Liver transplant in primary sclerosing cholangitis: Current trends and future directions

Table 6 Psychological instruments for psychosocial evaluation of transplant patients

Instrument name	Description	Scoring/rating	Reliability	Validity
Beck depression inventory	Self-report measure of depressive symptoms	21-item scale, higher scores indicate more severe depressive symptoms	High test-retest reliability, internal consistency, and concurrent validity	Established validity in measuring depressive symptoms in various populations
Hamilton depression rating scale	Clinician-rated scale to assess severity of depressive symptoms	17-item scale, higher scores indicate more severe depressive symptoms	High inter-rater reliability, internal consistency, and concurrent validity	Established validity in measuring depressive symptoms in various populations
General health questionnaire	Self-report measure of general mental health	12-item or 28-item scale, higher scores indicate poorer mental health	High internal consistency, test-retest reliability, and concurrent validity	Widely used in assessing mental health in general populations
Primary care evaluation of mental disorders-patient health questionnaire	Self-report measure of common mental disorders	9-item scale, higher scores indicate greater severity of mental disorder symptoms	High sensitivity and specificity, test-retest reliability, and convergent validity	Widely used in primary care settings to screen for mental disorders
Transplant evaluation rating scale	Clinician-rated scale to assess psychosocial functioning in transplant recipients	10 aspects of psychosocial functioning rated on a 5-point scale, higher scores indicate better adjustment	Good inter-rater reliability and validity in liver transplant recipients	Specific to evaluating psychosocial functioning in transplant recipients
Psychosocial assessment of candidates for transplantation	Clinician-rated scale to assess psychosocial acceptability of transplant candidates	8 subscales rated on a 5-point scale, with initial and final overall ratings	Established reliability and validity in evaluating psychosocial acceptability of transplant candidates	Widely used in evaluating transplant candidate suitability
Stanford integrated psychosocial assessment for transplantation	Clinician-rated scale to assess psychosocial functioning in transplant candidates	Comprehensive assessment covering multiple domains of psychosocial functioning	Limited data on reliability and validity, but shows promise in transplant candidate evaluation	Developed specifically for evaluating psychosocial functioning in transplant candidates