Freeman A M, Westphal J R, Davis L L, Libb J W
Department of Psychiatry, Louisiana State University (LSU) School of Medicine, Shreveport, USA.
Psychosomatics. 1995 Sep-Oct;36(5):429-37. doi: 10.1016/S0033-3182(95)71623-1.
The future of organ transplant psychiatry depends less on immunologic and surgical advances than on 1) an increased supply of donor organs, 2) more sophisticated multicenter outcome studies, and 3) understanding of the subjective as well as objective aspects of compliance and quality of life for transplant recipients. From future studies, we may improve the selection process for candidates and discover which approaches are optimal for anxiety, depressive, organic mental, and personality disorders. Absolute contraindications to transplantation may become relative. Integration of ethical concerns with biomedical and psychosocial criteria for selection will challenge future investigators given the inadequate supply of donor organs.
器官移植精神病学的未来，与其说取决于免疫学和外科手术的进展，不如说取决于以下几点：1）供体器官供应的增加；2）更复杂的多中心结局研究；3）对移植受者依从性和生活质量的主观及客观方面的理解。通过未来的研究，我们或许可以改进候选者的选择过程，并发现哪些方法对焦虑症、抑郁症、器质性精神障碍和人格障碍最为有效。移植的绝对禁忌证可能会变为相对禁忌证。鉴于供体器官供应不足，将伦理考量与生物医学及社会心理选择标准相结合，会给未来的研究者带来挑战。
