Volume 7, Issue 3 pp. 227-229
Original Article

Psychological adjustment of liver transplant candidates

James R. Rodrigue

Corresponding Author

James R. Rodrigue

Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

James R. Rodrigue, Ph.D, Department of Clinical and Health Psychology, Box 100165, University of Florida Health Science Center, Gainesville, Rorida 32610-0165, U.S.A.Search for more papers by this author
Gary L. Davis

Gary L. Davis

Division of Gastroenterology, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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Richard J. Howard

Richard J. Howard

Department of Surgery, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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Matthew E. Brunson

Matthew E. Brunson

Department of Surgery, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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Max R. Langham

Max R. Langham

Department of Surgery, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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Sandra Haiman

Sandra Haiman

Shands Hospital, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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Joseph Behen

Joseph Behen

Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville, Florida, U.S.A.

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First published: 01 June 1993
Citations: 16

Abstract

The psychological functioning of 20 adult liver transplant candidates was evaluated. Using standardized assessment instruments, we found few personality disturbances and normal levels of anger. However, clinically significant levels of depression and anxiety were reported for 28% and 37% of the sample, respectively. Moreover, patients whose coping strategies were characterized by avoiding the exigencies of their illness reported more depression, more anxiety, and increased psychopathology. Disease severity was also positively correlated with anxiety and avoidant coping strategies. Implications of these findings for the pre-transplant psychological evaluation are discussed.

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