Sperling W, Kalb R
Psychiatrische Klinik und Poliklinik, Universität Erlangen-Nümberg.
Fortschr Med. 1995 Apr 30;113(12):175-7.
Since the long-term results of transplantations are highly dependent on patient compliance, prior to the decision to undertake such an operation, the psychiatrist is often asked whether there are any conditions presenting that would militate against the necessary cooperation.
Between 1992 and 1993, 35 patients were sent for psychiatric counselling prior to liver transplantation, and were evaluated using a standardised questionnaire. 23 of the 35 patients were submitted to psychological testing.
in 23 cases, a psychiatric diagnosis was established in accordance with the ICD-10 criteria. The largest group was formed by the addictive diseases in this study, in particular alcohol dependence. Eight patients proved to have organ-related mental disturbances, other diagnoses such as depressive disorders or personality disorders were less common. In four cases, the psychiatrist was unable to recommend the liver transplantation. In such cases as these, the tasks of the psychiatrist is not restricted simply to a diagnostic assessment, but must also include a therapeutic approach intended to enable the patient to cope with the coming stresses and requirements.
由于移植的长期效果高度依赖患者的依从性，在决定进行此类手术之前，精神科医生常常会被问及是否存在任何不利于必要合作的情况。
1992年至1993年间，35例患者在肝移植术前被送去接受精神科咨询，并使用标准化问卷进行评估。35例患者中有23例接受了心理测试。
根据国际疾病分类第10版（ICD - 10）标准，在23例中做出了精神科诊断。本研究中最大的一组是成瘾性疾病，尤其是酒精依赖。8例患者被证明患有器官相关的精神障碍，其他诊断如抑郁症或人格障碍则较少见。在4例中，精神科医生无法建议进行肝移植。在这些情况下，精神科医生的任务不仅限于诊断评估，还必须包括一种治疗方法，旨在使患者能够应对即将到来的压力和要求。
