Parental functioning improves the developmental quotient of pediatric liver transplant recipients

Article Article scientifique Article Parental functioning improves the developmental quotient of pediatric liver transplant recipients eng 2013 author Posfay Barbe Klara 39230 author Barbe Remy 527289 author Wetterwald Renata 25747 author Belli Dominique Charles 26369 author Mclin Valérie Anne 799651 355-361 10.1111/petr.12080 23586400 1397-3142 Psychomotor development in pediatric liver transplant (LT) recipients depends on several factors. Our aim was to evaluate the importance of parental involvement and family dynamics on psychomotor development by assessing (i) children and parents individually, (ii) the parent-child relationship, and (iii) the correlation between parental functioning and patient outcome, all before and after LT. Age-appropriate scales were used before and after LT. Twenty-one patients, 19 mothers, and 16 fathers were evaluated. Developmental quotient (DQ): No subjects scored in the "very good" range. The proportion of children with deficits increased from LT to two yr: 17.6% vs. 28.6%. Subjects 0-2 yr were more likely to have normal DQ at transplant (66.7% vs. 50% for older children). Abnormal DQ was more prevalent two yr post-LT in children older at LT (p = 0.02). The mother-child relationship was normal in 59% of families pre-LT and in 67% at two yr. The relationship was more favorable when the child received a transplant as an infant (p = 0.014 at 12 months post-LT). Normal DQ was associated with higher maternal global functioning score pre-LT (p = 0.03). Paternal performance scores were higher than maternal scores. Children transplanted after two yr of age suffer greater long-term deficits than those transplanted as infants. Age Factors Child Child Development Child, Preschool Developmental Disabilities/etiology Female Humans Infant Intelligence Tests Liver Failure/complications/therapy Liver Transplantation Male Mother-Child Relations Mothers/psychology Motor Skills Neuropsychological Tests Parents/psychology Treatment Outcome Dewey 616.89 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 60 Département de psychiatrie 225 false 559 Pathologies hépatiques congénitales et acquises de l'enfant 900 147 Gastroentérologie et transplantation (pédiatrie) 181 521 Groupe Ansermet François (psychiatrie) 861 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 Pediatric transplantation 17 4 5b6c57de-c904-4880-9fb3-80c391c3b09b Article (Published version) Restricted 355-361.pdf 173091 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département de psychiatrie

Title	Published in	Year	Views	Downloads

Parental functioning improves the developmental quotient of pediatric liver transplant recipients	Pediatric transplantation	2013	658	1
Psychological evaluation of young women after medical treatment for central precocious puberty	Hormone research in paediatrics	2001	558	0

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Wetterwald, Renata