Rodrigue J R, Davis G L, Howard R J, Brunson M E, Langham M R, Haiman S, Behen J
Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville 32610.
Clin Transplant. 1993 Jun;7(3):228-9.
The psychological functioning of 20 adult liver transplant candidates was evaluated. Using standardized assessment instruments, we found few personality disturbances and normal levels of anger. However, clinically significant levels of depression and anxiety were reported for 28% and 37% of the sample, respectively. Moreover, patients whose coping strategies were characterized by avoiding the exigencies of their illness reported more depression, more anxiety, and increased psychopathology. Disease severity was also positively correlated with anxiety and avoidant coping strategies. Implications of these findings for the pre-transplant psychological evaluation are discussed.
对20名成年肝移植候选者的心理功能进行了评估。使用标准化评估工具，我们发现很少有人格障碍且愤怒水平正常。然而，分别有28%和37%的样本报告有临床显著水平的抑郁和焦虑。此外，那些以回避疾病紧急情况为特征的应对策略的患者报告有更多的抑郁、更多的焦虑以及心理病理学增加。疾病严重程度也与焦虑和回避应对策略呈正相关。讨论了这些发现对移植前心理评估的意义。
