Outcomes of Renal Transplantation in Patients With Bipolar Affective Disorder and Schizophrenia: A National Retrospective Cohort Study.

Abstract:

BACKGROUND:Patients with severe psychiatric disorders such as schizophrenia and bipolar affective disorder (BPAD) have in the past been excluded from organ transplantation programs based on their psychiatric illness. However, there is little data on the outcomes of renal transplantation in these patients and little evidence to support such exclusion. METHODS:We reviewed the database of the Irish National Renal Transplant Programme and identified all patients with a history of BPAD or schizophrenia who had received a transplant over a 28-year period. Data were collected for the following outcomes: patient survival, graft survival, graft function, length of hospitalization for transplantation, and frequency of acute rejection episodes. The control group was the general transplant group, that is, all patients without these psychiatric disorders and who had received a renal transplant during the relevant time period. RESULTS:Between January 1, 1986, and December 31, 2013, 3000 renal transplants were performed at our center. Of the transplant recipients, 0.5% (n = 15) had a diagnosis of BPAD and 0.2% (n = 6) had schizophrenia. No significant differences were found between the BPAD or schizophrenia group and the general renal transplant group in relation to patient survival, graft survival, and graft function. In addition, length of hospital admission for transplantation and frequency of acute rejection episodes were comparable among the 3 groups. CONCLUSIONS:Although consideration of psychiatric comorbidity is an important part of pretransplant assessment and selection, patients should not be discriminated against based on a diagnosis of BPAD or schizophrenia as there is no evidence that this negatively affects transplant outcomes.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Butler MI,McCartan D,Cooney A,Kelly PO,Ahmed I,Little D,MacHale S,Conlon P

doi

10.1016/j.psym.2016.08.010

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

69-76

issue

1

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(16)30087-1

journal_volume

58

pub_type

杂志文章
  • Psychological factors affecting self-excoriative behavior in women with mild-to-moderate facial acne vulgaris.

    abstract::The authors examined the psychological factors associated with self-excoriative behavior among 56 women (mean +/- SE age: 24.0 +/- 1.0 years) with mild-to-moderate facial acne vulgaris. Ratings associated with poor self-concept, such as perfectionistic and compulsive personality traits, correlated more strongly with s...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(96)71578-5

    authors: Gupta MA,Gupta AK,Schork NJ

    更新日期:1996-03-01 00:00:00

  • Early-onset versus late-onset HIV-related secondary mania in Uganda.

    abstract:BACKGROUND:First-episode secondary mania in human immunodeficiency virus (HIV) infection has been described among samples of predominantly Caucasian, HIV-positive male patients in developed countries. OBJECTIVE:The goal of this study was to compare the demographic and clinical characteristics of HIV-positive patients ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.6.530

    authors: Nakimuli-Mpungu E,Musisi S,Kiwuwa Mpungu S,Katabira E

    更新日期:2008-11-01 00:00:00

  • Sexual abuse in patients with anorexia nervosa and bulimia.

    abstract::Few studies have documented the extent and nature of sexual abuse among women who later come to treatment for anorexia nervosa or bulimia. This comparison study reports on a sample of 158 patients admitted to an eating-disorder unit, of whom 60 gave a history of sexual abuse, compared to 98 with no history of abuse. F...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(89)72320-3

    authors: Hall RC,Tice L,Beresford TP,Wooley B,Hall AK

    更新日期:1989-01-01 00:00:00

  • Determining the effect that consultation-liaison psychiatry in primary care has on family physicians' psychiatric knowledge and practice.

    abstract::The impact of a community-based consultation-liaison (C-L) psychiatry service on family physicians' levels of psychiatric knowledge, diagnostic and treatment confidence, and patterns of referral to mental health care agencies was evaluated over a 12-month period. The physicians with long-term access to the C-L service...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(97)71458-0

    authors: Carr VJ,Faehrmann C,Lewin TJ,Walton JM,Reid AA

    更新日期:1997-05-01 00:00:00

  • Wernicke-Korsakoff-syndrome: under-recognized and under-treated.

    abstract:BACKGROUND:Wernicke-Korsakoff syndrome (WKS) is a well described syndrome of neurological and cognitive problems that comprises both Wernicke's encephalopathy (WE) and Korsakoff syndrome (KS). WE is an acute neuropsychiatric disorder caused by thiamine deficiency. KS is a chronic consequence of thiamine deficiency with...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2012.04.008

    authors: Isenberg-Grzeda E,Kutner HE,Nicolson SE

    更新日期:2012-11-01 00:00:00

  • Thoughts of death and suicide reported by cancer patients who endorsed the "suicidal thoughts" item of the PHQ-9 during routine screening for depression.

    abstract:BACKGROUND:Patients with serious medical illnesses, such as cancer, are at increased risk of suicide but are also often facing death. The Patient Health Questionnaire-9 (PHQ-9) is widely used to screen patients for depression. It includes an item that asks about thoughts of death and hurting yourself (Item-9). OBJECTI...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.02.003

    authors: Walker J,Hansen CH,Butcher I,Sharma N,Wall L,Murray G,Sharpe M

    更新日期:2011-09-01 00:00:00

  • Recurring episodes of Bell's mania after cerebrovascular accident.

    abstract:BACKGROUND:Bell's mania (mania with delirium) is an acute neurobehavioral syndrome of unknown etiology that is characterized by the rapid onset of grandiosity, psychomotor excitement, emotional lability, psychosis, and sleep disruption consistent with mania, coupled with alterations in sensorium, and disorientation cha...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.3.285

    authors: Bobo WV,Murphy MJ,Heckers SH

    更新日期:2009-05-01 00:00:00

  • Neuropsychiatric scurvy.

    abstract:BACKGROUND:Scurvy is a disease with well-known peripheral symptoms, such as bleeding and pain. METHODS:The clinical and historical evidence for a distinct form of scurvy affecting the central nervous system, called neuropsychiatric scurvy, is reviewed. Pathophysiologic factors are described, as well as its diagnosis a...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2014.05.010

    authors: Brown TM

    更新日期:2015-01-01 00:00:00

  • Predictors of quality of life in patients with implantable cardioverter defibrillators.

    abstract::Few studies have prospectively examined characteristics of implantable cardioverter defibrillator (ICD) patients as predictors of postimplant outcome. In this study the authors considered the association between preimplant psychological characteristics, ICD shocks, and postimplant quality of life at short- and long-te...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.5.451

    authors: Sears SF,Lewis TS,Kuhl EA,Conti JB

    更新日期:2005-09-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.03.002

    authors: Sykes R

    更新日期:2012-07-01 00:00:00

  • Fatigue in psychiatric HIV patients: a pilot study of psychological correlates.

    abstract:BACKGROUND:Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE:The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psycholo...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.5.455

    authors: Paddison J,Fricchione G,Gandhi RT,Freudenreich O

    更新日期:2009-09-01 00:00:00

  • Clinical predictors of mental disorders among medical outpatients. Validation of the "S4" model.

    abstract::The authors previously reported four clinical cues that predicted a subgroup of ambulatory patients likely to have depressive and anxiety disorders. The authors' purpose in this study was to validate this model in another cohort of 185 consecutive adult referrals to a rheumatology clinic. The authors found 4 variables...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71302-7

    authors: Jackson JL,O'Malley PG,Kroenke K

    更新日期:1998-09-01 00:00:00

  • Incidence of deep vein thrombosis in restrained psychiatric patients.

    abstract:BACKGROUND:Although physical restraint is still used in psychiatric inpatient settings, it sometimes causes serious side effects, including deep vein thrombosis (DVT) and resulting pulmonary embolism. OBJECTIVE:The aim of this study was to investigate the incidence of the DVT in restrained patients who were receiving ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.04.001

    authors: Ishida T,Katagiri T,Uchida H,Takeuchi H,Sakurai H,Watanabe K,Mimura M

    更新日期:2014-01-01 00:00:00

  • A Randomized Double-Blind Controlled Trial Comparing Davanloo Intensive Short-Term Dynamic Psychotherapy as Internet-Delivered Vs Treatment as Usual for Medically Unexplained Pain: A 6-Month Pilot Study.

    abstract:BACKGROUND:Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with medically unexplained pain. OBJECTIVE:Understanding that not all patients with medically unexplained pain have access to in-person ISTDP, this study...

    journal_title:Psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.psym.2016.01.001

    authors: Chavooshi B,Mohammadkhani P,Dolatshahi B

    更新日期:2016-05-01 00:00:00

  • Somatoform disorders and trauma in medically-admitted children, adolescents, and young adults: prevalence rates and psychosocial characteristics.

    abstract:OBJECTIVE:The purpose of this study is to describe past traumatic experiences in medically-admitted pediatric and young adult patients diagnosed with somatoform disorders and to explore the demographic, diagnostic, and psychosocial differences between those with and without trauma histories. METHODS:Retrospective medi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.05.006

    authors: Thomson K,Randall E,Ibeziako P,Bujoreanu IS

    更新日期:2014-11-01 00:00:00

  • The Management Experiences, Priorities, and Challenges of Medical Directors in the Subspecialty of Consultation-Liaison Psychiatry: Results of a Needs Assessment.

    abstract:BACKGROUND:Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS:A nee...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.09.006

    authors: Bronson B,Perlman G

    更新日期:2020-09-22 00:00:00

  • Factors associated with disability and depressive symptoms among individuals with diabetes: a community study in Quebec.

    abstract:BACKGROUND:The prevalence of diabetes in Canada is increasing. Multiple factors have been identified in the development of disability in diabetic patients, but the interaction of those risk factors is not clear. OBJECTIVE:The purpose of this paper was to assess the association between diabetes severity, health behavio...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2010.11.020

    authors: Schmitz N,Messier L,Nitka D,Ivanova A,Gariepy G,Wang J,Malla A,Boyer R,Lesage A,Strychar I

    更新日期:2011-03-01 00:00:00

  • Problem substance use among depressed patients in managed primary care.

    abstract::This study identifies characteristics associated with problem substance use among 1,187 patients with either depressive symptoms (44%) or depressive disorders (56%) in primary care clinics of six managed care organizations. Sedative misuse (reported by 14% of all patients) was associated with greater wealth, social ph...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.43.5.405

    authors: Roeloffs CA,Wells KB,Ziedonis D,Tang L,Unützer J

    更新日期:2002-09-01 00:00:00

  • Psychiatric and medical factors associated with disability in patients with dizziness.

    abstract::Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryngology practice were assessed in 1991. The patients were classified acc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(93)71844-7

    authors: Clark MR,Sullivan MD,Katon WJ,Russo JE,Fischl M,Dobie RA,Voorhees R

    更新日期:1993-09-01 00:00:00

  • Do Consultation Psychiatrists, Forensic Psychiatrists, Psychiatry Trainees, and Health Care Lawyers Differ in Opinion on Gray Area Decision-Making Capacity Cases? A Vignette-Based Survey.

    abstract:BACKGROUND:Previous research in the area of medical decision-making capacity has demonstrated relatively poor agreement between experienced evaluators in "gray area" cases. We performed a survey to determine the level of agreement about gray area decision-making capacity case scenarios within and between individuals of...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2016.04.002

    authors: Armontrout J,Gitlin D,Gutheil T

    更新日期:2016-09-01 00:00:00

  • Pediatric Catatonia: A Case Series-Based Review of Presentation, Evaluation, and Management.

    abstract:BACKGROUND:Pediatric catatonia is believed to be a rare condition, but challenges in recognition and variability in presentation may lead to underdiagnosis. Early identification and effective treatment of pediatric catatonia is critical given the significant morbidity and mortality associated with the condition. Given ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2018.05.012

    authors: Sorg EM,Chaney-Catchpole M,Hazen EP

    更新日期:2018-11-01 00:00:00

  • Definition, diagnosis, and forensic implications of postconcussional syndrome.

    abstract::Injuries from blows to the head often are manifested only as subjective complaints. Postconcussional syndrome thus can be feigned for financial or psychological gain. The authors review the pathology of brain trauma, symptoms of postconcussional syndrome, and criteria for diagnosis. In addition to somatic deficits, ps...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.46.3.195

    authors: Hall RC,Hall RC,Chapman MJ

    更新日期:2005-05-01 00:00:00

  • Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: a randomized, controlled trial.

    abstract:BACKGROUND:Delirium is a serious postoperative condition for which few pharmacologic prevention trials have been conducted. OBJECTIVE:The authors tested the efficacy of perioperative olanzapine administration to prevent postoperative delirium in elderly patients after joint-replacement surgery. METHOD:The authors con...

    journal_title:Psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1176/appi.psy.51.5.409

    authors: Larsen KA,Kelly SE,Stern TA,Bode RH Jr,Price LL,Hunter DJ,Gulczynski D,Bierbaum BE,Sweeney GA,Hoikala KA,Cotter JJ,Potter AW

    更新日期:2010-09-01 00:00:00

  • Olfactory and Neuropsychological Functioning in Olfactory Reference Syndrome.

    abstract:BACKGROUND:Olfactory reference syndrome (ORS) is an underrecognized, understudied, and often severe psychiatric disorder characterized by a prominent and distressing or impairing preoccupation with a false belief of emitting an offensive body odor. As this condition has only recently been recognized in the Internationa...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.12.009

    authors: Sofko C,Tremont G,Tan JE,Westervelt H,Ahern DC,Menard W,Phillips KA

    更新日期:2020-01-01 00:00:00

  • Fluoxetine in pathologic skin-picking: open-label and double-blind results.

    abstract::Various studies suggest that selective serotonin reuptake inhibitors (SSRIs) may be useful in treating pathologic skin-picking. The authors investigated the effectiveness of fluoxetine in treating this behavior. Fifteen subjects with clinically significant skin-picking were recruited by newspaper advertisement. They r...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1176/appi.psy.42.4.314

    authors: Bloch MR,Elliott M,Thompson H,Koran LM

    更新日期:2001-07-01 00:00:00

  • Understanding associations between serious mental illness and hepatitis C virus among veterans: a national multivariate analysis.

    abstract:BACKGROUND:Hepatitis C virus (HCV) is a leading cause of hepatocellular carcinoma and cirrhosis in the United States and is known to be transmitted via pathways associated with substance use (e.g., injection drug use and intranasal drug use). OBJECTIVE:Although individuals with serious mental illness (SMI) have a high...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.1.30

    authors: Himelhoch S,McCarthy JF,Ganoczy D,Medoff D,Kilbourne A,Goldberg R,Dixon L,Blow FC

    更新日期:2009-01-01 00:00:00

  • Evidence for the partial dopamine-receptor agonist aripiprazole as a first-line treatment of psychosis in patients with iatrogenic or tumorogenic hyperprolactinemia.

    abstract:BACKGROUND:Antipsychotic drugs have many side effects, including elevation of prolactin levels through tuberoinfundibular dopamine-receptor blockade. Although a number of studies claim that aripiprazole is a prolactin-sparing antipsychotic drug that may even lower prolactin levels, there has not been an exhaustive eval...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.50.4.317

    authors: Hoffer ZS,Roth RL,Mathews M

    更新日期:2009-07-01 00:00:00

  • Antipsychotic-induced hyperprolactinemia and delusion of pregnancy.

    abstract::The authors describe 12 patients with antipsychotic-induced hyperprolactinemia. Six patients had erroneous ideas of being pregnant (four delusional and two non-delusional) temporally associated with hyperprolactinemia and resolving as prolactin levels returned to normal. The remaining six patients did not develop such...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.2.163

    authors: Ahuja N,Moorhead S,Lloyd AJ,Cole AJ

    更新日期:2008-03-01 00:00:00

  • Impact of delirium on decision-making capacity after hematopoietic stem-cell transplantation.

    abstract:BACKGROUND:Delirium is a common complication of myeloablative hematopoietic stem-cell transplantation (HSCT), yet no studies have explored the later effects of an episode of delirium in this setting on patients' decision-making capacity after the acute symptoms of delirium have resolved. OBJECTIVE:The authors assessed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.4.320

    authors: Zaubler T,Fann JR,Roth-Roemer S,Katon WJ,Bustami R,Syrjala KL

    更新日期:2010-07-01 00:00:00

  • Levels of depressive symptoms in spouses of people with lung cancer: effects of personality, social support, and caregiving burden.

    abstract::The authors sought to identify the personality correlates of depressive symptoms in 120 spouses of people with lung cancer. Spouses completed questionnaires, including measures of personality (neuroticism, extraversion, and interpersonal self-efficacy), social support, and caregiving burden. Their level of depressive ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.2.123

    authors: Kim Y,Duberstein PR,Sörensen S,Larson MR

    更新日期:2005-03-01 00:00:00