Anxiety Levels Observed in Candidates for Liver Transplantation
Open accessAbstract
Introduction Anxiety can be considered an emotional state that does not present itself at the same intensity in all patients, and can be classified into 3 levels: mild, moderate, and severe. The patient, upon entering the waiting list for transplantation, reflects on the decision taken, which leaves him constantly anxious about the idea of possible death.Objective This study had the aim of evaluating the degree of anxiety observed in orthotopic liver transplantation (OLT) candidates and whether there was a correlation between anxiety and etiologic diagnosis.Methods This study was a prospective study where the patients underwent psychological evaluation by Beck Anxiety Inventory (BAI). The anxiety level was minimal, mild, moderate, or severe. The Model for End-Stage Liver Disease (MELD) score and etiology were recorded.Results The level of anxiety found were as follows: 55% minimal, 27% mild, 12% moderate, and 7% severe. The correlation between level of anxiety and etiologic diagnosis showed that 71% of patients with alcoholic cirrhosis and 60% of those with liver cancer showed a minimal degree of anxiety and 27% of patients with autoimmune cirrhosis had severe anxiety.Conclusion We found that in patients with autoimmune hepatitis, the degree of anxiety was more pronounced. It is believed that the absence of physical symptoms is an important factor when observing anxiety in OLT candidates.
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Santos and colleagues reported the prevalence of anxiety symptoms to be 29% among patients with alcohol-associated liver disease awaiting transplant.
“In one of the only studies to exclusively examine self-reported ANX among patients with ALD awaiting transplant, Santos and colleagues reported the prevalence of ANX symptoms to be 29%.”
From Prevalence of depression and anxiety symptoms by liver disease etiology (2023) · cites this paper as [9]
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- Authors
- Santos, G. R., Boin, I. F. S. F., Pereira, M. I. W., Bonato, T. C. M. P., Silva, R. C. M. A., Stucchi, R. S. B., & da Silva, R. F.
- Affiliations
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Venue
- Transplantation Proceedings
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 42
- Issue
- 2
- Pages
- 513-516
- ISSN
- 0041-1345 (ISSN-L)
- OpenAlex
- W2072320178
- Cited by
- 26
- References
- 16
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Transplantation Proceedings (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anxiety, liver transplant candidates, orthotopic liver transplantation, Beck Anxiety Inventory, MELD score, liver disease etiology, alcoholic cirrhosis, liver cancer, autoimmune hepatitis, psychological assessment, transplant waiting list
- MeSH terms
- Adult, Aged, Anxiety, Decision Making, Fear, Female, Humans, Liver Cirrhosis, Alcoholic, Liver Neoplasms, Male, Middle Aged, Occupations, Prospective Studies, Retirement, Risk Factors, Stress, Psychological, Unemployment, Waiting Lists, Liver Transplantation, Liver Failure, Marital Status, Hepatitis, Autoimmune, Young Adult
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