title: Pancreas and islet transplantation: psychological themes pre- and posttransplant.
abstract: OBJECTIVE
  To date, islet and whole pancreas transplantation have been largely researched and reported separately. Therefore, for the first time, this review seeks to examine together the recently reported psychological issues as they relate to the two different types of transplantation.
  
  
  RESULTS
  In relation to pancreas transplantation, recent findings indicate potential issues relating to energy levels, including sleep problems; mood problems (anxiety, depression, traumatic stress); social interactions; and identity issues. Similarly, the research on islet allotransplantation (ITA) indicates mood disruptions associated with Type I diabetes mellitus (T1DM), which seem to improve as a result of treatment with ITA.
  
  
  CONCLUSIONS
  The review indicates a need for more research to guide effective intervention to optimize psychological recovery post islet and/or pancreas transplantation for patients with T1DM. Effective psychological intervention for this group relies on researchers eliciting more detailed knowledge of pretransplant psychosocial issues, not only in relation to how these might vary by transplant group, but also in relation to patient health status vis-à-vis microvascular complications and glycaemic control, and how these issues change across the whole transplant journey.
authors: aSchool of Psychology, Faculty of Arts & Human Sciences, Elizabeth Fry Building, University of Surrey, Guildford bDepartment of Nephrology, Ipswich Hospital NHS Trust, Heath Road, Ipswich, UK.
authors: Sue
authors: S
authors: Jackson
authors: Laura M
authors: LM
authors: Simonds
authors: Richard M
authors: RM
authors: Smith
mesh_terms: D000339:Affect; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery; D006801:Humans; D016381:Islets of Langerhans Transplantation; D066027:Transplant Recipients / Q000523:psychology*