Psychosocial Assessment in Transplantation

  • Beverly S. Shreve
Reference work entry
Part of the Organ and Tissue Transplantation book series (OTT)


The psychosocial evaluation used in the assessment of the pediatric solid organ transplant recipient continues to play an important role in the transplant process although its key roles have changed from the inception of transplantation. This chapter describes the history of the psychosocial assessment and how it was first used in the transplant process in the early 1980s to the present day of transplantation. The fundamentals of the assessment, which are to attain a well-rounded knowledge of the transplant candidate and the candidate’s family, have remained a constant, but the reader will learn that with the advancements in solid organ transplantation came changes in psychosocial issues deemed pertinent. The issues of importance include the presence of family discord/stressors, financial issues, evidence of nonadherence, and cognitive and cultural discordance. Each of these will be addressed.

Although the psychosocial assessment is an integral part of the multidisciplinary evaluation, it is meant to identify patient and family strengths and weaknesses. It is not intended to impact on the determination of eligibility for pediatric transplantation.


Psychosocial assessment Pediatric transplantation Liver transplant Kidney transplant Nonadherence Cultural diversity Cognitive Psychosocial issues in transplantation Family discord Risk factors in transplant 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Nemours Alfred I. duPont Hospital for ChildrenWilmingtonUSA

Section editors and affiliations

  • J Jeffrey Malatack
    • 1
  1. 1.Diagnostic Referral DivisionNemours/Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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