Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study

Abstract Background There are long-standing controversies about the transplant indications for alcoholic liver disease (ALD), because of the recognition that ALD is fundamentally self-inflicted. However, it is unclear whether psychosocial characteristics of ALD are different from that of non-alcohol...

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Autores principales:	Masato Shizuku, Hiroyuki Kimura, Hideya Kamei, Shinichi Kishi, Tatsuya Tokura, Nobuhiko Kurata, Kanta Jobara, Atsushi Yoshizawa, Chisato Tsuboi, Naoko Yamaguchi, Midori Kato, Keita Kawai, Makoto Yamashiki, Emi Kanai, Kanako Ishizuka, Norio Ozaki, Yasuhiro Ogura
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Liver transplantation Alcoholic liver disease Alcohol dependence Psychosocial functioning Personality Social support Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/fd0d6f6267ed4e48b4b5df18fcfe29e5
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spelling	oai:doaj.org-article:fd0d6f6267ed4e48b4b5df18fcfe29e52021-12-05T12:10:58ZPsychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study10.1186/s12876-021-02032-91471-230Xhttps://doaj.org/article/fd0d6f6267ed4e48b4b5df18fcfe29e52021-11-01T00:00:00Zhttps://doi.org/10.1186/s12876-021-02032-9https://doaj.org/toc/1471-230XAbstract Background There are long-standing controversies about the transplant indications for alcoholic liver disease (ALD), because of the recognition that ALD is fundamentally self-inflicted. However, it is unclear whether psychosocial characteristics of ALD are different from that of non-alcoholic liver disease (NALD) in the selection of liver transplantation (LT) recipients. We aimed to clarify the psychosocial characteristics of ALD recipients (ALD-R)/ALD recipient candidates (ALD-RC) and NALD recipients (NALD-R)/ NALD recipient candidates (NALD-RC). Methods From 2011 to 2019, 75 patients were enrolled in this prospective observational study (ALD-RC, n = 19; NALD-RC, n = 56), LT were carried out as follow; ALD-R, n = 6; NALD-R, n = 52. We evaluated psychosocial characteristics in the preoperative period and 3, 12 months after LT (ALD-R, n = 3/3; NALD-R, n = 28/25). The following scales were used to evaluate psychosocial characteristics: Visual Analogue Scale, Alcohol Use Disorders Identification Test, Hospital Anxiety and Depression Scale, Beck Depression Inventory, Brief Evaluation of Medication Influences and Beliefs, Social Support Questionnaire (SSQ), Temperament and Character Inventory, Parental Bonding Instrument (PBI), the Short Form Health Survey (SF-36). Results When evaluating on the basis of abstinence rule, a comparison of ALD-RC and NALD-RC in the preoperative period identified similar patterns of psychosocial characteristics, except that the NALD-RC scored higher on the PBI item “overprotection from mother” (P < 0.05). The only significant difference between ALD-R and NALD-R after liver transplantation was in SSQ scores at 3 months. Conclusion The psychosocial characteristics of ALD-RC and NALD-RC may be similar when evaluated on the basis of Japan’s abstinence rule. This result also imply that the psychosocial characteristics of ALD-RC may differ from the previously reported psychosocial characteristics of alcohol dependent patients. These findings have the potential to provide helpful information for the evaluation of ALD-RC.Masato ShizukuHiroyuki KimuraHideya KameiShinichi KishiTatsuya TokuraNobuhiko KurataKanta JobaraAtsushi YoshizawaChisato TsuboiNaoko YamaguchiMidori KatoKeita KawaiMakoto YamashikiEmi KanaiKanako IshizukaNorio OzakiYasuhiro OguraBMCarticleLiver transplantationAlcoholic liver diseaseAlcohol dependencePsychosocial functioningPersonalitySocial supportDiseases of the digestive system. GastroenterologyRC799-869ENBMC Gastroenterology, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Liver transplantation Alcoholic liver disease Alcohol dependence Psychosocial functioning Personality Social support Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Liver transplantation Alcoholic liver disease Alcohol dependence Psychosocial functioning Personality Social support Diseases of the digestive system. Gastroenterology RC799-869 Masato Shizuku Hiroyuki Kimura Hideya Kamei Shinichi Kishi Tatsuya Tokura Nobuhiko Kurata Kanta Jobara Atsushi Yoshizawa Chisato Tsuboi Naoko Yamaguchi Midori Kato Keita Kawai Makoto Yamashiki Emi Kanai Kanako Ishizuka Norio Ozaki Yasuhiro Ogura Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
description	Abstract Background There are long-standing controversies about the transplant indications for alcoholic liver disease (ALD), because of the recognition that ALD is fundamentally self-inflicted. However, it is unclear whether psychosocial characteristics of ALD are different from that of non-alcoholic liver disease (NALD) in the selection of liver transplantation (LT) recipients. We aimed to clarify the psychosocial characteristics of ALD recipients (ALD-R)/ALD recipient candidates (ALD-RC) and NALD recipients (NALD-R)/ NALD recipient candidates (NALD-RC). Methods From 2011 to 2019, 75 patients were enrolled in this prospective observational study (ALD-RC, n = 19; NALD-RC, n = 56), LT were carried out as follow; ALD-R, n = 6; NALD-R, n = 52. We evaluated psychosocial characteristics in the preoperative period and 3, 12 months after LT (ALD-R, n = 3/3; NALD-R, n = 28/25). The following scales were used to evaluate psychosocial characteristics: Visual Analogue Scale, Alcohol Use Disorders Identification Test, Hospital Anxiety and Depression Scale, Beck Depression Inventory, Brief Evaluation of Medication Influences and Beliefs, Social Support Questionnaire (SSQ), Temperament and Character Inventory, Parental Bonding Instrument (PBI), the Short Form Health Survey (SF-36). Results When evaluating on the basis of abstinence rule, a comparison of ALD-RC and NALD-RC in the preoperative period identified similar patterns of psychosocial characteristics, except that the NALD-RC scored higher on the PBI item “overprotection from mother” (P < 0.05). The only significant difference between ALD-R and NALD-R after liver transplantation was in SSQ scores at 3 months. Conclusion The psychosocial characteristics of ALD-RC and NALD-RC may be similar when evaluated on the basis of Japan’s abstinence rule. This result also imply that the psychosocial characteristics of ALD-RC may differ from the previously reported psychosocial characteristics of alcohol dependent patients. These findings have the potential to provide helpful information for the evaluation of ALD-RC.
format	article
author	Masato Shizuku Hiroyuki Kimura Hideya Kamei Shinichi Kishi Tatsuya Tokura Nobuhiko Kurata Kanta Jobara Atsushi Yoshizawa Chisato Tsuboi Naoko Yamaguchi Midori Kato Keita Kawai Makoto Yamashiki Emi Kanai Kanako Ishizuka Norio Ozaki Yasuhiro Ogura
author_facet	Masato Shizuku Hiroyuki Kimura Hideya Kamei Shinichi Kishi Tatsuya Tokura Nobuhiko Kurata Kanta Jobara Atsushi Yoshizawa Chisato Tsuboi Naoko Yamaguchi Midori Kato Keita Kawai Makoto Yamashiki Emi Kanai Kanako Ishizuka Norio Ozaki Yasuhiro Ogura
author_sort	Masato Shizuku
title	Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
title_short	Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
title_full	Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
title_fullStr	Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
title_full_unstemmed	Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
title_sort	psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fd0d6f6267ed4e48b4b5df18fcfe29e5
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Psychosocial characteristics of alcoholic and non-alcoholic liver disease recipient candidates in liver transplantation: a prospective observational study

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