The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT): A New Tool for the Psychosocial Evaluation of Pre-Transplant Candidates

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“…However, results from this study showed that nine of the 20 patients (45%) included in this study (transplanted between January 2015 and May 2016) fell into the negative outcomes category post-transplant. However, it is important to note that to qualify for the negative outcomes category, patients needed to have a period where they struggled in at least one of these five categories: difficulty with treatment adherence, unstable psychosocial support substance abuse recidivism, development or relapse of psychiatric problems, or graft failure [1][2][3][4][5]. It is pertinent to highlight that, when struggles did occur post-transplant with patients included in this study, they did not last the duration of six months (or longer) as was seen in 2013-2014.…”

“…A patient's capacity to successfully recover from transplant surgery was generally defined as the patient's ability to comply with medical treatment (including post-surgery clinic visits, medication adherence and other medical recommendations), appropriately utilize support (including their primary support person and team of transplant professionals), avoid significant psychiatric symptoms, avoid substance use and avoid rejection of the transplanted liver [4]. An Adult Attachment Scale [5,6] was administered as part of the pretransplant psychosocial evaluation.…”

Ventricular Assist Devices as Destination Therapy: Psychosocial and Ethical Implications

“…There are no validated instruments available to conduct psychosocial assessments for DT-VAD-only candidates because there are no consistent data to ground such an instrument. While several psychosocial instruments for transplant evaluation are emerging, including the Psychosocial Assessment of Candidates for Transplantation (PACT), the modified PACT, 6 and the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), (Figure 1), 7 none of these transplant-specific instruments have been validated for DT-VAD. 6 The reason for this lag may be because up until 2002, the VAD was used only as a bridge to transplantation.…”

An Examination of Adult Attachment and Liver Transplant Outcomes

“…A patient's capacity to successfully recover from transplant surgery was generally defined as the patient's ability to comply with medical treatment (including post-surgery clinic visits, medication adherence and other medical recommendations), appropriately utilize support (including their primary support person and team of transplant professionals), avoid significant psychiatric symptoms, avoid substance use and avoid rejection of the transplanted liver. 4 An Adult Attachment Scale 5,6 was administered as part of the pre-transplant psychosocial evaluation. Transplant outcomes were analyzed with regards to attachment scale scores.…”

“…It is possible that secure attachment may have contributed to better outcomes and outcomes may be attributed to a brief disruption in secure attachment during the most difficult time of transplant recovery, followed by a return to a more secure attachment as a patient's body and psyche heals and recovers. 4 graft failure. It is pertinent to highlight that, when struggles did occur post-transplant with patients included in this study, they did not last the duration of six months (or longer) as was seen in 2013-2014.…”