Lung transplant patients and childhood abuse: A preliminary report

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Abstracts / Journal of Psychosomatic Research 74 (2013) 539–562

Method: Participants were consecutively referred patients presenting for bariatric surgery at the Toronto Western Hospital's Bariatric surgery program. Current and lifetime suicidality, psychodiagnostics, and demographics will be presented for 1141 patients to illustrate common psychosocial issues. Pre-surgery and one year post-surgery measures of psychopathology including depression and anxiety will be presented for a subsample (n = 142). Results: Findings indicate that similar to obese individuals, bariatric surgery candidates report a higher rate of all psychiatric disorders, including mood and anxiety disorders, compared to population norms. Notably, at one year post-surgery, patients report significant improvements in psychopathology including depression and anxiety (p's b .01). Conclusions: These results suggest that bariatric surgery is a viable option for some obese individuals, and highlights the importance of a multidisciplinary approach. In particular, mental health professionals who can assess individuals presenting for bariatric surgery and who can treat psychiatric issues post-surgery, are essential. The assessment and treatment framework developed and implemented by the Toronto Western Hospital's bariatric surgery program will be explained in the discussion of clinical recommendations. http://dx.doi.org/10.1016/j.jpsychores.2013.03.090

Patients with medical illnesses are reported to have higher rates of childhood abuse. Although this association has been seen in a number of medical populations it has not been studied in transplant populations and may have implications for how well these patients do with the stress of transplantation. Objective: To retrospectively review the histories of lung transplant patients evaluated in the Mayo Clinic Transplant Psychiatry Clinic utilizing a semistructured interview including routine enquiry of childhood abuse. Methods: This was a retrospective chart review done of lung transplant candidates from 2000 to 2004 at the Mayo Clinic. Patients were routinely seen for a pre-transplant psychiatric interview utilising DSM-IV criteria by a board certified psychiatrist trained in Consultation Liaison Psychiatry. Results: Lung transplant candidates were evaluated (n = 34) and 23.5% reported a history of abuse. Childhood abuse was more common in women (n = 7) with 33.3% of women having a history of abuse compared to men who had a 7.7% rate of abuse. Conclusion: This pilot project, which explores the presence of childhood abuse in a lung transplant population, suggests that further research is needed to understand the extent of abuse in transplant populations and whether abuse early in life increases the risk, particularly in women, to develop organ failure later in life. http://dx.doi.org/10.1016/j.jpsychores.2013.03.091

77 - Lung transplant patients and childhood abuse: A preliminary report A. Zubair a, S. Jowsey b, T. Dolenc b, T. Schneekloth b a Mayo Medical School, United States, b Mayo Clinic, William J Von Liebig Transplant Center, United States