Psychological evaluation and follow-up in liver transplantation

Table 1 Contraindications for OLTx

Absolute

Irriversible cognitive-neurological deficits

Active psychosis

Active addiction to drugs and/or alcohol

Relative

Personality disorder

History of psychiatric disorders

History of alcohol and/or drug addiction

Depression

Neurosis

History of use of psychotropic/neuroleptics

Limited family and social support

Limited ability to adhere to therapies

Inadequate motivation

Table 2 Domains of the pre-transplant psychological evaluation

Informed consent

Personality profile

Psychopathology

Past/present psychiatric history

Effect of illness on daily life activities

Defense mechanism employed and coping skills

Motivation for surgery

Treatment compliance

Support from the family

Socioeconomic support (together with social worker’s evaluation)

Awareness of information regarding the actual surgical event and future treatments

Use/abuse of alcohol and/or drugs (see paragraph on this topic)

QOL