New-Onset Anorexia Nervosa After Living Kidney Transplantation

Kobayashi, Sayaka; Kai, Kotaro; Okabe, Sachi; Tsutsui, Junko; Tsutsumi, Tetsuyuki; Fuchinoue, Shohei; Nishimura, Kazuhiko

doi:10.1016/j.psym.2018.05.013

Cited by 3 publications

(1 citation statement)

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“…There are no reported cases of solid organ transplant involving a patient with a previous diagnosis of anorexia nervosa, although there are reports of anorexia symptoms developing after renal transplant [15]. The contribution of mental health specialists to decision making in solid organ transplant teams has been a subject of investigation only rarely [16][17][18].…”

Section: Methodsmentioning

confidence: 99%

The Contribution of Psychotherapists to Patient Care in Multidisciplinary Heart Transplantation Care Teams

Tigges-Limmer¹,

Ensminger²,

Brocks³

et al. 2018

obm transplant

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Background: The participation of mental health professionals in multidisciplinary care teams for heart transplantation has become an international standard practice. The contribution of these professionals in this setting, which involves assessment and interventions, has not been the subject of systematic study. Methods: This paper explores how psychotherapists contribute to multidisciplinary decision making and care in transplant teams before, during, and after transplantation. To illustrate, it uses the case of a 19-year-old woman with anorexia nervosa who underwent heart transplant at a large transplantation center in Germany. She received psychotherapeutic interventions intended to lower the risk of non-adherence. Results: This first reported case of heart transplant in a patient with a previous diagnosis of anorexia nervosa also documents psychotherapeutic interventions that were favorable for sustainable weight-gain and how the multidisciplinary environment enabled their development and implementation. We provide details on the contribution of the psychologist in the case, including hypnotherapy interventions and adjustments in routine nursing practices. Conclusions: This paper shows how mental health professionals working in multidisciplinary teams improve patient outcomes in organ transplantation. In order to collect and systematize clinical knowledge of psychotherapeutic interventions for transplant candidates with mental health issues, additional studies with multiple centers, multiple cases, and a range of mental health disorders are needed.

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