Group Psychotherapy Could Improve Depression in Cirrhotic Patients on the Liver Transplant Waiting List

Abstract

BackgroundIt is well-known that there is a high incidence of depression in patients on the liver transplant (LT) waiting list. However, there have been few studies of psychological intervention on these patients. ObjectivesTo determine symptoms of depression in patients on the LT waiting list and the impact of group psychotherapy. MethodsStudy population: patients on the LT waiting list who received group psychotherapy (n = 15). Control group: patients who did not receive psychotherapy (n = 10). Measurement instrument: Beck's depression test, which was provided before psychotherapy was initiated and after it was completed (after 6 months). The control group was given the questionnaire at the same 2 points in time as the study group. The psychotherapeutic method consisted of discussing patients' feelings, which dealt with several matters related to transplantation. Different coping strategies were considered. ResultsMore than half of those surveyed initially had depressive symptoms. When the second survey was administered to the study population, all the patients improved in their psychopathological assessment. When the survey was administered to the control group, a worse psychopathological assessment was obtained in all cases. ConclusionsOur data suggest an improvement in depressive symptoms in patients on the LT waiting list after receiving group psychotherapy.