الفهرس 
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Abstract
Pediatric organ transplantation spreads widely nowadays, therefore its psychiatric aspects take a great share, affecting the quality of life for children, donors and their families, so the aim of this study is to illustrate if there is a relation between the type of the transplanted organ and the psychiatric manifestations that may occur either in children recipients or donors, to outline the psychosocial profile of the children who are more vulnerable to develop post-transplantation psychiatric disorders, and to clarify the methods of assessment and intervention that can be applied to the recipient child pre- and post-transplantation.
The effect of long uncertain wait for a donor organ included marked decline in functional capacity, and the more anxiety.
Waiting process differentiates heart transplant candidates from other solid organ transplant recipients, who are generally able to wait at home, while heart ones need for intensive cardiac support, can compound the stress of the heart transplant process.
Early behavioural observations, noncompliant and aggressive behavior, anger, anxiety, blame, guilt, adjustment disorders, depression and delirium may occur as a result of medical complications, and higher incidence of suicide occurs more than in either the general population or those with other chronic medical conditions. Prevalence rates of psychiatric disorders among Orthotropic Liver Transplantation (OLT) candidates vary from 15% to 50%, these symptoms affect the quality of life (can be assessed by MCS), the compliance to therapies, as well as mortality and graft rejection rates.
The children and their families learn how to deal with the new events after transplantation, which limit their activities with friends, family and at school which were seen as major obstacles to quality of life by pediatric transplant recipients.
Growth retardation is one of the common consequences of organ transplantation in some children, with the short stature results in negative social experiences. Also intelligence level have consistently been shown to reside in the low-normal range, in either renal, liver, heart transplants, requiring mainstream school program for the lower school performance including lower adaptive/ behavioral concerns that include depression and attention problems.
Children are exposed to pre-transplant psychiatric complications, during the long uncertain waiting period which may be indoors or outdoors. Some of these issues are in the form of anger, anxiety, depression, impaired cognitive functions and others which differ according to the transplanted organs.
Children who were informed by the psychiatrist about their diagnosis directly and at an early stage were better adjusted than those who were not told or who acquired the information through indirect channels such as by overhearing.
The first year post-transplant is often difficult. Children and parents learn that they have traded a life-threatening management for a chronic condition, which requires daily medications, regular doctor visits, and care regarding exposure to infectious disease. These factors may increase the risk for psychological stresses.