Psychosocial Characteristics of Patients Evaluated for Kidney, Liver, or Heart Transplantation. Issue 1 (30th January 2023)

• Record Type: Journal Article
• Authors: Gronewold, Nadine; Schunn, Fabian; Ihrig, Andreas; Mayer, Gwendolyn; Wohnsland, Sascha; Wagenlechner, Petra; Leuschner, Maren; Kreusser, Michael M.; Sommerer, Claudia; Rupp, Christian; Friederich, Hans-Christoph; Schultz, Jobst-Hendrik; Bruns, Bastian
• Is Part Of: Psychosomatic medicine. Volume 85:Issue 1(2023)
• Page Start: 98
• Page End: 105
• Publication Date: 2023-01-30
• Subjects: transplantation -- psychosocial -- treatment preference -- heart failure -- liver failure -- kidney failure -- HTx = heart transplantation -- LTx = liver transplantation -- KTx = kidney transplantation -- PHQ-9 = Patient Health Questionnaire Depression Scale -- SoC = sense of coherence; Medicine, Psychosomatic -- Periodicals; 616.0805
• DOI: 10.1097/PSY.0000000000001142
• Languages: English
• ISSNs: 0033-3174

Abstract

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 χ 2 tests. Results: Patient groups differed significantly regarding depression ( F (2, 1107) = 35.283, p < .001, partial η 2 = 0.01), anxiety ( F (2, 1107) = 15.027, p < .001, partial η 2 = 0.03), health-related quality of life (physical: F (2, 1107) = 96.772, p < .001, partial η 2 = 0.15; mental: F (2, 1107) = 11.442, p < .001, partial η 2 = 0.02), perceived social support ( F (2, 1107) = 20.813, p < .001, partial η 2 = 0.04), SoC ( F (2, 1107) = 12.920, p < .001, partial η 2 = 0.02), self-efficacy ( F (2, 1107) = 17.308, p < .001, partial η 2 = 0.03), and body image (rejecting body evaluation: F (2, 1107) = 5.006, p = .007, partial η 2 = 0.01; vital body dynamics: F (2, 1107) = 40.216, p < .001, partial η 2 = 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.