title: Psychosomatic evaluation of patients awaiting lung transplantation.
abstract: Levels of psychosocial functioning were assessed according to Transplantation Evaluation Rating Scale (TERS) in 113 patients prior to lung transplantation. The prevalence of mental disorders was 20%; in addition impaired mental status was observed in 12 (11%) patients. The most frequent diagnoses were dependence on tobacco (9%), adjustment disorders (4%), and dependence on alcohol (2%). In the clinical interview, 87 patients (77%) were assessed as eligible, 20 (18%) as risky, and 6 (5%) as high-risk candidates. The TERS total scores between the eligibility groups differed significantly (F = 19.5; df = 112; P < .001). There were no significant effects of gender and age. Significant inverse correlations were estimated between the TERS score and educational status (r = -.291; P = .002). TERS allows a standardized evaluation of lung transplant candidates with good discrimination into eligibility groups. General psychosocial adaptation is mainly based on the educational level, a factor that should be examined in psychosomatic assessments.
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Essen, Essen, Germany. yesim.erim@uni-essen.de
authors.forename: Y
authors.initials: Y
authors.lastname: Erim
authors.forename: M
authors.initials: M
authors.lastname: Beckmann
authors.forename: G
authors.initials: G
authors.lastname: Marggraf
authors.forename: W
authors.initials: W
authors.lastname: Senf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008171:Lung Diseases / Q000145:classification / Q000601:surgery; D016040:Lung Transplantation / Q000502:physiology* / Q000523:psychology; D008297:Male; D008511:Medicine; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D018579:Patient Selection; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000175:diagnosis*; D012907:Smoking / Q000453:epidemiology; D012917:Social Adjustment; D012918:Social Alienation / Q000523:psychology*; D012919:Social Behavior; D014850:Waiting Lists; D055815:Young Adult