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Mood Disorders in Transplantation: Depressive Disorders

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Transplant Psychiatry

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Abstract

Depression is among the most common psychiatric disorders encountered throughout the transplant process. End-stage organ failure can create situations of extreme psychological stress and social impairment that has impacts on employment, relationships, and day-to-day living. Detection of depression in the transplant setting can be difficult because of the commonly associated neurovegetative symptoms that accompany organ failure. On top of the psychological challenges associated with end-stage organ disease, the acute physical decline, social stressors, and rigorous evaluation process associated with the transplant can potentially confound the diagnosis of depression. A thorough psychiatric evaluation by an experienced transplant mental health practitioner remains the gold standard for diagnosing and deciding upon the treatment of depressive disorders. Treatment of depression is imperative in the transplant setting to provide the best outcomes postoperatively. Untreated depression in the transplant setting has been correlated with increased risk of nonadherence, length of stay, infection rates, postoperative healing, rejection, and graft loss. But due in part to ongoing bias against patients with psychiatric disorders, investment in mental health resources and participation in mental health treatment can be limited within the transplant setting.

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Authors and Affiliations

  1. Department of Psychiatry, University of Washington, Seattle, WA, USA

    Thomas Soeprono, R. Michael Huijon & Spencer Lunbeck

Authors
  1. Thomas Soeprono
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  2. R. Michael Huijon
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  3. Spencer Lunbeck
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Correspondence to Thomas Soeprono .

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Editors and Affiliations

  1. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    Paula C. Zimbrean

  2. Department of Psychiatry, Stanford University School of Medicine, Stanford, CA, USA

    Yelizaveta Sher

  3. Department of Behavioral Health, Inova Fairfax Hospital, George Washington University, Falls Church, VA, USA

    Catherine Crone

  4. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA

    Andrea F. DiMartini

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Soeprono, T., Huijon, R.M., Lunbeck, S. (2022). Mood Disorders in Transplantation: Depressive Disorders. In: Zimbrean, P.C., Sher, Y., Crone, C., DiMartini, A.F. (eds) Transplant Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-15052-4_1

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  • DOI: https://doi.org/10.1007/978-3-031-15052-4_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-15051-7

  • Online ISBN: 978-3-031-15052-4

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