Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety
Objectives. The study was aimed at providing a psychosocial profile for Iranian liver transplant candidates referred to an established liver transplantation program. Material and Methods. Patients assessed for liver transplant candidacy in Imam Khomeini Hospital (Tehran, Iran) between March 2013 and...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2015/329615 |
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| author | Maryam Banihashemi Mohsen Hafezi Mohsen Nasiri-Toosi Ali Jafarian Mohammad Reza Abbasi Mohammad Arbabi Maryam Abdi Mahzad Khavarian Ali-Akbar Nejatisafa |
| author_facet | Maryam Banihashemi Mohsen Hafezi Mohsen Nasiri-Toosi Ali Jafarian Mohammad Reza Abbasi Mohammad Arbabi Maryam Abdi Mahzad Khavarian Ali-Akbar Nejatisafa |
| author_sort | Maryam Banihashemi |
| collection | DOAJ |
| description | Objectives. The study was aimed at providing a psychosocial profile for Iranian liver transplant candidates referred to an established liver transplantation program. Material and Methods. Patients assessed for liver transplant candidacy in Imam Khomeini Hospital (Tehran, Iran) between March 2013 and September 2014 were included. The following battery of tests were administered: Psychosocial Assessment of Candidates for Transplant (PACT), the Short-Form health survey (SF-36), and Hospital Anxiety and Depression Scale (HADS). Results. Psychosocial assessment in 205 liver transplant candidates revealed significant impairments in several SF-36 domains; social functioning was the least and physical functioning was the most impaired domains. The prevalence of cases with probable anxiety and depressive disorders, according to HADS, was 13.8% and 5.6%, respectively. According to PACT, 24.3% of the assessed individuals were considered good or excellent candidates. In 11.2%, transplantation seemed poor candidate due to at least one major psychosocial or lifestyle risk factor. Poor candidate quality was associated with impaired health-related quality of life and higher scores on anxiety and depression scales (p<0.05). Conclusions. Transplant programs could implement specific intervention programs based on normative databases to address the psychosocial issues in patients in order to improve patient care, quality of life, and transplant outcomes. |
| format | Article |
| id | doaj-art-f3f059fca1d24be3a1f1e795b64f8a9c |
| institution | OA Journals |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-f3f059fca1d24be3a1f1e795b64f8a9c2025-08-20T02:21:46ZengWileyJournal of Transplantation2090-00072090-00152015-01-01201510.1155/2015/329615329615Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and AnxietyMaryam Banihashemi0Mohsen Hafezi1Mohsen Nasiri-Toosi2Ali Jafarian3Mohammad Reza Abbasi4Mohammad Arbabi5Maryam Abdi6Mahzad Khavarian7Ali-Akbar Nejatisafa8Psychosomatic Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranPsychosomatic Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranLiver Transplantation Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranLiver Transplantation Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranPsychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran 1333715914, IranPsychosomatic Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranPsychosomatic Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranLiver Transplantation Research Center, Tehran University of Medical Sciences, Tehran 1419733141, IranObjectives. The study was aimed at providing a psychosocial profile for Iranian liver transplant candidates referred to an established liver transplantation program. Material and Methods. Patients assessed for liver transplant candidacy in Imam Khomeini Hospital (Tehran, Iran) between March 2013 and September 2014 were included. The following battery of tests were administered: Psychosocial Assessment of Candidates for Transplant (PACT), the Short-Form health survey (SF-36), and Hospital Anxiety and Depression Scale (HADS). Results. Psychosocial assessment in 205 liver transplant candidates revealed significant impairments in several SF-36 domains; social functioning was the least and physical functioning was the most impaired domains. The prevalence of cases with probable anxiety and depressive disorders, according to HADS, was 13.8% and 5.6%, respectively. According to PACT, 24.3% of the assessed individuals were considered good or excellent candidates. In 11.2%, transplantation seemed poor candidate due to at least one major psychosocial or lifestyle risk factor. Poor candidate quality was associated with impaired health-related quality of life and higher scores on anxiety and depression scales (p<0.05). Conclusions. Transplant programs could implement specific intervention programs based on normative databases to address the psychosocial issues in patients in order to improve patient care, quality of life, and transplant outcomes.http://dx.doi.org/10.1155/2015/329615 |
| spellingShingle | Maryam Banihashemi Mohsen Hafezi Mohsen Nasiri-Toosi Ali Jafarian Mohammad Reza Abbasi Mohammad Arbabi Maryam Abdi Mahzad Khavarian Ali-Akbar Nejatisafa Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety Journal of Transplantation |
| title | Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety |
| title_full | Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety |
| title_fullStr | Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety |
| title_full_unstemmed | Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety |
| title_short | Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety |
| title_sort | psychosocial status of liver transplant candidates in iran and its correlation with health related quality of life and depression and anxiety |
| url | http://dx.doi.org/10.1155/2015/329615 |
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