemia (ALL) and to identify possible health status variables associated with impaired mental health and HRQOL. Thirty-eight TX children with a median age of 13 (range 3–19) years were investigated. Mental health was assessed by the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales and the Strength and Difficulties Questionnaire (SDQ-20). Each mother’s own mental health and QOL were assessed by the General Health Questionnaire (GHQ-30) and the Quality of Life Scale (QOLS). Forty children with ALL [median age 11 (8.5–15.4) years] and 42 healthy children [median age 11 (8.9– 15) years] served as controls. Treadmill exercise results from 22 of the 38 patients were included in the analysis. TX children showed significantly higher levels of mental health problems and lower HRQOL at 2 to 16 years after transplantation compared to both control groups. Body mass index and maximal oxygen uptake (n = 22/38) were significant predictors of child mental health (SDQ) and child QOL (PedsQL), respectively. Based on these results, we suggest that rehabilitation after TX should include a focus on physical activity and QOL to reduce interconnected physical and psychological morbidity in kidney TX children.

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Title: Kidney transplantation in childhood: mental health and quality of life of children and caregivers
Authors: Trond H. Diseth
Trine Tangeraas
Trude Reinfjell
Anna Bjerre
Publication date: 01-10-2011
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Nephrology / Issue 10/2011
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-011-1887-9

Keynote webinar | Spotlight on medication adherence

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Kidney transplantation in childhood: mental health and quality of life of children and caregivers

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Keynote webinar | Spotlight on medication adherence

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