Assessing psychosocial vulnerability and care needs of pretransplant patients by means of the INTERMED.

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State: Public
Version: author
Serval ID
serval:BIB_8824F6FFE1CB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Assessing psychosocial vulnerability and care needs of pretransplant patients by means of the INTERMED.
Journal
Zeitschrift Für Psychosomatische Medizin Und Psychotherapie
Author(s)
Ludwig G., Dobe-Tauchert P., Nonnast-Daniel B., Stiefel F., de Jonge P., Lobo E., Richter R., Eckardt K.U., Hohenberger W., Weyand M., Söllner W.
ISSN
1438-3608 (Print)
ISSN-L
1438-3608
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
60
Number
2
Pages
190-203
Language
english
Notes
Publication types: Journal Article ; Multicenter Study
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-Åsberg Depression Rating Scale (MADRS), and Hospital Anxiety & 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.
Keywords
Activities of Daily Living/psychology, Adaptation, Psychological, Adult, Comorbidity, Cooperative Behavior, Delivery of Health Care, Integrated, Disability Evaluation, hic" UI="D005060">Europe, Female, Health Services Needs and Demand, Heart Transplantation/psychology, Humans, Interdisciplinary Communication, Interview, Psychological, Kidney Transplantation/psychology, Liver Transplantation/psychology, Male, Mental Disorders/diagnosis, Mental Disorders/psychology, Middle Aged, Patient Care Team, Personality Assessment/statistics & numerical data, Postoperative Complications/diagnosis, Postoperative Complications/psychology, Preoperative Care/psychology, Prognosis, Psychometrics/statistics & numerical data, Psychophysiologic Disorders/diagnosis, Psychophysiologic Disorders/psychology, Reproducibility of Results, Risk Factors, Sick Role, Somatoform Disorders/diagnosis, Somatoform Disorders/psychology
Pubmed
Web of science
Create date
20/06/2014 15:41
Last modification date
20/08/2019 14:47
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