Post-transplant Psychosocial and Mental Health Care of the Liver Recipient

DiMartini, Andrea F.; Golden, Eric; Matz, Andrew; Dew, Mary Amanda; Crone, Catherine

doi:10.1007/978-3-319-94914-7_15

Cited by 3 publications

(4 citation statements)

References 85 publications

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“…A high comorbidity of mental illness is present in most patients with chronic medical problems, providing many opportunities for clinical training sites. Current evidence supports integrated models for primary care, 43 HIV, 44,45 cardiology, 46 oncology, 47,48 women's health (obstetrics and gynecology), 49 transplantation, 50 weight loss surgery, 51 epilepsy clinics, 52 palliative care, 53 and pain clinics. 54 There are other clinical sites where patients are known to have high comorbidity of psychiatric issues, but to date, there are no reports on colocation or collaboration; these include rheumatology, 55 endocrinology, 56 dermatology, 57 and plastic surgery.…”

Section: Training Sitesmentioning

confidence: 99%

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

et al. 2020

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Background: As mental health services in outpatient medical clinics expand, psychiatrists must be trained to practice in these settings. Objectives: The Academy of Consultation-Liaison Psychiatry residency education subcommittee convened a writing group with the goal of summarizing the current evidence about outpatient consultation-liaison psychiatry (CLP) training and providing a framework for CLP educators who are interested in developing outpatient CLP rotations within their programs. Method: MEDLINE (via PubMed), Embase, and PsycINFO (via OVID) were reviewed each from inception to December 2019, for psychiatric CLP services in ambulatory settings that involved residents or fellows. The CLP education guidelines were reviewed for recommendations relevant to outpatient CLP. We also searched MedEd portal for published curriculums relevant to CLP. The group held 2 conferences to reach consensus about recommendations in setting up outpatient CLP rotations. Results: Seventeen articles, 3 Academy of Consultation-Liaison Psychiatry-supported guidelines, and 8 online didactic resources were identified as directly reporting on the organization and/or impact of an outpatient CLP rotation. These manuscripts indicated that residents found outpatient CLP rotations effective and relevant to their future careers. However, the literature provided few recommendations for establishing formal outpatient CLP training experiences. Conclusions: Outpatient CLP rotations offer multiple benefits for trainees, including exposure to specific clinical scenarios and therapeutic interventions applicable only in the outpatient setting, increased continuity of care, and the unique experience of providing liaison and education to non-mental health providers. The article outlines recommendations and examples for developing outpatient CLP rotations which CLP educators can incorporate in their programs.

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Section: Training Sitesmentioning

confidence: 99%

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

et al. 2020

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“…Beneficial outcomes of transplantation are increased survival rates and improvements in quality of life [ 5 ]. Worldwide, principles of successful transplantation extend to post-transplant health in long-term follow up [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…For SOTx patients, absence or insufficient attention to self-management can result in such complications [ 4 ]. Typically, patients need to monitor signs of infection, medication side-effects, and physical and psychological status and implement healthy lifestyle changes (such as a special diet, psychosocial problems, mental health problems, and substance use) [ 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. In terms of a medication regimen, patients must learn how to calculate dosages of interacting medications.…”

Section: Introductionmentioning

confidence: 99%

Defining Self-Management for Solid Organ Transplantation Recipients: A Mixed Method Study

Brunner,

Weisschuh,

Jobst

et al. 2024

Nursing Reports

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Patients with Solid Organ Transplantations (SOTx) face long-term lifestyle adaptations, psychological and social adjustments, and complex self-care regimes to maintain health post-transplant. Self-management (SM) skills represent important aspects of nursing communication with SOTx patients; however, there is potential for SM to be defined narrowly in terms of medication adherence. The study presented here collated the existing definitions in a mixed method review in order to identify SM attributes for this group (including those unique to this population). Secondary analysis of a dataset and bibliographic analysis and an expert panel were used to develop a comprehensive working definition of SOTx patients. The analysis comprised critical interpretation of the evolving definition content, concepts, and contexts of application in current usages and over time. We identified eight definitions and 63 cited definition sources from bibliographic analysis. Findings identified limitations of the existing definitions. Population-specific attributes included optimisation of transplant outcomes, active engagement in healthy behaviours, control, structure, and discipline characteristics, and moderating factors of patient motivation, self-efficacy, and cognitive function. A critical appraisal of definitions indicated inadequately defined aspects such as setting, temporal dimension, concept interaction, interventions, and measurable outcomes. The bibliographic analysis highlighted the influence of broader chronic illness constructions of SM, underpinning the generalisable SM attributes in current definitions. Further research may advance the development of a definition in exploring the relevance of SOTx-specific attributes of the definition.

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“…1 These feelings of anxiety and fear along with excitement may persist even after transplantation. [2][3][4][5][6] Depression, for example, was found to affect 60% of solid organ recipients. Mood and anxiety disorders were found to occur within the first year of transplantation in 20% of kidney recipients, 30% of liver recipients, and up to 60% of heart recipients.…”

Section: Introductionmentioning

confidence: 99%

A Multisite Study on Using Symptom-Targeted Interventions to Improve Mental Health Outcomes of Solid Organ Transplant Patients

et al. 2020

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Introduction: Depression and anxiety are common affective experiences during the first year following a solid organ transplant. This study examined the degree to which an evidenced-based clinical intervention implemented by social workers—Symptom Targeted Intervention—can alter self-reported depression and anxiety in heart, kidney, liver, and lung transplant recipients. Research Questions: This investigation explored 2 questions: (1) Can symptom-targeted interventions significantly reduce posttransplant recipients’ self-reported depression and anxiety at the conclusion of treatment and at 1-month follow-up? and (2) Does the response differ by gender? Design: A 1-group pretest–posttest design with a 1-month follow-up was used to test for changes in anxiety and depression after transplantation. Forty-eight patients at 2 US transplant centers were enrolled between January 2016 and May 2017. Data were collected using an online platform and analyzed to assess for differences over time and by gender. Results: Anxiety decreased significantly between pretest and posttest using the General Anxiety Disorder-2 ( P < .05). Comparisons by gender indicated that women had a significant decrease in anxiety between pretest and posttest ( P < .001); however, there was no significant decrease in anxiety for men. Analyses by gender and time yielded no significant differences for depression. Discussion: Symptom-targeted interventions have the potential to reduce anxiety in solid organ transplant patients and enhance their psychosocial adjustment after surgery.

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Post-transplant Psychosocial and Mental Health Care of the Liver Recipient

Cited by 3 publications

References 85 publications

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

Defining Self-Management for Solid Organ Transplantation Recipients: A Mixed Method Study

A Multisite Study on Using Symptom-Targeted Interventions to Improve Mental Health Outcomes of Solid Organ Transplant Patients

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