Psychiatric and Psychosocial Predictors of Medical Outcome After Liver Transplantation: a Prospective, Single-Center Study

Telles-Correia, D; Barbosa, A; Mega, I; Barroso, E; Monteiro, E

http://hdl.handle.net/10400.17/2017

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Abstract(s)

OBJECTIVE: Recognizing the potential impact of psychiatric and psychosocial factors on liver transplant patient outcomes is essential to apply special follow-up for more vulnerable patients. The aim of this article was to investigate the psychiatric and psychosocial factors predicted medical outcomes of liver transplanted patients. METHODS: We studied 150 consecutive transplant candidates, attending our outpatient transplantation clinic, including 84 who had been grafted 11 of whom died and 3 retransplanted. RESULTS: We observed that active coping was an important predictor of length of stay after liver transplantation. Neuroticism and social support were important predictors of mortality after liver transplantation. CONCLUSION: It may be useful to identify patients with low scores for active coping and for social support and high scores for neuroticism to design special modes of follow-up to improve their medical outcomes.

Keywords

HCC CHBPT Adaptation, Psychological Length of Stay Liver Transplantation/adverse effects Liver Transplantation/mortality Liver Transplantation/psychology Quality of Life Social Support Treatment Outcome