title: [Psychosocial need for counselling before and after a lung, liver or allogenic bone marrow transplant--results of a prospective study].
abstract: OBJECTIVE
  Transplant patients are exposed to many different types of mental and social stress. The study investigates these patients' need for psychosocial counselling.
  
  
  METHODS
  At 6 months and again at 12 months following either a lung, liver or bone-marrow transplantation, 76 patients were questioned about their need for psychosocial counselling. The measuring instruments employed were: SF-36 (quality of life), FLZ (life satisfaction), HADS-D (anxiety/depression), and F-SoZu K-14 (social support).
  
  
  RESULTS
  The need for psychosocial counselling in all three patient groups was at its greatest before transplantation. It amounted to 42.9 % (lung transplantation patients), 50.0 % (liver transplantation patients) and 26.7 % (bone marrow transplantation patients). Six months after transplantation, the need for counselling in all patient groups had quite clearly decreased. Among liver transplant patients, however, it increased again between the sixth and twelfth months. The need for counselling in all patient groups correlated significantly with anxiety. Moreover, at one-year follow-up, significantly negative correlations with mental health, life satisfaction and social support were observed.
  
  
  CONCLUSIONS
  Especially during the evaluation phase prior to organ transplantation, transplantation patients demonstrate a considerable need for counselling. Psychosocial counselling should be an obligatory part of therapy before and after organ transplantation.
authors.affiliation: Abteilung Psychosoziale Medizin, Universitätsspital Zürich. lutz.goetzmann@usz.ch
authors.forename: Lutz
authors.initials: L
authors.lastname: Goetzmann
authors.forename: Richard
authors.initials: R
authors.lastname: Klaghofer
authors.forename: Regula
authors.initials: R
authors.lastname: Wagner-Huber
authors.forename: Jörg
authors.initials: J
authors.lastname: Halter
authors.forename: Annette
authors.initials: A
authors.lastname: Boehler
authors.forename: Beat
authors.initials: B
authors.lastname: Muellhaupt
authors.forename: Urs
authors.initials: U
authors.lastname: Schanz
authors.forename: Claus
authors.initials: C
authors.lastname: Buddeberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D016026:Bone Marrow Transplantation / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation / Q000523:psychology*; D016040:Lung Transplantation / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D011182:Postoperative Care / Q000523:psychology; D011300:Preoperative Care / Q000523:psychology; D011446:Prospective Studies; D011613:Psychotherapy; D011788:Quality of Life / Q000523:psychology; D013001:Somatoform Disorders / Q000523:psychology / Q000628:therapy*; D013315:Stress, Psychological / Q000150:complications; D013557:Switzerland