{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T14:27:10Z","timestamp":1762957630001,"version":"3.41.2"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K10413"],"award-info":[{"award-number":["20K10413"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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\u2010care 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\u2010guided psychological support for an adolescent awaiting HT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 16\u2010year\u2010old 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\u2010care prompted further evaluation using the Wechsler Adult Intelligence Scale\u2010Fourth Edition, which revealed deficits in processing speed and verbal comprehension. A transtheoretical model\u2010guided intervention was then implemented to improve self\u2010care behaviors. Periodic SIPAT assessments during routine check\u2010ups 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This case highlights the effectiveness of early SIPAT\u2010guided 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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pcn5.70087","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T04:00:27Z","timestamp":1742270427000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychological support for an adolescent awaiting heart transplantation: A case report on psychological intervention using the Stanford Integrated Psychosocial Assessment for Transplant"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8771-904X","authenticated-orcid":false,"given":"Kosuke","family":"Takano","sequence":"first","affiliation":[{"name":"Department of Psychology Meiji Gakuin University Minato\u2010ku Tokyo Japan"},{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Tsutsui","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidehiro","family":"Oshibuchi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayaka","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"},{"name":"Department of Psychiatry, Saitama Medical Center Saitama Medical University Kawagoe\u2010shi Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Akaho","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuji","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tokyo Women's Medical University Shinjuku\u2010ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.47.3.213"},{"key":"e_1_2_12_3_1","unstructured":"The Japan Society for Transplantation.Fact book 2023 on organ transplantation in Japan.2024[cited 2024 Nov 6]. 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