Evidence map›Paper›PMID 40104131›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

Psychological support for an adolescent awaiting heart transplantation: A case report on psychological intervention using the Stanford Integrated Psychosocial Assessment for Transplant.

Kosuke Takano, Junko Tsutsui, Hidehiro Oshibuchi, Sayaka Kobayashi, Rie Akaho, Katsuji Nishimura

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kosuke TakanoDepartment of Psychology Meiji Gakuin University Minato-ku Tokyo Japan.ORCID 0000-0001-8771-904X
Junko TsutsuiDepartment of Psychiatry Tokyo Women's Medical University Shinjuku-ku Tokyo Japan.
Hidehiro OshibuchiDepartment of Psychiatry Tokyo Women's Medical University Shinjuku-ku Tokyo Japan.
Sayaka KobayashiDepartment of Psychiatry Tokyo Women's Medical University Shinjuku-ku Tokyo Japan.
Rie AkahoDepartment of Psychiatry Tokyo Women's Medical University Shinjuku-ku Tokyo Japan.
Katsuji NishimuraDepartment of Psychiatry Tokyo Women's Medical University Shinjuku-ku Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychosocial factors significantly influence outcomes following heart transplantation (HT). In Japan, the prolonged waiting period for HT often requires a ventricular assist device (VAD), demanding strict adherence to self-care regimens to prevent complications. The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) identifies psychosocial barriers to successful transplantation. This case report describes the use of SIPAT-guided psychological support for an adolescent awaiting HT. Case Presentation: A 16-year-old Japanese male with dilated cardiomyopathy underwent evaluation for HT. The SIPAT assessment revealed a total score of 25, with elevated scores in readiness for illness management (SIPAT A: 11) and social support (SIPAT B: 12), indicating challenges with understanding his condition and unstable family dynamics. Tailored interventions included psychotherapy and family psychoeducation. Following VAD implantation, initial nonadherence to self-care prompted further evaluation using the Wechsler Adult Intelligence Scale-Fourth Edition, which revealed deficits in processing speed and verbal comprehension. A transtheoretical model-guided intervention was then implemented to improve self-care behaviors. Periodic SIPAT assessments during routine check-ups facilitated ongoing monitoring and timely interventions. Over 25 months, the SIPAT scores improved (14 and 15) and no adverse outcomes, such as infections, emergency hospitalizations, or nonadherence behaviors, were observed. Conclusion: This case highlights the effectiveness of early SIPAT-guided psychological support and multidisciplinary interventions in addressing complex psychosocial issues in adolescents during the VAD waiting period. It underscores the critical need for regular psychosocial assessments and individualized care to optimize transplantation outcomes.

Indexed as

heart transplantationpretransplant evaluationpsychological supportStanford Integrated Psychosocial Assessment for Transplantationventricular assist device

Identifiers

PMID40104131
PMCPMC11913622

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.