CO08 POTENTIAL CELIAC DISEASE IN A LARGE COHORT OF AT-RISK INFANTS: “THE ITALIAN BABY-STUDY ON WEANING AND CD RISK”

2011 
clinical psychological interview, which is then accompanied by standardized tests to complete the diagnosis. Results: The QoL of the patients who underwent the transplant improves in comparison to the pre-transplant stage. However, the anguish related both to the disease and the transplant, leaves a wound that needs to be healed. In this type of patients and in their relatives, the risk of developing a psychopathology, especially mood and anxiety disorders, is extremely high. Nevertheless, there is always a significant impact on both the short and long term development and psychological maturation, for two main reasons. The first: the arising of the chronic disease and the transplant per se are potentially traumatic. Confusion and dismay are the most typical feelings, both for patients and their relatives. This is an indication of a psychological wound that, if not treated, can disrupt the process of elaboration of the experiences connected to the transplant. In addition to that, this wound can cause a distortion in the relationship with the health staff, but also non-adherence to post-transplant treatments and the development of psychopathology. Moreover, the disease, the prolonged treatments, the recurrent checks and the drugs assumed daily after the transplant, can affect the building of the Self-Image. The latter is a particularly critical process in adolescence and therefore, teenagers are hampered in the development of friendships, in the building of affective relationships or in the planning of their future. Conclusion: In the most important international centres of reference, treatments are no longer just aimed at the tissue, organ or apparatus hit by the disease. There is an increasingly widespread trend to offer the person an overall treatment, where “to treat” becomes “to take care of”. In this perspective, the multidisciplinary approach to the patient and the relatives represents the best treatment method, aimed at reaching and keeping a good QoL.
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