PMID- 33238532 OWN - NLM STAT- MEDLINE DCOM- 20210128 LR - 20210128 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 17 IP - 22 DP - 2020 Nov 23 TI - Characteristics of Psychosocial Factors in Liver Transplantation Candidates with Alcoholic Liver Disease before Transplantation: A Retrospective Study in a Single Center in Taiwan. LID - 10.3390/ijerph17228696 [doi] LID - 8696 AB - Liver transplantation (LT) is an essential treatment for end-stage alcoholic liver disease (ALD). The patients' psychosocial condition plays a vital role in post-transplantation prognosis. A survey of the candidates' psychosocial wellbeing is necessary before LT. This study aims to investigate the psychosocial characteristics, including the depression degree, family function, alcohol use duration, and alcohol abstinence period, of LT candidates with ALD. In addition, 451 candidates for LT due to ALD were enrolled. They received psychosocial evaluations, including depression scale (Hamilton depression rating scale) and family functioning assessment (adaptability, partnership, growth, affection, resolve (APGAR) index). The test scores were analyzed according to age, alcohol use duration, and alcohol abstinence period. The Hamilton depression rating scale (HAM-D) score and the family APGAR index score differentiated significantly according to the age, alcohol use duration, and abstinence period of the LT candidates. The patients with shorter alcohol use duration tended to have more severe depressive symptoms and poorer family support. The younger patients showed a significantly shorter abstinence period, more severe depression, and poorer family functioning than older patients. The younger ALD patients and patients with shorter alcohol use duration showed an increased severity of depression before transplantation. They need more mental health care over time. FAU - Chen, Yu-Ming AU - Chen YM AUID- ORCID: 0000-0003-2609-2292 AD - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Yu, Tien-Wei AU - Yu TW AD - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Wang, Chih-Chi AU - Wang CC AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Huang, Kuang-Tzu AU - Huang KT AUID- ORCID: 0000-0002-5902-3130 AD - Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Hsu, Li-Wen AU - Hsu LW AUID- ORCID: 0000-0001-8825-3392 AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Lin, Chih-Che AU - Lin CC AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Liu, Yueh-Wei AU - Liu YW AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Li, Wei-Feng AU - Li WF AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Chen, Chao-Long AU - Chen CL AD - Liver Transplantation Center and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. FAU - Chen, Chien-Chih AU - Chen CC AUID- ORCID: 0000-0003-0831-1199 AD - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201123 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Adult MH - Female MH - Humans MH - *Liver Diseases, Alcoholic/epidemiology/surgery MH - *Liver Transplantation/psychology MH - Male MH - Middle Aged MH - Recurrence MH - Retrospective Studies MH - Risk Factors MH - Taiwan/epidemiology PMC - PMC7700481 OTO - NOTNLM OT - alcoholic liver disease OT - depression OT - family function OT - liver transplantation OT - psychosocial evaluation COIS- The authors declare that they have no conflicts of interest concerning this article. EDAT- 2020/11/27 06:00 MHDA- 2021/01/29 06:00 PMCR- 2020/11/01 CRDT- 2020/11/26 01:01 PHST- 2020/10/08 00:00 [received] PHST- 2020/11/16 00:00 [revised] PHST- 2020/11/19 00:00 [accepted] PHST- 2020/11/26 01:01 [entrez] PHST- 2020/11/27 06:00 [pubmed] PHST- 2021/01/29 06:00 [medline] PHST- 2020/11/01 00:00 [pmc-release] AID - ijerph17228696 [pii] AID - ijerph-17-08696 [pii] AID - 10.3390/ijerph17228696 [doi] PST - epublish SO - Int J Environ Res Public Health. 2020 Nov 23;17(22):8696. doi: 10.3390/ijerph17228696.