title: Psychosomatic interrelations following liver transplantation.
abstract: It is well described that quality of life (QoL) improved after liver transplantation. The aim of the present study was to investigate how psychosocial parameters develop after liver transplantation (LTX) and whether post-operative complaints are the result of osteoporosis or patient somatization. The prospective study looks into biomedical and psychosocial parameters of 82 LTX patients before, 1 and 3 yrs after transplantation. Osteoporosis was measured by bone mineral density (BMD) and psychosocial parameters were assessed with validated questionnaires measuring complaints, mood and overall QoL. Overall QoL and mood improved after liver transplantation, while back and limb pain increased continuously. Back and limb pain were highly correlated with reduced bone density and high values for tiredness and depressive anxiety. Back and limb pain of patients following liver transplantation may indicate the development of a post-operative depression in some cases. The treatment offered by an essentially biologically based medicine may promote the manifestation of this depression as a somatization disorder.
authors.affiliation: Clinic for Internal Medicine, Psychosomatics/Psychotherapy, Charité, Berlin, Germany. marc.walter@charite.de
authors.forename: Marc
authors.initials: M
authors.lastname: Walter
authors.forename: Dierk
authors.initials: D
authors.lastname: Moyzes
authors.forename: Matthias
authors.initials: M
authors.lastname: Rose
authors.forename: Ruth
authors.initials: R
authors.lastname: Neuhaus
authors.forename: Gerhard
authors.initials: G
authors.lastname: Danzer
authors.forename: Burghard F
authors.initials: BF
authors.lastname: Klapp
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D000368:Aged; D015519:Bone Density; D003866:Depressive Disorder / Q000209:etiology; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000523:psychology*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications; D011183:Postoperative Complications; D011446:Prospective Studies; D011788:Quality of Life; D013001:Somatoform Disorders / Q000150:complications / Q000209:etiology*; D011795:Surveys and Questionnaires; D013997:Time Factors