Department of Child and Adolescent Psychiatry, Ministry of Health Ankara City Hospital, Ankara, Turkey.
Department of Child and Adolescent Psychiatry, Tepecik Training and Research Hospital, Izmir, Turkey.
Artif Organs. 2021 Apr;45(4):354-363. doi: 10.1111/aor.13839. Epub 2020 Nov 21.
Our aim was to investigate whether there is an association between caregivers' coping and children's psychiatric symptoms and quality of life in adolescent heart transplant (HTx) recipients and HTx candidates with left ventricular assist device (LVAD). Fourteen patients were recruited for this pilot study (HTx (n = 8), LVAD (n = 6)). Schedule for Affective Disorders and Schizophrenia for School Aged Children, Present and Lifetime Version (K-SADS) was administered to detect the psychiatric diagnosis of patients. Children's Depression Inventory (CDI), State-Trait Anxiety Inventory, and Pediatric Quality of Life Inventory (PedsQL) were completed by adolescents; Brief Coping Styles Inventory by their caregivers. Six of the participants had an internalizing disorder. Optimistic coping strategy score was significantly higher in the caregivers of adolescents without an internalizing disorder than caregivers of those with an internalizing disorder (U = 2.500, P = .005). Utilizing Spearman's correlation, caregivers' optimistic approach (rho = -0.736, P = .004), and self-confident approach (rho = -0.634, P = .020) had significant negative correlations with children's CDI scores. Moreover, caregivers' optimistic approach score had a significant positive correlation with children's PedsQL score (rho = 0.563, P = .045). According to our preliminary results, it seems that caregivers' optimistic and self-confident coping strategies may be associated with fewer internalizing symptoms and a better quality of life in adolescents in the HTx process. A future multicentered longitudinal study will be planned to assess the effect of caregivers' coping strategies on the psychological adjustment of these children.
我们旨在研究青少年心脏移植（HTx）受者和左心室辅助装置（LVAD）HTx 候选者的照顾者应对方式与儿童精神症状和生活质量之间是否存在关联。本研究纳入了 14 名患者（HTx（n=8），LVAD（n=6））。采用儿童心境障碍和精神分裂症诊断性检查量表（K-SADS）评估患者的精神科诊断。青少年填写儿童抑郁量表（CDI）、状态特质焦虑量表（STAI）和儿童生活质量量表（PedsQL）；照顾者填写简明应对方式问卷。6 名参与者存在内化障碍。无内化障碍青少年的照顾者乐观应对策略评分明显高于有内化障碍青少年（U=2.500，P=0.005）。利用 Spearman 相关分析，照顾者的乐观应对方式（rho=-0.736，P=0.004）和自信应对方式（rho=-0.634，P=0.020）与儿童 CDI 评分呈显著负相关。此外，照顾者的乐观应对方式评分与儿童 PedsQL 评分呈显著正相关（rho=0.563，P=0.045）。根据我们的初步结果，照顾者的乐观和自信应对策略似乎与 HTx 过程中青少年内化症状较少和生活质量较高有关。未来将计划开展多中心纵向研究，以评估照顾者应对策略对这些儿童心理适应的影响。
