Psychologic Evaluation in Liver Transplantation: Assessment of Psychologic Profile of End-Stage Liver Disease Patients Before and After Transplant
| Autor: | Maasoomeh Zare, Shahrzad Bazargan-Hejazi, Siavash Gholam, Anaheed Ayoobzadehshirazi, Mohammad Baghernezhad, Arash Mani, Seyed Ali Malek-Hosseini, Saman Nikeghbalian, Jamshid Roozbeh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Sleepiness Time Factors Adolescent medicine.medical_treatment Anxiety Iran Liver transplantation End Stage Liver Disease Young Adult 03 medical and health sciences Liver disease 0302 clinical medicine Memory Internal medicine medicine Humans 030212 general & internal medicine Fatigue Depression (differential diagnoses) Transplantation California Verbal Learning Test Depression business.industry Epworth Sleepiness Scale End stage liver disease Recovery of Function Middle Aged medicine.disease Transplant Recipients Liver Transplantation Mental Health Treatment Outcome Free recall Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Experimental and Clinical Transplantation. 18:339-344 |
| ISSN: | 2146-8427 1304-0855 |
| DOI: | 10.6002/ect.2017.0135 |
| Popis: | OBJECTIVES Patients with end-stage liver disease face various psychologic challenges. We aimed to compare levels of depression, anxiety, fatigue, sleepiness, and memory in patients before and after liver transplant. MATERIALS AND METHODS Forty patients (24 male, 16 female) were recruited from the liver transplant clinic affiliated with Shiraz University of Medical Sciences. Patients between 18 and 60 years old with at least a 6th-grade level of education were included in the study; those with severe psychiatric problems were excluded. We performed the following assessments before and 1 month after liver transplant: Hospital Anxiety and Depression questionnaires, California Verbal Learning Test, Epworth Sleepiness Scale, and Fatigue Severity Scale. Paired-sample t tests were used. P < .05 was considered significant. RESULTS Level of depression in study patients increased after transplant (7.42 vs 8.42; P = .008). We found improvements in categories of immediate memory (65.23 vs 60; P = .007), short delay free recall (10.52 vs 12.52; P < .001), short delay cued recall (11.42 vs 13.00; P = .001), long delay free recall (10.80 vs 12.50; P = .003), long delay cued recall (11.80 vs 13.25; P = .003), and recognition (14.65 vs 15.42; P = .003). Patient levels of fatigue (39.9 vs 33.2; P = .029) and sleepiness (10.8 vs 7.8; P = .004) decreased. Level of anxiety did not change significantly (12.6 vs 12.8; P = .642). CONCLUSIONS We observed higher levels of depression but improved fatigue, sleepiness, and memory function in patients after liver transplant. No significant change in patient level of anxiety was seen. Future direction is discussed. |
| Databáze: | OpenAIRE |
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