Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Rothenhäusler, HB; Ehrentraut, S; Kapfhammer, HP.
Psychosocial screening and selection of candidates for liver transplantation
Psychother Psychosom Med Psychol. 2003; 53(9-10):364-375
Doi: 10.1055/s-2003-42169
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- Führende Autor*innen der Med Uni Graz
- Rothenhäusler Hans-Bernd
- Co-Autor*innen der Med Uni Graz
- Kapfhammer Hans-Peter
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- Abstract:
- 281 consecutive candidates for liver transplantation were referred to our consultation-liaison service for psychiatric evaluation over a 4-year period. For these candidates a semistructured psychiatric interview according to the codes listed in the DSM-III-R and the Transplant Evaluation Rating Scale (TERS) classifying patients' level of adjustment in psychosocial functioning were completed. Our study showed a prevalence rate of psychiatric disorders of 65.8 % among candidates. The categories of alcohol abuse (27.8 %) and alcohol dependence (11.7 %) were the most frequent psychiatric diagnoses. The mean TERS summary score of the whole sample was 33.38 +/- 7,31. 68.4 % of the sample were considered good candidates, 18.1 % of the candidates were identified borderline, but acceptable under some conditions, and 13.5 % of the referrals were rated poor liver transplant candidates. The TERS summary scores discriminated well between the three rating categories of candidate quality. Apart from a careful assessment of psychiatric morbidity including substance abuse disorders, the C-L psychiatrist should always rate psychosocial functioning referring to coping, compliance, social support and lifestyle factors among liver transplant candidates. The TERS therefore may be used routinely.
- Find related publications in this database (using NLM MeSH Indexing)
- Adaptation, Psychological -
- Adult -
- Alcoholism - epidemiology
- Female - epidemiology
- Humans - epidemiology
- Intelligence Tests - epidemiology
- Life Style - epidemiology
- Liver Transplantation - psychology
- Male - psychology
- Middle Aged - psychology
- Patient Compliance - psychology
- Patient Selection - ethics
- Psychiatric Status Rating Scales - ethics
- Risk Assessment - ethics
- Social Behavior - ethics
- Social Support - ethics
- Find related publications in this database (Keywords)
- psychosocial screening
- liver transplantation
- consultation-liaison psychiatry