title: Psychiatric aspects of organ transplantation and donation.
abstract: OBJECTIVE
  Psychiatrists and other mental health professionals typically assist with evaluating and treating psychiatric and behavioral issues in transplant candidates, recipients, and living organ donors. In this review recent findings on specific psychiatric issues in adult solid organ transplant candidates and recipients, as well as living donors are discussed as well as their relevance to clinical practice.
  
  
  RESULTS
  Patients with complex mental health and addiction histories can have outcomes similar to patients without these disorders but may require specialized pretransplant preparation or posttransplant interventions to optimize their outcomes. Specific attention to the preparation and wellbeing of living donors is needed.
  
  
  CONCLUSIONS
  As transplant programmes increasingly consider patients with complex mental health histories, psychiatrists, and mental health professionals evaluating and treating these patients need to consider plans for early identification and treatment. Psychiatric care provided across the preoperative to postoperative periods will best address the longitudinal care needs of patients with mental health disorders. Abstinence from substances and complete adherence to medical directives provides the best chance for optimal outcomes. Treatment of depression may improve transplant outcomes. Research is needed to identify effective interventions and the best strategies to engage patients to improve adherence.
  http://links.lww.com/YCO/A30.
authors.affiliation: aDepartment of Psychiatry bDepartment of Clinical and Translational Science cDepartments of Psychiatry, Psychology, Epidemiology and Biostatistics dDepartments of Psychiatry and Surgery, School of Medicine eDepartment of Transplantation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Faeder
authors.forename: Darcy
authors.initials: D
authors.lastname: Moschenross
authors.forename: Emily
authors.initials: E
authors.lastname: Rosenberger
authors.forename: Mary Amanda
authors.initials: MA
authors.lastname: Dew
authors.forename: Andrea
authors.initials: A
authors.lastname: DiMartini
mesh_terms: D000328:Adult; D003863:Depression / Q000628:therapy; D003866:Depressive Disorder / Q000628:therapy; D042241:Early Diagnosis; D006801:Humans; D019520:Living Donors / Q000523:psychology*; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D016377:Organ Transplantation / Q000523:psychology*; D011184:Postoperative Period; D057234:Preoperative Period; D019966:Substance-Related Disorders / Q000628:therapy; D009927:Tissue and Organ Procurement; D066027:Transplant Recipients / Q000523:psychology*; D016896:Treatment Outcome