One health (Amsterdam, Netherlands) · 2026
Pet ownership and parent-reported mental health in pediatric transplantation. A cross-sectional study from the European reference network Transplantchild. The pink study.
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Simón María, Fernández-Jiménez Eduardo, García-Sánchez Paula, Rubik Jacek, Canalejo-Gonzalez David, Lacaille Florence, Bergamo Chiara, Hugo-Martin Vitor, Benetti Elisa, Bermúdez Alba, Gonzalez-Vicent Marta, Costa Teresa, Sevilla Paula, Simó-Nebot Silvia, Bueno David, Ramos-Boluda Esther, Vigezzi Serena, Pérez-Martinez Antonio, Méndez-Echevarría Ana
Аннотация
INTRODUCTION: As the number of transplants and survival rates increase, concerns regarding the mental health of transplanted children and their correlated factors are growing.
OBJECTIVES: To assess the emotional, behavioral, and physical functioning of children who underwent various types of transplants, exploring its association with pet ownership.
METHODS: Pediatric transplant centers were contacted through the European Network "TransplantChild". Primary caregivers were invited to complete an online survey including demographic information and the Strengths and Difficulties Questionnaire (SDQ).
RESULTS: A total of 418 participants from nine European centers were included. The mean age of the children was 11.09 ± 4.17 years. Of these, 84% had undergone solid-organ transplantation and 16% had undergone hematopoietic stem cell transplantation; 43% of the children lived with dogs and/or cats. High rates of abnormal scores were observed across all the SDQ subscales, with peer problems being the most prevalent (29.8%). Solid-organ transplant recipients exhibited higher conduct-problem scores (p < 0.001). Older children had significantly higher scores on emotional and peer problems (p < 0.001). Pet ownership was associated with higher prosocial behavior scores (p < 0.05), even after adjusting for clinical severity. No statistically significant interaction effect was found between transplant type and pet ownership in any SDQ domain. Moreover, among patients aged >12 years, pet ownership was linked to fewer peer-relationship problems (p < 0.05).
CONCLUSIONS: Transplanted children are at increased risk of emotional and behavioral difficulties. Pet ownership was associated with higher prosocial behavior and fewer peer problems in adolescents, supporting a potential beneficial role of companion animals in the psychosocial well-being of pediatric transplant recipients.
OBJECTIVES: To assess the emotional, behavioral, and physical functioning of children who underwent various types of transplants, exploring its association with pet ownership.
METHODS: Pediatric transplant centers were contacted through the European Network "TransplantChild". Primary caregivers were invited to complete an online survey including demographic information and the Strengths and Difficulties Questionnaire (SDQ).
RESULTS: A total of 418 participants from nine European centers were included. The mean age of the children was 11.09 ± 4.17 years. Of these, 84% had undergone solid-organ transplantation and 16% had undergone hematopoietic stem cell transplantation; 43% of the children lived with dogs and/or cats. High rates of abnormal scores were observed across all the SDQ subscales, with peer problems being the most prevalent (29.8%). Solid-organ transplant recipients exhibited higher conduct-problem scores (p < 0.001). Older children had significantly higher scores on emotional and peer problems (p < 0.001). Pet ownership was associated with higher prosocial behavior scores (p < 0.05), even after adjusting for clinical severity. No statistically significant interaction effect was found between transplant type and pet ownership in any SDQ domain. Moreover, among patients aged >12 years, pet ownership was linked to fewer peer-relationship problems (p < 0.05).
CONCLUSIONS: Transplanted children are at increased risk of emotional and behavioral difficulties. Pet ownership was associated with higher prosocial behavior and fewer peer problems in adolescents, supporting a potential beneficial role of companion animals in the psychosocial well-being of pediatric transplant recipients.