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Pretransplant Psychiatric and Medical Comorbidity of Alcoholic Liver Disease Patients Who Received Liver Transplant

Received Dec. 23, 2003; accepted Feb. 10, 2004. From the Departments of Psychiatry and Transplantation Surgery, University of Pittsburgh Medical Center and Starzl Transplant Institute, Pittsburgh. Address reprint requests to Dr. DiMartini, Western Psychiatric Institute and Clinics, 3811 O'Hara St., Pittsburgh, PA 15213; dimartiniaf{at}msx.upmc.edu (e-mail).

The authors examined the pretransplant prevalence of comorbid physical and psychological disorders in 112 alcoholic liver disease patients who received liver transplant. Fifty-six percent of the patients had comorbid hepatitis C or hepatitis B virus, 40% had used other substances in addition to alcohol, 25% met the criteria for a lifetime DSM-IV nonalcohol substance use disorder, 36% for a lifetime depressive disorder, and 12% for a lifetime anxiety disorder. The findings suggest the need for pretransplant psychiatric evaluation of alcoholic liver disease patients to identify nonalcohol substance use disorders and other psychiatric disorders that may require treatment.

Key Words: Addictive Disorders • Alcohol • Other Addictive Disorders • Depression • Anxiety Disorders (General) • Other Treatment

This article has been cited by other articles:

				A. DiMartini, M. A. Dew, M. G. Fitzgerald, and P. Fontes Clusters of Alcohol Use Disorders Diagnostic Criteria and Predictors of Alcohol Use After Liver Transplantation for Alcoholic Liver Disease Psychosomatics, July 1, 2008; 49(4): 332 - 340. [Abstract] [Full Text] [PDF]

				Ask the Expert: PSYCHIATRIC EVALUATION OF LIVER TRANSPLANT CANDIDATES Focus, April 1, 2005; 3(2): 225 - 227. [Full Text] [PDF]

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