Psychosocial Challenges in Solid Organ Transplantation

Kristin Kuntz*, Stephan R. Weinland, Zeeshan Butt

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Organ transplantation is often a life-saving surgery for individuals with end-stage organ disease. However, for most types of solid organ transplant, the demand for organs outweighs the supply, resulting in the need to institute a waiting list for suitable patients who cannot immediately receive an organ. Individuals who need transplants must undergo an assessment process that includes medical, surgical, and psychosocial evaluations. The transplant psychosocial evaluation considers whether surgical candidates are able and willing to care for the transplanted organ for many years. The evaluation must also consider a number of psychosocial risk factors that can lead to complications, which may cause premature loss of the graft. Some of these risk factors include a history of poor medical adherence, psychopathology (including substance use disorders), poor social support, and cognitive dysfunction. This article briefly summarizes the assessment of each of these risk factors and how they can be mitigated to ensure the best outcomes for patients and their families.

Original languageEnglish (US)
Pages (from-to)122-135
Number of pages14
JournalJournal of Clinical Psychology in Medical Settings
Volume22
Issue number2-3
DOIs
StatePublished - Sep 26 2015

Keywords

  • Non-adherence
  • Organ transplantation
  • Psychopathology
  • Psychosocial assessment

ASJC Scopus subject areas

  • Clinical Psychology

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