title: Assessing psychosocial vulnerability and care needs of pretransplant patients by means of the INTERMED.
abstract: OBJECTIVE
  We investigated whether the INTERMED, a generic instrument for assessing biopsychosocial case complexity and direct care, identifies organ transplant patients at risk of unfavourable post-transplant development by comparing it to the Transplant Evaluation Rating Scale (TERS), the established measure for pretransplant psychosocial evaluation.
  
  
  METHODS
  One hundred nineteen kidney, liver, and heart transplant candidates were evaluated using the INTERMED, TERS, SF-36, EuroQol, Montgomery-Åsberg Depression Rating Scale (MADRS), and Hospital Anxiety & Depression Scale (HADS).
  
  
  RESULTS
  We found significant relationships between the INTERMED and the TERS scores. The INTERMED highly correlated with the HADS,MADRS, and mental and physical health scores of the SF-36 Health Survey.
  
  
  CONCLUSIONS
  The results demonstrate the validity and usefulness of the INTERMED instrument for pretransplant evaluation. Furthermore, our findings demonstrate the different qualities of INTERMED and TERS in clinical practice. The advantages of the psychiatric focus of the TERS and the biopsychosocial perspective of the INTERMED are discussed in the context of current literature on integrated care.
authors.forename: Gundula
authors.initials: G
authors.lastname: Ludwig
authors.forename: Perdita
authors.initials: P
authors.lastname: Dobe-Tauchert
authors.forename: Barbara
authors.initials: B
authors.lastname: Nonnast-Daniel
authors.forename: Friedrich
authors.initials: F
authors.lastname: Stiefel
authors.forename: Peter
authors.initials: P
authors.lastname: de Jonge
authors.forename: Elena
authors.initials: E
authors.lastname: Lobo
authors.forename: Rainer
authors.initials: R
authors.lastname: Richter
authors.forename: Kai-Uwe
authors.initials: KU
authors.lastname: Eckardt
authors.forename: Werner
authors.initials: W
authors.lastname: Hohenberger
authors.forename: Michael
authors.initials: M
authors.lastname: Weyand
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Söllner
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D015897:Comorbidity; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated; D004185:Disability Evaluation; D005060:Europe; D005260:Female; D006301:Health Services Needs and Demand; D016027:Heart Transplantation / Q000523:psychology*; D006801:Humans; D033183:Interdisciplinary Communication; D007406:Interview, Psychological; D016030:Kidney Transplantation / Q000523:psychology*; D016031:Liver Transplantation / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D010348:Patient Care Team; D010552:Personality Assessment / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000523:psychology*; D011300:Preoperative Care / Q000523:psychology*; D011379:Prognosis; D011594:Psychometrics / Q000706:statistics & numerical data; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D015203:Reproducibility of Results; D012307:Risk Factors; D012803:Sick Role; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy