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Assessing Psychosocial Vulnerability and Care Needs of Pretransplant Patients by Means of the INTERMED
- Source :
- University of Groningen, Scopus-Elsevier, Zeitschrift für Psychosomatische Medizin und Psychotherapie, 60(2), 190-203
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Abstract
- Objective: We investigated whether the INTERMED, a generic instrument for assessing biopsychosocial case complexity and direct care, identifies organ transplant patients at risk of unfavourable post-transplant development by comparing it to the Transplant Evaluation Rating Scale (TERS), the established measure for pretransplant psychosocial evaluation. Method: One hundred nineteen kidney, liver, and heart transplant candidates were evaluated using the INTERMED, TERS, SF-36, EuroQol, Montgomery-Asberg Depression Rating Scale (MADRS), and Hospital Anxiety 8( Depression Scale (HADS). Results: We found significant relationships between the INTERMED and the TERS scores. The INTERMED highly correlated with the HADS, MADRS, and mental and physical health scores of the SF-36 Health Survey. Conclusions: The results demonstrate the validity and usefulness of the INTERMED instrument for pretransplant evaluation. Furthermore, our findings demonstrate the different qualities of INTERMED and TERS in clinical practice. The advantages of the psychiatric focus of the TERS and the biopsychosocial perspective of the INTERMED are discussed in the context of current literature on integrated care.
- Subjects :
- Biopsychosocial model
SELECTION
Male
EVALUATION RATING-SCALE
Care Needs
Comorbidity
Personality Assessment
Disability Evaluation
Postoperative Complications
Quality of life
QUALITY-OF-LIFE
Risk Factors
Activities of Daily Living
Adaptation, Psychological
Cooperative Behavior
Somatoform Disorders
Sick role
Delivery of Health Care, Integrated
Mental Disorders
Sick Role
Middle Aged
Prognosis
INTERMED
HEALTH-SERVICE NEEDS
Europe
RELIABILITY
Screening
Female
Psychosocial
PROJECT
Clinical psychology
Adult
TERS
Psychometrics
Context (language use)
HOSPITAL ANXIETY
CASE COMPLEXITY
Psychiatric Comorbidity
Rating scale
Interview, Psychological
Preoperative Care
medicine
Humans
Patient Care Team
Health Services Needs and Demand
business.industry
ORGAN TRANSPLANT CANDIDATES
Psychosocial Risks
Reproducibility of Results
Organ Transplantation
Complexity
medicine.disease
Kidney Transplantation
Psychophysiologic Disorders
Integrated care
Liver Transplantation
DEPRESSION SCALE
Heart Transplantation
Interdisciplinary Communication
business
human activities
Subjects
Details
- ISSN :
- 14383608
- Database :
- OpenAIRE
- Journal :
- University of Groningen, Scopus-Elsevier, Zeitschrift für Psychosomatische Medizin und Psychotherapie, 60(2), 190-203
- Accession number :
- edsair.doi.dedup.....30c0a83e51397814eb1b01e1dbcd194a