Introduction: Liver cirrhosis from alcohol abuse represents one of the main indications for liver transplantation. Since there is difference among alcohol abuser, according to DSM- 5 criteria, a careful psychological evaluation to assess the risks of relapse and the effective abstinence are the need before liver trans- plantation. Aim and Methods: From January 2019 until June 2020, among 212 patients who underwent evaluation for OLT, 46 patients had past history of alcohol consumption. Of these patients 26 were real abuser; 20 showed casual consumption, without effective addic- tion. Among these 46 patients, 16 underwent liver transplantation. Pre-transplant psycodiagnostic evalutation by tests (SCL.90m, BDI- II, BAI and IPQ-r), individual and family member interview were performed. Results: Pre-OLT evaluation tests showed the following signifi- cant data: SCL: 90-R: somatization (61.73), depressive symptoms (58.95), anxiety (59.33); BDI II: somatic-affective factor (moder- ate level); BAI: anxiety (moderate level). Post-transplant retesting showed non-significant data with any patient showing relapse in alcohol consumption after OLT. Conclusions: Our data show that among patients listed for alco- hol consumption, 26 were alcohol addicted, according to DSM-5 criteria and 20 had casual comsumption without real addiction. The pre and post –transplant psychological workout and support allowed relapse in alcohol consumption. Patients without a real ad- diction were supported in trying to change daily habits and favour abstinence. Patients with clear addiction needed a structured psy- chotherapy.
Psychological profiles and risk of relapse in cirrhosis due to alcohol abuse / Galeota Lanza, A., Mazzarone, G., Moreas, V.G.M., Cangiano, A., Giordano, F., Aragiusto, G., Arenga, G., Campanella, L., Ceriello, A., Ferraro, D., Migliaccio, C., Pisaniello, D., Esposito, I., Picciotto, F., Di Costanzo, G., Chierego, C., Esposito, C., Vennarecci, G.. - In: DIGESTIVE AND LIVER DISEASE. - ISSN 1590-8658. - 53:(2021), pp. 24-25. [10.1016/j.dld.2020.12.064]
Psychological profiles and risk of relapse in cirrhosis due to alcohol abuse
Ferraro, D.Data Curation
;
2021
Abstract
Introduction: Liver cirrhosis from alcohol abuse represents one of the main indications for liver transplantation. Since there is difference among alcohol abuser, according to DSM- 5 criteria, a careful psychological evaluation to assess the risks of relapse and the effective abstinence are the need before liver trans- plantation. Aim and Methods: From January 2019 until June 2020, among 212 patients who underwent evaluation for OLT, 46 patients had past history of alcohol consumption. Of these patients 26 were real abuser; 20 showed casual consumption, without effective addic- tion. Among these 46 patients, 16 underwent liver transplantation. Pre-transplant psycodiagnostic evalutation by tests (SCL.90m, BDI- II, BAI and IPQ-r), individual and family member interview were performed. Results: Pre-OLT evaluation tests showed the following signifi- cant data: SCL: 90-R: somatization (61.73), depressive symptoms (58.95), anxiety (59.33); BDI II: somatic-affective factor (moder- ate level); BAI: anxiety (moderate level). Post-transplant retesting showed non-significant data with any patient showing relapse in alcohol consumption after OLT. Conclusions: Our data show that among patients listed for alco- hol consumption, 26 were alcohol addicted, according to DSM-5 criteria and 20 had casual comsumption without real addiction. The pre and post –transplant psychological workout and support allowed relapse in alcohol consumption. Patients without a real ad- diction were supported in trying to change daily habits and favour abstinence. Patients with clear addiction needed a structured psy- chotherapy.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
