Health-Related Quality of Life and Perceived Need for Mental Health Services in Adolescent Solid Organ Transplant Recipients

  • Bonney Reed-Knight
  • Kristin A. Loiselle
  • Katie A. Devine
  • Laura E. Simons
  • Laura L. Mee
  • Ronald L. Blount
Article

Abstract

The purpose of the current investigation was to assess interest in mental health services among parents of adolescent solid organ transplant recipients and the relationship between parent perceived need for mental health services and patient health-related quality of life (HRQOL). Sixty-three parents rated interest in receiving 10 mental health services, and patient HRQOL ratings were gathered from adolescent transplant recipients and their parents. Ninety-four percent of parents expressed some level of interest in at least one of the proposed services, with over 40 % indicating maximum interest. Parents’ perceived need for mental health services was inversely related to adolescent and parent reports of HRQOL on the behavior, mental health, family cohesion, and parental impact-emotional domains. Results suggest that parents of adolescent solid organ transplant recipients are interested in receiving mental health services for their families. Assessment of need for mental health services and HRQOL may inform the medical team of families requiring intervention.

Keywords

Health-related quality of life Pediatric transplantation Adolescent Mental health Intervention 

Notes

Acknowledgments

This study was supported by the Transplant Services Research Fund at Children’s Healthcare of Atlanta, Atlanta, GA.

References

  1. Alonso, E. M., Limbers, C. A., Neighbors, K., Martz, K., Bucuvalas, J. C., Webb, T., et al. (2010). Cross-sectional analysis of health-related quality of life in pediatric liver transplant recipients. Journal of Pediatrics, 156, 270–276.PubMedCrossRefGoogle Scholar
  2. Bell, L. E., Bartosh, S. M., Davis, C. L., Dobbels, F., Al Uzri, A., Lotstein, D., et al. (2008). Adolescent transition to adult care in solid organ transplantation: A consensus conference report. American Journal of Transplantation, 8, 2230–2242.PubMedCrossRefGoogle Scholar
  3. Bucuvalas, J. C., Britto, M., Krug, S., Ryckman, F. C., Atherton, H., Alonso, M. P., et al. (2003). Health related quality of life in pediatric liver transplant recipients: A single center study. Liver Transplantation, 9, 62–71.PubMedCrossRefGoogle Scholar
  4. Cruz, I., Marciel, K. K., Quittner, A. L., & Schechter, M. S. (2009). Anxiety and depression in cystic fibrosis. Seminars in Respiratory and Critical Care Medicine, 30, 569–578.PubMedCrossRefGoogle Scholar
  5. De Civita, M., Regier, D., Alamgir, A. H., Anis, A. H., FitzGerald, M. J., & Marra, C. A. (2005). Evaluating health-related quality-of-life studies in paediatric populations: Some conceptual, methodological and developmental considerations and recent applications. Pharmacoeconomics, 23, 659–685.PubMedCrossRefGoogle Scholar
  6. Department of Health and Human Services Health Resources and Services Administration Healthcare Systems Bureau, Division of Transplantation (2009). 2009 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: Transplant Data 19942006. Rockville, MD.Google Scholar
  7. Devine, K. A., Reed-Knight, B., Loiselle, K. A., Simons, L. E., Mee, L. L., & Blount, R. L. (2011). Predictors of long-term health-related quality of life in adolescent solid organ transplant recipients. Journal of Pediatric Psychology, 36, 891–901.PubMedCrossRefGoogle Scholar
  8. Devine, K. A., Reed-Knight, B., Simons, L. E., Mee, L. L., & Blount, R. L. (2010). Prospective comparison of parent and adolescent report of health related quality of life in adolescent solid organ transplant recipients. Pediatric Transplantation, 14, 1000–1006.PubMedCrossRefGoogle Scholar
  9. Fredericks, E. M., Dore Stites, D., Well, A., Magee, J. C., Freed, G. L., Shieck, V., et al. (2010). Assessment of transition readiness skills and adherence in pediatric liver transplant recipients. Pediatric Transplantation, 14, 944–953.PubMedCrossRefGoogle Scholar
  10. Fredericks, E. M., Lopez, M. J., Magee, J. C., Shieck, V., & Opipari-Arrigan, L. (2007). Psychological functioning, nonadherence and health outcomes after pediatric liver transplantation. American Journal of Transplantation, 7, 1974–1983.PubMedCrossRefGoogle Scholar
  11. Fredericks, E. M., Magee, J. C., Opipari Arrigan, L., Shieck, V., Well, A., & Lopez, M. J. (2008). Adherence and health related quality of life in adolescent liver transplant recipients. Pediatric Transplantation, 12, 289–299.PubMedCrossRefGoogle Scholar
  12. Gilleland, J., Amaral, S., Mee, L. L., & Blount, R. L. (2011). Getting ready to leave: Transition readiness in adolescent kidney recipients. Journal of Pediatric Psychology, 37, 85–96.PubMedCrossRefGoogle Scholar
  13. Hassan, K., Loar, R., Anderson, B. J., & Heptulla, R. A. (2006). The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus. Journal of Pediatrics, 149, 526–531.PubMedCrossRefGoogle Scholar
  14. Ireys, H. T., & Silver, E. J. (1996). Perception of the impact of a child’s chronic illness: Does it predict maternal mental health? Journal of Developmental and Behavioral Pediatrics, 17, 77–83.PubMedCrossRefGoogle Scholar
  15. Kazak, A. E. (2006). Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine. Families, Systems, and Health, 24, 381.CrossRefGoogle Scholar
  16. Landgraf, J. M., Abetz, L., & Ware, J. E. (1999). The CHQ user’s manual (2nd ed.). Boston: HealthAct.Google Scholar
  17. Palermo, T. M., Long, A. C., Lewandowski, A. S., Drotar, D., Quittner, A. L., & Walker, L. S. (2008). Evidence-based assessment of health-related quality of life and functional impairment in pediatric psychology. Journal of Pediatric Psychology, 33, 983.PubMedCrossRefGoogle Scholar
  18. Simons, L. E., Anglin, G., Warshaw, B. L., Mahle, W. T., Vincent, R. N., & Blount, R. L. (2008). Understanding the pathway between the transplant experience and health related quality of life outcomes in adolescents. Pediatric Transplantation, 12, 187–193.PubMedCrossRefGoogle Scholar
  19. Sundaram, S. S., Landgraf, J. M., Neighbors, K., Cohn, R. A., & Alonso, E. M. (2007). Adolescent health related quality of life following liver and kidney transplantation. American Journal of Transplantation, 7, 982–989.PubMedCrossRefGoogle Scholar
  20. Wallander, J. L., & Varni, J. W. (1998). Effects of pediatric chronic physical disorders on child and family adjustment. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 29–46.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Bonney Reed-Knight
    • 1
  • Kristin A. Loiselle
    • 1
  • Katie A. Devine
    • 2
  • Laura E. Simons
    • 3
    • 4
  • Laura L. Mee
    • 5
  • Ronald L. Blount
    • 1
  1. 1.Department of PsychologyUniversity of GeorgiaAthensUSA
  2. 2.Department of Radiation OncologyUniversity of Rochester Medical CenterRochesterUSA
  3. 3.Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain MedicineChildren’s Hospital BostonBostonUSA
  4. 4.Department of PsychiatryHarvard Medical SchoolBostonUSA
  5. 5.Department of PsychiatryEmory UniversityAtlantaUSA

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