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Review
. 2019 Nov-Dec;18(6):804-809.
doi: 10.1016/j.aohep.2019.06.011. Epub 2019 Aug 20.

Impact of psychosocial status on liver transplant process

Lucia Golfieri  1 , Stefano Gitto  2 , Ranka Vukotic  3 , Pietro Andreone  3 , Fabio Marra  4 , Maria Cristina Morelli  5 , Matteo Cescon  6 , Silvana Grandi  1
Affiliations
Free article
Review

Impact of psychosocial status on liver transplant process

Lucia Golfieri et al. Ann Hepatol. 2019 Nov-Dec.
Free article

Abstract

Liver transplant candidates and recipients are at high risk of psychological distress. Social, psychological and psychiatric patterns seem to influence morbidity and mortality of patients before and after transplant. An accurate organ allocation is mandatory to guarantee an optimal graft and recipient survival. In this context, the pre-transplant social, psychological and psychiatric selection of potential candidates is essential for excluding major psychiatric illness and for estimating the patient compliance. Depression is one of the most studied psychological conditions in the field of organ transplantation. Notably, an ineffectively treated depression in the pre-transplant period has been associated to a worst long-term recipient survival. After transplant, personalized psychological intervention might favor recovery process, improvement of quality of life and immunosuppressant adherence. Active coping strategy represents one of the most encouraging ways to positively influence the clinical course of transplanted patients. In conclusion, multidisciplinary team should act in three directions: prevention of mood distress, early diagnosis and effective treatment. Active coping, social support and multidisciplinary approach might improve the clinical outcome of transplanted patients.

Keywords: Compliance; Multidisciplinary team; Psychological status; Social support.

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