Characterization of the stanford integrated psychosocial assessment for transplant for heart, liver, and kidney transplant candidates in Japan.

IF 2.3 4区 医学 Q2 PSYCHIATRY
Kosuke Takano, Hidehiro Oshibuchi, Sayaka Kobayashi, Junko Tsutsui, Satoko Ito, Rumiko Kamba, Rie Akaho, Katsuji Nishimura
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引用次数: 1

Abstract

Background: The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) is a comprehensive psychosocial assessment proven useful for predicting the outcomes of organ transplantation that is expected to be useful in Japan. However, the characteristics of organ-specific SIPAT scores for organ transplant recipient candidates in Japan are unclear and, to date, the SIPAT has not been properly utilized in clinical practice. The purpose of this study was to present basic data that can be used to establish the relation between SIPAT scores and post-transplantation psychosocial outcomes as well as organ-specific outcomes.

Methods: This study included 167 transplant recipient candidates (25 heart, 71 liver, and 71 kidney) who completed a semi-structured interview based on the Japanese version of SIPAT (SIPAT-J) prior to transplantation. The differences between organs in terms of SIPAT scores and differences in SIPAT scores based on demographic data were comparatively analyzed.

Results: The total SIPAT scores were higher for liver recipient candidates than for heart recipient candidates (P = .019). Regarding the subscales, SIPAT B (social support system) scores were higher for liver and kidney recipient candidates than for heart recipient candidates (P = .021), whereas SIPAT C (psychological stability and psychopathology) scores were higher for liver recipient candidates than for kidney recipient candidates (P = .002). Recipient candidates with a history of psychiatric treatment and those who were unemployed had higher SIPAT scores, regardless of the transplant organ, than recipient candidates without a history of psychiatric treatment and those who were employed (P < .001, P = .016, respectively).

Conclusions: There were notable differences in the total SIPAT-J and subscale scores among the liver, heart, and kidney recipient candidates. Each organ was associated with specific psychosocial issues that should be addressed before transplantation. Interventions such as information provision and patient education based on SIPAT assessment results for each organ may improve recipient post-transplant outcomes.

Abstract Image

日本心脏、肝脏和肾脏移植候选人的斯坦福综合社会心理评估的特征。
背景:斯坦福大学移植综合社会心理评估(SIPAT)是一项综合性的社会心理评估,被证明有助于预测器官移植的结果,预计将在日本发挥作用。然而,在日本,器官移植候选者的器官特异性SIPAT评分的特征尚不清楚,迄今为止,SIPAT尚未在临床实践中得到适当的应用。本研究的目的是提供可用于建立SIPAT评分与移植后社会心理结局以及器官特异性结局之间关系的基本数据。方法:本研究包括167名移植受体候选人(25名心脏,71名肝脏和71名肾脏),他们在移植前完成了基于日本版SIPAT (SIPAT- j)的半结构化访谈。比较分析各脏器间SIPAT评分的差异及基于人口统计学数据的SIPAT评分差异。结果:肝受体候选人的SIPAT总评分高于心脏受体候选人(P = 0.019)。在亚量表方面,肝和肾受体候选人的社会支持系统(SIPAT B)得分高于心脏受体候选人(P = 0.021),而肝受体候选人的心理稳定性和精神病理学(SIPAT C)得分高于肾受体候选人(P = 0.002)。无论移植器官如何,有精神治疗史和失业的受体候选人比没有精神治疗史和有工作的受体候选人的SIPAT得分更高(P结论:肝、心、肾受体候选人的SIPAT- j总分和亚量表得分存在显著差异。每个器官都与移植前应解决的特定社会心理问题相关。基于每个器官的SIPAT评估结果提供信息和患者教育等干预措施可能改善受体移植后的预后。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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