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Psychological distress in patients listed for liver transplantation
Patrícia Duarte Martins1, Ajith Kumar Sankarankutty, Orlando de Castro e Silva
1Department of Neurology, Psychiatry and Medical Psychology, HC, FMRP, USP, Brazil. patricia.dm@terra.com.br
Purpose:
To assess the level of depression in patients listed for liver transplantation.
Methods:
Sixty-four adult patients, listed for liver transplantation, were submitted to psychological evaluation, including assessment of depression by means of the Beck Depression Inventory.
Results:
Twenty-two percent of the patients had mild/major depression. The group consisted mainly of male patients aged 47 on average, with a history of alcohol abuse and a Meld (Model for End-Liver Disease) value of 14.5. Patients that had been awaiting liver transplant longer presented less severe liver disease according to the Child-Pugh criteria.
Conclusion:
It is extremely important to assess psychological distress in patients listed for liver transplantation. An interdisciplinary approach is essential to improve the patients' quality of life both in the pre- and post-transplant periods.
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