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Verfasst von:Gronewold, Nadine [VerfasserIn]   i
 Schunn, Fabian [VerfasserIn]   i
 Ihrig, Andreas [VerfasserIn]   i
 Mayer, Gwendolyn [VerfasserIn]   i
 Wohnsland, Sascha [VerfasserIn]   i
 Wagenlechner, Petra [VerfasserIn]   i
 Leuschner, Maren [VerfasserIn]   i
 Kreußer, Michael [VerfasserIn]   i
 Sommerer, Claudia [VerfasserIn]   i
 Rupp, Christian [VerfasserIn]   i
 Friederich, Hans-Christoph [VerfasserIn]   i
 Schultz, Jobst-Hendrik [VerfasserIn]   i
 Bruns, Bastian [VerfasserIn]   i
Titel:Psychosocial characteristics of patients evaluated for kidney, liver, or heart transplantation
Verf.angabe:Nadine Gronewold, MSc, Psych, Fabian Schunn, MD, Andreas Ihrig, Dipl-Psych, Gwendolyn Mayer, Dipl-Psych, Sascha Wohnsland, MD, Petra Wagenlechner, MD, Maren Leuschner, MD, Michael M. Kreusser, MD, Claudia Sommerer, MD, Christian Rupp, MD, Hans-Christoph Friederich, MD, Jobst-Hendrik Schultz, MD, and Bastian Bruns, MD
E-Jahr:2023
Jahr:January 2023
Umfang:8 S.
Fussnoten:Gesehen am 10.05.2023
Titel Quelle:Enthalten in: Psychosomatic medicine
Ort Quelle:Philadelphia, Pa. : Lippincott Williams & Wilkins, 1939
Jahr Quelle:2023
Band/Heft Quelle:85(2023), 1, Seite 98-105
ISSN Quelle:1534-7796
Abstract:Objective: Psychosocial parameters play a pivotal role in organ recipient evaluation before wait-listing for transplantation because of their impact on organ and patient outcome. Patients in need of heart (HTx), liver (LTx), or kidney transplantation (KTx) face distinct physical and psychological challenges. This study compares the psychosocial characteristics and preferences for additional therapy for patients undergoing assessment for these three types of organ transplantation to optimize patient-tailored psychological, social, and other supportive interventions. Methods: We conducted a cross-sectional, observational study with 1110 potential transplantation candidates (LTx, n = 544; KTx, n = 330; HTx, n = 236), psychosocial status was determined for depressive symptoms (Patient Health Questionnaire Depression Scale), anxiety symptoms (seven-item Generalized Anxiety Disorder Screener), health-related quality of life (36-Item Short Form Health Survey), perceived social support (Perceived Social Support Questionnaire), sense of coherence (SoC; short form of the Sense of Coherence Scale), self-efficacy (General Self-Efficacy Short Scale), and body image (German Body Image Questionnaire-20). Preferences for additional supportive therapy were assessed dichotomously. Data were analyzed using multivariate analysis of covariance and χ2 tests. Results: Patient groups differed significantly regarding depression (F(2,1107) = 35.283, p < .001, partial η2 = 0.01), anxiety (F(2,1107) = 15.027, p < .001, partial η2 = 0.03), health-related quality of life (physical: F(2,1107) = 96.772, p < .001, partial η2 = 0.15; mental: F(2,1107) = 11.442, p < .001, partial η2 = 0.02), perceived social support (F(2,1107) = 20.813, p < .001, partial η2 = 0.04), SoC (F(2,1107) = 12.920, p < .001, partial η2 = 0.02), self-efficacy (F(2,1107) = 17.308, p < .001, partial η2 = 0.03), and body image (rejecting body evaluation: F(2,1107) = 5.006, p = .007, partial η2 = 0.01; vital body dynamics: F(2,1107) = 40.216, p < .001, partial η2 = 0.07). Patients evaluated for HTx showed the highest psychosocial impairment and the highest inclination regarding additional supportive therapy. Conclusions: Patients evaluated for HTx, LTx, and KTx have distinct psychosocial characteristics and treatment preferences. HTx patients display the highest psychosocial impairment. We suggest psychocardiological treatment structures for optimal outcome.
DOI:doi:10.1097/PSY.0000000000001142
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1097/PSY.0000000000001142
 Volltext: https://journals.lww.com/psychosomaticmedicine/Fulltext/2023/01000/Psychosocial_Characteristics_of_Patients_Evaluated.13 ...
 DOI: https://doi.org/10.1097/PSY.0000000000001142
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1845061004
Verknüpfungen:→ Zeitschrift

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