Psychiatric assessment in transplantation

Abstract

The implementation of the presumptive donor law in Brazil is expected to increase the availability of organs for transplantation. As medical management of end-stage organ dysfunction continues to improve, increasing numbers of potential transplant recipients will be available to meet this supply. There is mounting evidence that supports the involvement of skilled psychiatric practitioners in the selection of transplant candidates. Data supporting the influence of psychosocial factors on compliance and therefore medical outcomes continues to grow. The literature review allows delineating the components and rationale for comprehensive psychosocial evaluations as a component of preoperative transplantation evaluation. Resumo

Psychological distress in patients listed for liver transplantation

“…The impact of the psychological condition on the final outcome is not yet clear. Factors such as the patient's ability to discriminate between the positive and negative aspects of the transplant, their real expectations, coherent future plans, ability to react to stress and to cope with frustration seem to be related with good posttransplant outcome 4 . There is not an estimate of the incidence of mood changes, especially those concerned with depression, in patients listed for liver transplantation.…”

Diabetes mellitus na adolescência: experiências e sentimentos dos adolescentes e das mães com a doença

“…In addition, the diabetic patient has concerns and fears related to other serious health problems that are consequences of the evolution of the disease. Feelings like insecurity, fear, helplessness, anxiety and others may be present and, in turn, may cause serious problems for treatment compliance (17) .…”

Aspectos psicosociales en pacientes candidatos a trasplante de órganos

“…La Organización Mundial de la Salud y la Unión Europea 7 resaltan su alta tasa de donantes (36 donantes por millón de población) y su eficacia. Sus resultados se han traducido, por un lado, en un aumento de la esperanza y la calidad de vida y, por otro, en la reducción de la tasa de mortalidad poblacional [9][10][11] . Según los datos de la Organización Nacional de Trasplantes, en el año 2016 se realizaron en España 4821 trasplantes de órganos sólidos: 2997 renales, 1159 hepáticos, 307 pulmonares, 281 cardíacos, 73 de páncreas y 4 intestinales.…”