Eftekar Mahdod, Pun Paul
Consultation Liaison Psychiatrist, Consultation Liaison Psychiatry Department, Princess Alexandra hospital, Woolloongabba, QLD, Australia
Consultation Liaison Psychiatrist, Consultation Liaison Psychiatry Department, Princess Alexandra hospital, Woolloongabba, QLD, Australia.
Australas Psychiatry. 2016 Aug;24(4):385-92. doi: 10.1177/1039856215627400. Epub 2016 Feb 15.
The psychiatric assessment of potential liver transplant recipients is becoming increasingly common in clinical practice. In such assessments, the psychiatrist is invited by the transplant team to assess the patient prior to the patient receiving a transplant liver to identify factors that could predict an unsuccessful post-transplant course, whether this is from a psychiatric or physical perspective. This review examined published research from 2000 to 2014 on psychological risk factors predicting post-transplant physical and psychiatric complications.
Based on the strength of the evidence available, our review identified four risk factors: mood disorders; social supports; substance misuse; and alcohol dependence. These factors could potentially provide a framework to guide the evaluation and prediction of psychological and physical complications post-liver transplantation.
对潜在肝移植受者进行精神科评估在临床实践中越来越普遍。在这类评估中，移植团队会邀请精神科医生在患者接受移植肝脏之前对其进行评估，以确定可能预示移植后过程不顺利的因素，无论这是从精神科还是身体角度而言。本综述考察了2000年至2014年发表的关于预测移植后身体和精神科并发症的心理风险因素的研究。
基于现有证据的力度，我们的综述确定了四个风险因素：情绪障碍；社会支持；物质滥用；以及酒精依赖。这些因素可能为指导肝移植后心理和身体并发症的评估及预测提供一个框架。
