{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T16:07:26Z","timestamp":1782317246356,"version":"3.54.5"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While pediatric liver transplantation has markedly improved long\u2010term survival, adult outcomes remain insufficiently explored beyond graft function, particularly regarding mental health and disease understanding\u2212key dimensions of meaningful survival. To this aim, we evaluated psychosocial, behavioral, and lifestyle outcomes of adults who received a liver transplant during childhood, using validated tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty adult patients transplanted before 18\u2009years of age at Cliniques Universitaires Saint\u2010Luc completed an anonymous online questionnaire including measures of anxiety (STAI\u2010Trait), depression (BDI\u2010SF), and alcohol use (AUDIT), as well as questions on lifestyle, treatment adherence, and disease knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results showed that clinically relevant anxiety and depressive symptoms were reported in 49% and 33% of respondents, respectively. Problematic alcohol use was found in 8% of participants, and 24% reported never receiving medical counseling about alcohol risks. Only 31% could correctly explain the pathophysiology of their liver disease, and 36% were unaware of its transmissible genetic nature. Despite these challenges, 76% were professionally or academically active.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings highlight the persistence of high psychological distress and limited disease understanding into adulthood, supporting the integration of mental health screening and patient education into long\u2010term post\u2010transplant care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70324","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:45:14Z","timestamp":1777895114000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Epidemiological and Psychosocial Outcomes of Liver Graft Recipients Transplanted During Childhood"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0509-6702","authenticated-orcid":false,"given":"Clara","family":"Gautier","sequence":"first","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology Division Cliniques Universitaires Saint\u2010Luc, UCLouvain, ERN Transplantchild, ERN Rare Liver  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8493-7586","authenticated-orcid":false,"given":"Mado","family":"Gautier","sequence":"additional","affiliation":[{"name":"Louvain Experimental Psychopathology Research Group (LEP) Psychological Science Research Institute (IPSY), UCLouvain  Louvain\u2010la\u2010Neuve Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Almeida","family":"Sousa","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology Division Cliniques Universitaires Saint\u2010Luc, UCLouvain, ERN 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