Abstract:
:The present study investigated whether differing diagnostic criteria for alcoholism used by mental health professionals versus hepatologists lead to different outcomes in predicting liver transplant survival as determined by the medical record and without a priori judgments. This was in contrast to past studies, particularly in the liver transplant literature, demonstrating comparable survival rates between alcoholics and non-alcoholics that have typically employed a diagnosis of Alcoholic Liver Disease (ALD), which does not capture the salient maladaptive behavioral and interpersonal features associated with DSM-IV-TR diagnoses of Alcohol Abuse (AA) and Alcohol Dependence (AD). A series of survival analyses were conducted using data culled from the psychological and medical records of 358 first-time liver transplant recipients at Barnes-Jewish Hospital in St. Louis, Missouri. The primary outcome investigated was liver graft survival following transplant surgery. Follow-up times varied from 0 days to 13 years, depending on the time of transplant and length of graft survival, with a median follow-up time of 6.2 years. Diagnoses of AA and AD predicted significantly poorer survival rates, while diagnoses of ALD did not. DSM-IV-TR alcoholism criteria appear to have greater utility for predicting survival differences beyond pathophysiologically defined alcoholic liver failure.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Rowley AA,Hong BA,Chapman W,Crippin JSdoi
10.1007/s10880-010-9201-8subject
Has Abstractpub_date
2010-09-01 00:00:00pages
195-202issue
3eissn
1068-9583issn
1573-3572journal_volume
17pub_type
杂志文章abstract::The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest p...
journal_title:Journal of clinical psychology in medical settings
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更新日期:2013-12-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-014-9390-7
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-019-09676-6
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-017-9522-y
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/BF01996133
更新日期:1996-06-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-019-09620-8
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-010-9196-1
更新日期:2010-06-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09627-1
更新日期:2020-03-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-018-9542-2
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-012-9334-z
更新日期:2012-12-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-018-9576-5
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-011-9237-4
更新日期:2011-09-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-016-9465-8
更新日期:2017-12-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 临床试验,杂志文章
doi:10.1007/s10880-009-9166-7
更新日期:2009-09-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/BF01989624
更新日期:1994-09-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-010-9186-3
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-008-9138-3
更新日期:2009-03-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-011-9249-0
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