Kuhn W F, Myers B, Brennan A F, Davis M H, Lippmann S B, Gray L A, Pool G E
Department of Psychiatry/Behavioral Sciences, University of Louisville, KY 40292.
J Heart Transplant. 1988 May-Jun;7(3):223-6.
Psychodiagnostic data are reported on 69 heart transplant candidates. Twenty-seven patients actually received a transplantation. A high prevalence of anxiety and depression appeared related to their desperate cardiac status. Distressful symptoms did not predict postoperative psychiatric complications. Reduced coping skills as reflected by diagnoses of personality disorders or organic mental impairment were associated with many behavioral problems capable of jeopardizing survival. Psychiatric input is necessary for, and was helpful in, the management of these patients.
报告了69名心脏移植候选者的心理诊断数据。27名患者实际接受了移植。焦虑和抑郁的高患病率似乎与其危急的心脏状况有关。痛苦症状并不能预测术后精神并发症。人格障碍或器质性精神障碍诊断所反映的应对技能下降与许多可能危及生存的行为问题相关。精神科的介入对于这些患者的管理是必要的且有帮助。
