Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service
Objective: To investigate the stability over time of the psychiatric diagnoses among candidates to liver transplantation referred to a consultation-liaison psychiatric service. Method: Descriptive study, carried out at the Consultation-Liaison Psychiatry Service (CLPS) placed at the Modena (Italy) G...
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doaj-d7360ceeac6b46e8b86f2ba2b88a56ca2020-11-25T00:25:27ZengMDPI AGJournal of Clinical Medicine2077-03832019-06-018680010.3390/jcm8060800jcm8060800Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry ServiceGiorgio Mattei0Maria Moscara1Jessica Balducci2Silvia Cavana3Melissa Cherubini4Chiara Piemonte5Silvia Ferrari6Gian Maria Galeazzi7Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, ItalyDepartment of Mental Health, AUSL Modena, Via L.A. Muratori 201, 41124 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, ItalyDepartment of Mental Health, AUSL Reggio Emilia-IRCCS, Via G. Amendola 2, 42122 Reggio Emilia, ItalyVilla Igea Hospital, Via Stradella, 73, 41126 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, ItalyObjective: To investigate the stability over time of the psychiatric diagnoses among candidates to liver transplantation referred to a consultation-liaison psychiatric service. Method: Descriptive study, carried out at the Consultation-Liaison Psychiatry Service (CLPS) placed at the Modena (Italy) General University Hospital. All patients waiting for liver transplantation and repeatedly referred to the CLPS were enrolled. The observation period was from 1 January 2008 to 31 December 2013. Pearson’s coefficients were calculated to measure diagnostic stability (index referral vs. last referral). Results: One hundred patients were assessed (males 67%; mean age 53 ± 7 years old). The mean number of referrals for patients was 3 ± 2. The stability rate of psychiatric diagnosis was 64%. The following diagnoses or conditions were all significantly stable (i.e., all featured by <i>r</i> > 0.5 and <i>p</i> < 0.05): Adjustment disorder, depressive disorder, comorbid anxiety/depressive disorder, substance use disorder (including alcohol), absence of any disorder, and presence of any disorder. Conclusions: The good level of diagnostic stability displayed in the sample may be a function of the clinical and organizational “style” of the CLPS, namely the focus on identifying the prevailing personality traits, defensive mechanisms, and relational patterns.https://www.mdpi.com/2077-0383/8/6/800consultation–liaison psychiatryliver transplantationbio-psycho-social modeldiagnosisstability |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giorgio Mattei Maria Moscara Jessica Balducci Silvia Cavana Melissa Cherubini Chiara Piemonte Silvia Ferrari Gian Maria Galeazzi |
spellingShingle |
Giorgio Mattei Maria Moscara Jessica Balducci Silvia Cavana Melissa Cherubini Chiara Piemonte Silvia Ferrari Gian Maria Galeazzi Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service Journal of Clinical Medicine consultation–liaison psychiatry liver transplantation bio-psycho-social model diagnosis stability |
author_facet |
Giorgio Mattei Maria Moscara Jessica Balducci Silvia Cavana Melissa Cherubini Chiara Piemonte Silvia Ferrari Gian Maria Galeazzi |
author_sort |
Giorgio Mattei |
title |
Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service |
title_short |
Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service |
title_full |
Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service |
title_fullStr |
Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service |
title_full_unstemmed |
Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service |
title_sort |
stability of psychiatric diagnoses in candidates to liver transplantation referred to a consultation-liaison psychiatry service |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2019-06-01 |
description |
Objective: To investigate the stability over time of the psychiatric diagnoses among candidates to liver transplantation referred to a consultation-liaison psychiatric service. Method: Descriptive study, carried out at the Consultation-Liaison Psychiatry Service (CLPS) placed at the Modena (Italy) General University Hospital. All patients waiting for liver transplantation and repeatedly referred to the CLPS were enrolled. The observation period was from 1 January 2008 to 31 December 2013. Pearson’s coefficients were calculated to measure diagnostic stability (index referral vs. last referral). Results: One hundred patients were assessed (males 67%; mean age 53 ± 7 years old). The mean number of referrals for patients was 3 ± 2. The stability rate of psychiatric diagnosis was 64%. The following diagnoses or conditions were all significantly stable (i.e., all featured by <i>r</i> > 0.5 and <i>p</i> < 0.05): Adjustment disorder, depressive disorder, comorbid anxiety/depressive disorder, substance use disorder (including alcohol), absence of any disorder, and presence of any disorder. Conclusions: The good level of diagnostic stability displayed in the sample may be a function of the clinical and organizational “style” of the CLPS, namely the focus on identifying the prevailing personality traits, defensive mechanisms, and relational patterns. |
topic |
consultation–liaison psychiatry liver transplantation bio-psycho-social model diagnosis stability |
url |
https://www.mdpi.com/2077-0383/8/6/800 |
work_keys_str_mv |
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