Psychological screening and follow-up care for living liver donors: 5-year prospective cohort data from a single academic center

Leonieke Kranenburg , Alicia Chorley , Emma Massey , Hayo ter Burg , Robert Minnee , Markus Boehnert
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Abstract

Aim

This study reports on the outcomes of psychological screening and care for all living donor candidates who entered our center’s program since the start in 2018, and is the first study to evaluate the use of the ELPAT Psychosocial Assessment Tool (EPAT) for this population.

Methods

All donor candidates were screened using the ELPAT Psychosocial Assessment Tool (EPAT), consisting of a structured interview with set topics and a combination of validated questionnaires. Reports of the interviews were retrieved form the medical records and analysed per topic. Data from the questionnaires were analysed with existing cut-off scores. An independent samples t-test was used to compare means of related versus unrelated donors. Data on additional pre- or post donation psychological treatment was retrieved from the medical records.

Results

137 donor candidates underwent psychology screening for living liver donation. Over half of them had sought professional mental health support and/or used psychotropic drugs in the past. However, the average scores for current anxiety and depression as measures by the questionnaires were low. Unrelated donor candidates had statistically significant lower scores on emotional support and anxiety. Of all candidates, 2 were declined for psychological reasons; 53 eventually donated part of their liver, and of these, 15 received additional psychological treatment.

Discussion

The EPAT is a useful tool for living liver donor screening, covering all important psychological domains. Providing psychological treatment on indication proved to be a feasible way for this group to deal with potential psychological complaints during the process.
活体肝供者的心理筛查和随访护理:来自单一学术中心的5年前瞻性队列数据
目的本研究报告了自2018年开始进入本中心项目的所有活体供体候选人的心理筛查和护理结果,是第一项评估ELPAT社会心理评估工具(EPAT)在该人群中的使用情况的研究。方法使用ELPAT心理社会评估工具(EPAT)筛选所有供体候选人,包括设定主题的结构化访谈和有效问卷的组合。访谈报告从医疗记录中检索,并按主题进行分析。调查问卷的数据用现有的分值进行分析。独立样本t检验用于比较相关和非相关供体的平均值。从医疗记录中检索捐赠前后额外心理治疗的数据。结果137例活体肝捐献候选人接受了心理筛查。其中一半以上的人过去曾寻求过专业的心理健康支持和/或使用过精神药物。然而,问卷调查显示,当前焦虑和抑郁的平均得分很低。无血缘关系的捐赠者候选人在情感支持和焦虑方面得分明显较低。在所有候选人中,有2人因心理原因被拒绝;53人最终捐献了部分肝脏,其中15人接受了额外的心理治疗。EPAT是活体肝供者筛选的有用工具,涵盖所有重要的心理领域。根据适应证提供心理治疗是该群体处理过程中潜在心理投诉的可行方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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